ArticleSocial science & medicine (1982)2022
Mental health, family functioning, and sleep in cultural context among American Indian/Alaska Native urban youth: A mixed methods analysis.
Article in Social science & medicine (1982), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Food insecurity and mental health among migrants and refugees in high-income countries: Systematic review and meta-analyses.PloS one · 2026Pooled it
- An Interpersonal and Meta-analytic Approach to Parenting Behaviors and Adolescent Sleep.Clinical child and family psychology review · 2024Pooled it
- Nighttime sleep duration and variability in children with obstructive sleep apnea syndrome: Sociodemographic disparities and neurobehavioral outcomes.Sleep medicine · 2023Trial
- Change in Health Status Among American Indian/Alaska Native Adolescents Living Outside of Tribal Land in California Before and During the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2026Article
- Understanding Family Functioning as a Protective Factor for Adolescents' Mental Health from the Parental Perspective: Photovoice in Rural Communities of Ecuador.International journal of environmental research and public health · 2025Article
- Content analysis of factors related to sleep health among American Indian peoples.Sleep health · 2025Article
- Addiction Memory, Family Functioning, and Depression in Illicit Drug Users: Self-Esteem as a Mediator.Behavioral sciences (Basel, Switzerland) · 2024Article
- Enhancing sleep health in urban American Indian/Alaska Native adolescents: Implications for culturally tailored interventions.Journal of adolescence · 2024Article
- Bidirectional Associations Between Daily Sleep and Wake Behaviors in Urban American Indian/Alaska Native Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Association between cognitive insight and anxiety among community-dwelling schizophrenia patients: the chain mediating effects of family cohesion and chronotype.Frontiers in psychiatry · 2024Article
- Resilience and health in American Indians and Alaska Natives: A scoping review of the literature.Development and psychopathology · 2023Article
- Health Disparities in Pediatric Sleep.Sleep medicine clinics · 2023Review
- Gender and socioeconomic patterning of self-reported sleep problems across European countries.European journal of public health · 2023Article
- Poor self-reported sleep quality associated with suicide risk in a community sample of American Indian adults.Sleep advances : a journal of the Sleep Research Society · 2023Article
- Sleep Deprivation and Central Appetite Regulation.Nutrients · 2022Review
- Leisure-Time Activities in Different Contexts and Depressive Symptoms in Norwegian Adolescents: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Trying to Do What's Best: Maternal Perspectives About Toddler Sleep Health Among an Underresourced Sample of Mothers With Diverse Racial and Ethnic Identities.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Mental health problems contribute significantly to the global burden of disease. Driven in part by family stressors and insufficient sleep, mental health disproportionately affects low SES urban adolescents. In the United States, American Indian/Alaska Native (AI/AN) youth exhibit excessively high rates of mental health problems. Family functioning is strongly associated with adolescent mental health, and sleep problems may serve as a pathway between family functioning and mental health. Using mixed methods we examine the associations among family functioning, subjective- and actigraphy-measured sleep, mental health (depressive and anxiety symptoms), and cultural identity in a sample of urban AI/AN youth. All participants (N = 142) completed surveys; a random subsample (n = 26) completed qualitative interviews to assess family and cultural dynamics related to sleep, which informed hypothesized direct and indirect effects that were tested using survey data. Narratives identified mechanisms of family cohesion (e.g., daily interactions that build perceived family togetherness and family-centered traditional activities) and the role that family cohesion plays in sleep (e.g., ensuring stability of sleep environments). Path analysis showed direct effects of improved family functioning on fewer depressive and anxiety symptoms, and indirect effects through lower self-reported sleep disturbance (but not through greater actigraphy-measured sleep duration or efficiency). Cultural identity did not moderate effects in quantitative tests. Our findings illustrate the complex associations among family functioning, sleep, and mental health in AI/AN youth. Family-based interventions to improve adolescent mental health should address modifiable intervention targets such as sleep, and address sources of both risk and resilience relevant to urban AI/AN families, including extended family and cultural practices.
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