Racial/ethnic disparities in infant sleep in the COVID-19 Mother Baby Outcomes (COMBO) study.
Bedtime behavioral factors
Disparities
Ethnicity
Infancy
Race
Sleep
Journal
Sleep health
ISSN: 2352-7226
Titre abrégé: Sleep Health
Pays: United States
ID NLM: 101656808
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
received:
28
09
2021
revised:
13
06
2022
accepted:
20
06
2022
pubmed:
30
8
2022
medline:
10
11
2022
entrez:
29
8
2022
Statut:
ppublish
Résumé
Investigate racial and ethnic differences in infant sleep and examine associations with insurance status and parent-infant bedtime behavioral factors (PIBBF). Participants are part of the COVID-19 Mother Baby Outcomes (COMBO) Initiative, Columbia University. Data on infant sleep (night, day and overall sleep duration, night awakenings, latency, infant's sleep as a problem) were collected at 4 months postpartum. Regressions estimated associations between race/ethnicity, insurance status, PIBBF and infants' sleep. A total of 296 infants were eligible (34.4% non-Hispanic White [NHW], 10.1% Black/African American [B/AA], 55.4% Hispanic). B/AA and Hispanic mothers were more likely to have Medicaid, bed/room-share, and report later infant bedtime compared to NHW mothers. Infants of B/AA mothers had longer sleep latency compared to NHW. Infants of Hispanic mothers slept less at night (∼70 ± 12 minutes) and more during the day (∼41 ± 12 minutes) and Hispanic mothers were less likely to consider infants' sleep as a problem compared to NHW (odds ratio 0.4; 95% confidence interval: 0.2-0.7). After adjustment for insurance status and PIBBF, differences by race/ethnicity for night and day sleep duration and perception of infant's sleep as a problem persisted (∼32 ± 14 minutes, 35 ± 15 minutes, and odds ratio 0.4; 95% confidence interval: 0.2-0.8 respectively). Later bedtime was associated with less sleep at night (∼21 ± 4 minutes) and overall (∼17 ± 5 minutes), and longer latency. Infants who did not fall asleep independently had longer sleep latency, and co-sleeping infants had more night awakenings. Results show racial/ethnic differences in sleep in 4-month-old infants across sleep domains. The findings of our study suggest that PIBBF have an essential role in healthy infant sleep, but they may not be equitably experienced across racial/ethnic groups.
Identifiants
pubmed: 36038499
pii: S2352-7218(22)00110-3
doi: 10.1016/j.sleh.2022.06.010
pmc: PMC9411732
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
429-439Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH126531
Pays : United States
Organisme : NICHD NIH HHS
ID : K99 HD103910
Pays : United States
Organisme : NICHD NIH HHS
ID : P2C HD058486
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH016434
Pays : United States
Informations de copyright
Copyright © 2022 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
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