Inequities in sleep duration and quality among adolescents in Canada.
Adolescents
COVID-19
Equity
Gender
Race
Sleep
Socioeconomic status
Youth
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
27 Sep 2024
27 Sep 2024
Historique:
received:
07
12
2023
accepted:
03
09
2024
medline:
28
9
2024
pubmed:
28
9
2024
entrez:
28
9
2024
Statut:
epublish
Résumé
Several recent global events may have impacted adolescent sleep and exacerbated pre-existing disparities by social positions (i.e., social roles, identity or sociodemographic factors, and/or group memberships that are associated with power and oppression due to the structures and processes in a given society at given time). Current understanding of sleep among adolescents is critical to inform interventions for a more equitable future, given the short and long-term consequences of inadequate sleep on health and well-being. This study aimed to provide contemporary evidence on sleep disparities by key social positions among adolescents in Canada. Cross-sectional analyses were conducted using self-reported data collected during 2020-2021 (the first full school year after the COVID-19 pandemic onset) from 52,138 students (mean [SD] age = 14.9 [1.5]) attending 133 Canadian secondary schools. Multiple regression models were used to test whether sleep quality (how well students slept during past week), duration (weekday, weekend, weighted daily average), and guideline adherence (8-10 h/day) differed by sex and gender, race and ethnicity, and socioeconomic status (SES). Females reported a mean [95% CI] difference of -1.7 [-3.7, 0.4] min/day less sleep on weekdays than males, but 7.1 [4.5, 9.6] min/day more sleep on weekends, resulting in no difference in average daily sleep between males and females. Females were less likely to report good quality sleep compared to males (AOR = 0.57 [0.54, 0.60]). SES followed a generally monotonic trend where higher scores were associated with more sleep on weekdays (Δ Differences in sleep duration and quality were most profound among adolescents from the lowest and highest SES. Racial disparities were more evident on weekdays. Compensatory weekend sleep appears more pronounced in females than males. Addressing sleep inequities is critical, as a robust predictor of multiple health outcomes.
Sections du résumé
BACKGROUND
BACKGROUND
Several recent global events may have impacted adolescent sleep and exacerbated pre-existing disparities by social positions (i.e., social roles, identity or sociodemographic factors, and/or group memberships that are associated with power and oppression due to the structures and processes in a given society at given time). Current understanding of sleep among adolescents is critical to inform interventions for a more equitable future, given the short and long-term consequences of inadequate sleep on health and well-being. This study aimed to provide contemporary evidence on sleep disparities by key social positions among adolescents in Canada.
METHODS
METHODS
Cross-sectional analyses were conducted using self-reported data collected during 2020-2021 (the first full school year after the COVID-19 pandemic onset) from 52,138 students (mean [SD] age = 14.9 [1.5]) attending 133 Canadian secondary schools. Multiple regression models were used to test whether sleep quality (how well students slept during past week), duration (weekday, weekend, weighted daily average), and guideline adherence (8-10 h/day) differed by sex and gender, race and ethnicity, and socioeconomic status (SES).
RESULTS
RESULTS
Females reported a mean [95% CI] difference of -1.7 [-3.7, 0.4] min/day less sleep on weekdays than males, but 7.1 [4.5, 9.6] min/day more sleep on weekends, resulting in no difference in average daily sleep between males and females. Females were less likely to report good quality sleep compared to males (AOR = 0.57 [0.54, 0.60]). SES followed a generally monotonic trend where higher scores were associated with more sleep on weekdays (Δ
CONCLUSIONS
CONCLUSIONS
Differences in sleep duration and quality were most profound among adolescents from the lowest and highest SES. Racial disparities were more evident on weekdays. Compensatory weekend sleep appears more pronounced in females than males. Addressing sleep inequities is critical, as a robust predictor of multiple health outcomes.
Identifiants
pubmed: 39334116
doi: 10.1186/s12889-024-19974-w
pii: 10.1186/s12889-024-19974-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2644Subventions
Organisme : CIHR
ID : UIP 178846
Pays : Canada
Organisme : CIHR
ID : UIP 178846
Pays : Canada
Organisme : CIHR
ID : UIP 178846
Pays : Canada
Organisme : CIHR
ID : UIP 178846
Pays : Canada
Organisme : CIHR
ID : UIP 178846
Pays : Canada
Organisme : CIHR
ID : UIP 178846
Pays : Canada
Organisme : CIHR
ID : UIP 178846
Pays : Canada
Organisme : CIHR
ID : UIP 178846
Pays : Canada
Organisme : CIHR
ID : UIP 178846
Pays : Canada
Organisme : CIHR
ID : UIP 178846
Pays : Canada
Organisme : Health Canada
ID : #1617-HQ-000012
Informations de copyright
© 2024. The Author(s).
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