ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2019
Toddler Bedtime Routines and Associations With Nighttime Sleep Duration and Maternal and Household Factors.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 37 citations in OpenAlex.
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- Exploring sleep outcomes in youth across settings: Are there differences based on rurality or medically underserved status in the ECHO cohort?Sleep medicine · 2026Article
- Sleep health in black families: bedtime routines and sleep patterns among young children.Frontiers in sleep · 2026Article
- Multilevel factors associated with sleep duration and bedtime regularity in U.S. children with and without neurodevelopmental disorders: a nationally representative study.World journal of pediatrics : WJP · 2025Article
- A pilot bedtime routine intervention for toddlers in primary care: variation by caregiver educational attainment.Frontiers in sleep · 2025Article
- Trajectories of Housing Insecurity From Infancy to Adolescence and Adolescent Health Outcomes.Pediatrics · 2024Article
- Relationship between bedtime, nighttime sleep duration, and anxiety symptoms in preschoolers in China.Frontiers in psychology · 2024Article
- Social Capital and Sleep Outcomes Across Childhood in United States Families.Academic pediatrics · 2023Article
- Bedtime Routines of Young Children, Parenting Stress, and Bedtime Resistance: Mediation Models.Child psychiatry and human development · 2023Article
- Asia-Pacific consensus statement on integrated 24-hour activity guidelines for the early years.The Lancet regional health. Western Pacific · 2023Review
- Associations between cumulative risk, childhood sleep duration, and body mass index across childhood.BMC pediatrics · 2022Article
- Socioemotional behaviour of toddlers influenced by the sleep patterns: Prevalence study.Journal of family medicine and primary care · 2022Article
- Analysis of sleep problem in children aged 1-3 years with autism spectrum disorder in Zhejiang province, China.Frontiers in psychiatry · 2022Article
- Sleep in times of crises: A scoping review in the early days of the COVID-19 crisis.Sleep medicine reviews · 2021Article
- Trajectories of sleep in Child Protective Services (CPS)-referred children predict externalizing and internalizing symptoms in early childhood.Child abuse & neglect · 2020Article
- Sleep Routines in Children.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Article
- Material Hardships and Infant and Toddler Sleep Duration in Low-Income Hispanic Families.Academic pediatricsArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesThe aims of this study were to examine (1) relationships among implementing a bedtime routine, nighttime awakenings, and nighttime sleep duration in toddlers from low-income, minority families and (2) differences in maternal and household characteristics between mothers who did versus those who did not implement a nightly bedtime routine for their toddler.
methodsData were collected from mothers of toddlers on maternal and household characteristics and toddler sleep, measured using the Children's HealthWatch Survey and the Extended Brief Infant Sleep Questionnaire (BISQ). A path analysis model was tested to investigate whether nighttime awakenings mediated the relation between implementing a bedtime routine and toddlers' nighttime sleep duration. Chi-square tests were conducted to examine differences in maternal and household characteristics (ie, maternal depressive symptoms, food, housing and energy insecurity) between mothers who did versus those who did not implement nightly bedtime routines over the past 2 weeks.
resultsImplementing a bedtime routine was associated with longer toddler sleep duration through a decrease in nighttime awakenings (β = 5.04, 95% confidence interval = 0.61 to 11.35). More consistent sleep routine implementation was associated with fewer nighttime awakenings and longer sleep duration. Maternal depressive symptoms, housing insecurity, and food insecurity were associated with decreased likelihood of implementing a nightly bedtime routine.
conclusionsMaternal depressive symptoms, food insecurity, and household insecurity (factors associated with low socioeconomic status) may be associated with a negative sleep environment and poor toddler sleep quality, potentially because of decreased implementation of bedtime routines. COMMENTARY: A commentary on this article appears in this issue on page 821.
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