ArticleAcademic pediatrics2026
Food Insecurity and Housing Insecurity Associated With Decreased Sleep Regularity in Adolescents.
Article in Academic pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
6 authors.
Funding
Abstract
objectiveWhile disparities in adolescent sleep health are well recognized, few studies focus on sleep regularity, a sleep parameter associated with negative physical and mental health consequences. This study aimed to evaluate the association between socio-contextual factors and sleep regularity in healthy adolescents recruited from primary care.
methodsData were derived from the baseline assessment for a pilot clinical trial that investigated a digital sleep intervention for teens aged 12 to 14. Socio-contextual factors included cut-off utilities, food insecurity, housing insecurity, neighborhood social cohesion, amenities, and perceived safety. The primary outcome of interest was actigraphy-measured sleep regularity quantified by the sleep regularity index (SRI; range 0-100; score = 100 indicates max regularity). Multivariable linear regression, adjusted for sex and age, was performed to examine the relationships between socio-contextual measures and sleep regularity.
resultsSample included 54 youth (mean age 12.94, 44.44% sex assigned female at birth). In the multivariable models, food and housing insecurity were significantly associated with decreased sleep regularity including worry that food would run out (β = -9.23, 95% CI: -13.62 to -4.84, P<.001), food running out (β = -10.56, 95% CI: -15.12 to -5.99, P<.001), and housing insecurity (β = -17.04, 95% CI: -31.26 to -2.82, P<.05). No other significant associations were found. DISCUSSION: Among healthy adolescents recruited from primary care, those living in food- or housing-insecure households experienced decreased sleep regularity. Further understanding the interplay between socio-contextual factors and sleep is necessary to inform interventions and anticipatory guidance via clinical guidelines for health care providers.
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