Senger-Carpenter Thea, Voepel-Lewis Terri, Stoddard Sarah A, Zhang Anao, Ordway Monica R
University of Michigan School of Nursing, 426 N. Ingalls Street, Ann Arbor, MI 48109, USA.
University of Michigan School of Nursing, 426 N. Ingalls Street, Ann Arbor, MI 48109, USA; Department of Anesthesiology at Michigan Medicine, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA.
Child Abuse Negl. 2025 Feb;160:107236. doi: 10.1016/j.chiabu.2024.107236. Epub 2025 Jan 3.
Adverse childhood experiences (ACEs) may increase the risk for adolescent sleep disturbances, though the impact of race, ethnicity, and socioeconomic status (SES) remains unclear.
We sought to determine the direct and moderating impact of race, ethnicity, family SES, and community SES on sleep disturbances across early adolescence for ACE-exposed youth.
This secondary analysis used longitudinal Adolescent Brain Cognitive Development Study® data (2016-2022) from youth who experienced ≥1 ACE by age 9-10 years.
Clinically significant sleep disturbances were identified from the annual parent-reported Sleep Disturbances Scale for Children. Parents reported youths' race, ethnicity, family SES, and community SES at baseline. Multilevel mixed effects logistic regression modeling examined the impact of race, ethnicity, and SES on sleep disturbances over four years among ACE-exposed youth. Adjusted odds ratios with 95 % confidence intervals are presented (adj. OR [95 % CI]).
Among 6661 youth with ACE exposure, 2402 (36.1 %) had clinically significant sleep disturbances at baseline. Multiracial (versus White) youth were 27 % likelier to have clinically significant sleep disturbances over time (adj. OR 1.27 [95 % CI 1.01, 1.59]). Similar results were found for youth exposed to ≥2 family financial adversities (adj. OR 1.50 [95 % CI 1.19, 1.90]). There were no effects of community SES, nor interaction effects of race, ACEs, or SES on sleep disturbances.
While Multiracial youth may experience additional stressors which affect sleep disturbances, regularly assessing family environments and supporting all families to meet basic needs may positively impact adolescent sleep.
童年不良经历（ACEs）可能会增加青少年睡眠障碍的风险，不过种族、族裔和社会经济地位（SES）的影响仍不明确。
我们试图确定种族、族裔、家庭SES和社区SES对有ACE暴露经历的青少年在青春期早期睡眠障碍的直接和调节影响。
这项二次分析使用了青少年大脑认知发展研究®的纵向数据（2016 - 2022年），数据来自9至10岁时经历过≥1次ACE的青少年。
从家长每年报告的儿童睡眠障碍量表中确定具有临床意义的睡眠障碍。家长在基线时报告青少年的种族、族裔、家庭SES和社区SES。多水平混合效应逻辑回归模型检验了种族、族裔和SES对有ACE暴露经历的青少年四年内睡眠障碍的影响。呈现了调整后的比值比及95%置信区间（adj. OR [95% CI]）。
在6661名有ACE暴露经历的青少年中，2402名（36.1%）在基线时有具有临床意义的睡眠障碍。多种族（与白人相比）青少年随着时间推移出现具有临床意义的睡眠障碍的可能性高27%（adj. OR 1.27 [95% CI 1.01, 1.59]）。暴露于≥2种家庭经济困境的青少年也有类似结果（adj. OR 1.50 [95% CI 1.19, 1.90]）。社区SES没有影响，种族、ACEs或SES对睡眠障碍也没有交互作用。
虽然多种族青少年可能会经历影响睡眠障碍的额外压力源，但定期评估家庭环境并支持所有家庭满足基本需求可能会对青少年睡眠产生积极影响。
