Parent Perspectives on Sleep and Sleep Habits Among Young Children Living With Economic Adversity

被引:24
作者
Caldwell, Barbara A. [1 ]
Ordway, Monica R. [2 ]
Sadler, Lois S. [2 ,3 ]
Redeker, Nancy S. [4 ,5 ,6 ,7 ]
机构
[1] Rutgers Sch Nursing, 65 Bergen St, Newark, NJ 07101 USA
[2] Yale Sch Nursing, West Haven, CT USA
[3] Yale Child Study Ctr, West Haven, CT USA
[4] Yale Sch Nursing, Ctr Biobehav Hlth Res, Nursing, Orange, CT USA
[5] Yale Sch Nursing, Ctr Biobehav Hlth Res, Orange, CT USA
[6] Yale Sch Med, Ctr Biobehav Hlth Res, Nursing, Orange, CT USA
[7] Yale Sch Med, Ctr Biobehav Hlth Res, Orange, CT USA
关键词
Family; sleep; stress; LONGITUDINAL RELATIONS; AMERICAN-ACADEMY; TODDLER SLEEP; QUESTIONNAIRE; DISORDERS; DURATION; QUALITY; HEALTH; FAMILY; RISK;
D O I
10.1016/j.pedhc.2019.06.006
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: To examine the perspectives of ethnically diverse, low-income parents of young children regarding sleep, sleep habits, and preferences for sleep promotion for themselves and their children. Method: We recruited a sample of mothers who had a 15- to 60-month-old child enrolled in the Special Supplemental Nutritional Program for Women, Infants and Children in a Northeastern U.S. city. We used a convergent mixed-methods design to conduct semi-structured interviews and questionnaires to measure parent sleep quality (Pittsburgh Sleep Quality Index), sleep apnea (Berlin Apnea Questionnaire), mood (Centers for Epidemiological Studies of Depression), children's sleep (Children's Sleep Habits Questionnaire), and behavior (Child Behavior Checklist). Results: Thirty-two mothers (M age = 30.97 [SD 6.34] years; n = 21 [65%] African American) and children (N = 14 [44% female]; M age =38 [SD 12.63] months) participated. Children's average sleep duration was 10 hr, which is below the recommendation for this age group; overall sleep difficulty was high despite most mothers reporting that their children had normal sleep. Five children had abnormal Child Behavior Checklist scores, suggesting internalizing and externalizing behaviors. More than half of the mothers had poor sleep quality and 24 (75%) were at high risk for sleep apnea. Mothers viewed sleep as important for themselves and their children and identified both effective and ineffective practices to promote sleep, including practices learned from their own families. Conclusions: Ethnically diverse mothers who are living with economic adversity value sleep for themselves and their children. The high value placed on sleep, despite misconceptions about normal sleep, suggest opportunities to promote sleep interventions. The content and delivery methods should be tailored to their knowledge, preferences, and cultural practices.
引用
收藏
页码:10 / 22
页数:13
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