Evidence map›Paper›PMID 37453903›Full record

ArticleSleep health2023

Early emergence of racial and ethnic differences in sleep health among toddlers living in low-income families.

Monica R Ordway, Lois S Sadler, Sangchoon Jeon, Jasmyne C Pierre, Craig Canapari, Nancy S Redeker

Open access · greenAbstract read
In one paragraph

Article in Sleep health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Frontiers in sleep · 2026
    Article
  2. Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Monica R OrdwayYale School of Medicine, Department of Pediatrics, New Haven, Connecticut, USA; Yale School of Nursing, West Haven, Connecticut, USA. Electronic address: Monica.ordway@yale.edu.
Lois S SadlerYale School of Nursing and Yale Child Study Center, West Haven, Connecticut, USA.
Sangchoon JeonYale School of Nursing, West Haven, Connecticut, USA.
Jasmyne C PierreYale University, Department of Psychology, New Haven, Connecticut, USA.
Craig CanapariYale School of Medicine, Department of Pediatrics, New Haven, Connecticut, USA.
Nancy S RedekerUniversity of Connecticut School of Nursing, Storrs, Connecticut, USA.
Yale University · USUniversity of Connecticut · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale University Clinical and Translational Science Award ProgramKL2TR000140 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$2.9M
Yale Center for Sleep Disturbance in Acute and Chronic ConditionsP20NR014126 · NINR · YALE UNIVERSITY · PI REDEKER, NANCY S, YAGGI, HENRY KLAR · 2012 to 2016
$1.4M
Community Partnership for Healthy SleepR21NR016190 · NINR · YALE UNIVERSITY · PI REDEKER, NANCY S, SADLER, LOIS S · 2016 to 2017
$475k
Sleep, Biological Stress, and Health among Toddlers Living in Socioeconomically Disadvantaged HomesK23NR016277 · NINR · YALE UNIVERSITY · PI ORDWAY, MONICA ROOSA · 2016 to 2018
$457k
Sleep Well, Bee Well: Sleep Health Promotion Intervention in Early Head StartR34NR019283 · NINR · YALE UNIVERSITY · PI ORDWAY, MONICA ROOSA · 2021 to 2022
$419k
NCATS NIH HHS KL2 TR000140NCATS NIH HHS UL1 TR001863NINR NIH HHS K23 NR016277NINR NIH HHS P20 NR014126NINR NIH HHS R21 NR016190NINR NIH HHS R34 NR019283
6 · The paper itself

Abstract

objectivesEmerging evidence suggests racial and ethnic and socioeconomic differences in children's sleep health, yet few have examined these differences among very young children. The purpose of this study is to identify potential racial, ethnic, and sociodeomographic factors associated with multiple dimensions of sleep health in toddlers living in very low-income families.

participantsSample included 110 racially and ethnically diverse dyads with toddlers aged 12-15 months living in low-income families.

methodsActigraph data (9 days and nights), caregiver completed sleep diaries, Brief Infant Sleep Questionnaire-extended, and caregiver-reported socioeconomic characteristics were collected.

resultsToddlers' average sleep duration (10.25 hours; SD = 0.76) was less than the age-based recommendations. There were significant race and ethnic differences in toddler's actigraph-measured bedtime (p < .001) and variability in bedtimes (p = .004). Non-LatinX White toddlers had earlier bedtimes and less variability than Black and LatinX children. These between-group differences remained statistically significant after controlling for measured socioeconomic variables (p's < 0.001). Within racial and ethnic group differences in bedtime and bedtime variability by education, employment, and marital status were identified with medium to large effect sizes.

conclusionsRacial and ethnic between-group differences in sleep occurred as early as 12 months of age and were not explained by sociodemographic variables (eg, income-to-needs, education, housing). Further research is necessary to determine structural and contextual factors that explain the racial and ethnic differences in sleep health in early childhood. Identifying these factors may inform the development of socially and culturally tailored interventions to reduce sleep health disparities.

Indexed as

PovertySleepChild, PreschoolHumansIncomeInfantSocioeconomic FactorsSurveys and QuestionnairesActigraphBedtimeBedtime variabilityHealth equitySleep healthToddlers

Identifiers

PMID37453903
PMCPMC10517059
OpenAlexW4384129595

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.