Real André Gonzales, Gillis Brian T, Gower Amy L, Eisenberg Marla E, Parchem Benjamin, Lawrence Samantha E, Russell Stephen T
Department of Human Development and Family Sciences, The University of Texas at Austin, Austin, Texas, USA.
Department of Human Development and Family Science, Auburn University, Auburn, Alabama, USA.
Sleep Health. 2025 Feb;11(1):40-47. doi: 10.1016/j.sleh.2024.09.009. Epub 2024 Nov 9.
Examine very short sleep among adolescents across multiple intersecting social positions and experiences of sexual orientation-based bullying and cyberbullying in two statewide samples.
A harmonization of two large statewide school-based datasets from grades 9-12 (2019 Minnesota Student Survey, and 2018-2019 California Healthy Kids Survey) was utilized for the analysis (N = 379,710). Exhaustive chi-square automatic interaction detection (an approach for quantitative intersectionality research) explored variability in very short sleep (≤5 hours/night) among adolescents from multiple intersecting social positions (race/ethnicity, gender identity, sexual orientation, and sex assigned at birth), grade, state, and two types of bullying experiences (sexual orientation-based bullying and cyberbullying). Intersectional groups reporting the highest prevalence of very short sleep were identified. We compared very short sleep rates among adolescents from the same social positions who experienced bullying with those who did not experience bullying.
Very short sleep was common among this sample of adolescents (19.2%), especially among those holding multiple marginalized social positions (36.9%-51.4%). Adolescents who were transgender or gender diverse or questioning gender identity, and with minoritized sexual and racial/ethnic identities were overrepresented among high prevalence groups of very short sleep. Bullying experiences were reported by all highest prevalence groups. Adolescents who were bullied had 24.9%-51.3% higher rates of very short sleep than adolescents from the same intersecting social positions who were not bullied.
Very short sleep is pervasive among marginalized adolescents. Findings suggest that victimization contributes to adolescents' very short sleep rates. Individual-level interventions may fall short of promoting better sleep among adolescents; systemic interventions addressing bullying are needed.
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在两个全州范围内的样本中，研究处于多个交叉社会地位的青少年的极短睡眠情况，以及基于性取向的欺凌和网络欺凌经历。
分析采用了来自9至12年级的两个大型全州范围学校数据集（2019年明尼苏达学生调查和2018 - 2019年加利福尼亚健康儿童调查）的合并数据（N = 379,710）。使用详尽的卡方自动交互检测（一种定量交叉性研究方法），探究处于多个交叉社会地位（种族/族裔、性别认同、性取向以及出生时被指定的性别）、年级、州以及两种欺凌经历（基于性取向的欺凌和网络欺凌）的青少年中极短睡眠（≤5小时/晚）的变异性。确定报告极短睡眠患病率最高的交叉群体。我们比较了经历欺凌的处于相同社会地位的青少年与未经历欺凌的青少年的极短睡眠率。
极短睡眠在该青少年样本中很常见（19.2%），尤其是在那些处于多个边缘化社会地位的青少年中（36.9% - 51.4%）。在极短睡眠高患病率群体中，跨性别或性别多样化或对性别认同存疑、以及具有少数性取向和种族/族裔身份的青少年占比过高。所有患病率最高的群体都报告有欺凌经历。与来自相同交叉社会地位但未受欺凌的青少年相比，受欺凌的青少年极短睡眠率高出24.9% - 51.3%。
极短睡眠在边缘化青少年中普遍存在。研究结果表明，受侵害会导致青少年的极短睡眠率升高。个体层面的干预措施可能不足以促进青少年的良好睡眠；需要采取针对欺凌行为的系统性干预措施。
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