Evidence map›Paper›PMID 42088989›Full record

ArticlePreventive medicine reports2026

Associations of adverse and positive childhood experiences with self-reported difficulty sleeping among urban caregivers in Philadelphia, Pennsylvania.

Matthew Jannetti, Fahamida Khanam, Maggie Beverly, Erikka Gilliam, Irene Headen, Stephanie Ettinger de Cuba, Amy Carroll-Scott, Félice Lê-Scherban

Abstract read
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In one paragraph

Article in Preventive medicine reports, 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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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Matthew JannettiUrban Health Collaborative, Dornsife School of Public Health, Drexel University, 3215 Market Street, 6 Floor, Philadelphia, PA, 19104, USA.
Fahamida KhanamDepartment of Epidemiology & Biostatistics, Dornsife School of Public Health, Drexel University, 3215 Market Street, 5 Floor, Philadelphia, PA, 19104, USA.
Maggie BeverlyUrban Health Collaborative, Dornsife School of Public Health, Drexel University, 3215 Market Street, 6 Floor, Philadelphia, PA, 19104, USA.
Erikka GilliamUrban Health Collaborative, Dornsife School of Public Health, Drexel University, 3215 Market Street, 6 Floor, Philadelphia, PA, 19104, USA.
Irene HeadenDepartment of Community Health & Prevention, Dornsife School of Public Health, Drexel University, 3215 Market Street, 5 Floor, Philadelphia, PA, 19104, USA.
Stephanie Ettinger de CubaDepartment of Pediatrics, Chobanian & Avedisian School of Medicine, Boston University, 801 Albany St., Boston, MA, 02119, USA.
Amy Carroll-ScottDepartment of Community Health & Prevention, Dornsife School of Public Health, Drexel University, 3215 Market Street, 5 Floor, Philadelphia, PA, 19104, USA.
Félice Lê-ScherbanUrban Health Collaborative, Dornsife School of Public Health, Drexel University, 3215 Market Street, 6 Floor, Philadelphia, PA, 19104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Adequate sleep is essential for health and cognition, yet a third of adults in the United States report trouble sleeping. Adverse childhood experiences (ACEs) have been identified as a predictor of sleep problems in adulthood, but there is little research on countervailing childhood exposures that may improve sleep or ameliorate the effects of ACEs. We addressed this gap by examining how past positive childhood experiences (PCEs) and ACEs are associated with difficulty sleeping. Methods: We analyzed 2019-2022 cross-sectional survey data from adult caregivers ( Results: High ACEs were associated with higher adjusted prevalence of difficulty sleeping (aPR = 1.34 [1.14-1.58]). This association was attenuated after adjustment for high PCEs (aPR = 1.20 [1.02-1.43). High PCEs were associated with lower prevalence of difficulty sleeping after adjustment for ACEs and other covariates (aPR = 0.77 [0.64-0.93]). There was no evidence of interaction between high ACEs and high PCEs. Conclusions: Results provide evidence for a positive association of PCEs on adult sleep despite ACEs, highlighting the importance of a life course approach to understanding adult sleep.

Indexed as

Adverse childhood experiencesAsset-focused approachesLife coursePositive childhood experiencesSleepSurvey data

Identifiers

PMID42088989
PMCPMC13136634

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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.