ArticleSleep2020
Cumulative socio-demographic risk factors and sleep outcomes in early childhood.
Article in Sleep, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Objective sleep measures in chronic fatigue syndrome patients: A systematic review and meta-analysis.Sleep medicine reviews · 2023Pooled it
- Neighborhood environments and sleep among children and adolescents: A systematic review.Sleep medicine reviews · 2021Pooled it
- Effects of a Sleep Health Education Program for Children and Parents on Child Sleep Duration and Difficulties: A Stepped-Wedge Cluster Randomized Clinical Trial.JAMA network open · 2022Trial
- Trial
- Psychopathological correlates of early childhood sleep terror: associations with nutritional biomarkers, behavioral dysregulation, and sleep disturbance.BMC psychiatry · 2026Article
- The long-term associations between kindergarten bedtime and sleep duration, executive function, and academic achievement.Sleep health · 2026Article
- Behavioral Patterns in Preschool and School-Aged Children with Snoring and Sleep-Disordered Breathing: A Scoping Review.Children (Basel, Switzerland) · 2025Review
- Intimate partner psychological violence and children's sleep difficulties up to 5 years of age: an ELFE birth cohort.European journal of public health · 2025Article
- Associations between adhering to 24-hour movement guidelines and anxiety among adolescents across intersectional identities: KYRBS 2020-2022.BMC public health · 2025Article
- The association between maternal sleep and circadian rhythms during pregnancy and infant sleep and socioemotional outcomes.European child & adolescent psychiatry · 2025Article
- Article
- Parent-child discrepancies in reports of child psychosocial functioning in neurofibromatosis type 1.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2025Article
- A pilot bedtime routine intervention for toddlers in primary care: variation by caregiver educational attainment.Frontiers in sleep · 2025Article
- Initiatives to improve lung and sleep health in children: Delphi consensus from the pediatrics, pulmonary, and sleep conference.Pediatric pulmonology · 2024Article
- A policy analysis of sleep-related legislation for Canadian licensed childcare facilities.BMC public health · 2024Article
- Promoting healthy sleep in 0-2-year-old infants: a study protocol for the development and mixed method evaluation of a sleep health program tailored to Dutch youth healthcare regions.BMC public health · 2024Article
- Day-to-day bidirectional associations between sleep and emotion states in early childhood: Importance of end-of-day mood for sleep quality.Sleep health · 2024Article
- Maternal Perceptions of Evidence-Based Early Childhood Sleep Health Promotion Recommendations: An Explanatory Sequential Study.Behavioral sleep medicine · 2024Article
- Sociodemographic, temporal and bedtime routine correlates of sleep timing and duration in South Asian and white children: A Born in Bradford study.Sleep medicine: X · 2023Article
- Caregiver Perceived Stress and Child Sleep Health: An Item-Level Individual Participant Data Meta-Analysis.Journal of child and family studies · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
STUDY
objectivesTo examine associations between cumulative socio-demographic risk factors, sleep health habits, and sleep disorder symptoms in young children.
methodsTwo hundred five caregiver-child dyads (child mean age ± SD: 3.3 ± 1.1 years; 53.7% girls; 62.9% black, 22.4% non-Hispanic/Latinx white, 4.4% Hispanic/Latinx; 85.4% maternal caregiver reporter) completed caregiver-rated sleep measures (Brief Child Sleep Questionnaire [BCSQ]; Pediatric Sleep Questionnaire [PSQ] snoring subscale), which were used to generate indexes of poor sleep health habits, pediatric insomnia symptoms, and obstructive sleep apnea (OSA) symptoms. A cumulative risk index was created reflecting caregiver, family, and neighborhood risks.
resultsOverall, 84.5% of children had ≥ 1 poor sleep health habit, 62.9% had ≥ 1 insomnia symptom, and 40.0% had ≥ 1 OSA symptom. Poisson regression indicated that each increase in the number of cumulative risk factors was associated with a 10% increase in poor sleep health habits, a 9% increase in insomnia symptoms, and an 18% increase in OSA symptoms. Specific caregiver risks (depressive symptoms, lower educational attainment) and family risks (single caregiver, crowded home) were most predictive of poor sleep outcomes.
conclusionsPoor sleep health habits and sleep disorder symptoms are highly prevalent in early childhood, particularly among families experiencing cumulative socio-demographic risks. Findings underscore the need for targeted screening and prevention for modifiable sleep behaviors and efforts to tailor such strategies for at-risk children and families, especially those living in crowded conditions, or with caregivers who are single or have a lower educational attainment or depressive symptoms.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.