TY - JOUR
T1 - Parent–child relationship quality and sleep among adolescents
T2 - modification by race/ethnicity
AU - Rojo-Wissar, Darlynn M.
AU - Owusu, Jocelynn T.
AU - Nyhuis, Casandra
AU - Jackson, Chandra L.
AU - Urbanek, Jacek K.
AU - Spira, Adam P.
N1 - Funding Information:
A component of this study was presented at the 32nd Annual Meeting of the Associated Professional Sleep Societies, held in Baltimore, Maryland, on June 2-6, 2018. This research uses data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill and funded by grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, with cooperative funding from 23 other federal agencies and foundations. Acknowledgment is due to Ronald R. Rindfuss and Barbara Entwisle for assistance in the original design. Information on how to obtain the Add Health data files is available on the Add Health website (http://www.cpc.unc.edu/addhealth). No direct support was received from grant P01-HD31921 for this analysis. Darlynn M. Rojo-Wissar is supported by the National Institute of Mental Health's Psychiatric Epidemiology Training Program (5T32MH014592-39; PI: Zandi, Peter). This work was funded, in part, by the Intramural Program at the NIH, National Institute of Environmental Health Sciences (Z1A ES103325-01; Chandra L. Jackson). Adam Spira received an honorarium from Springer Nature Switzerland AG for Guest Editing a Special Issue of Current Sleep Medicine Reports. The other authors have no financial relationships relevant to this article to disclose.
Funding Information:
A component of this study was presented at the 32 nd Annual Meeting of the Associated Professional Sleep Societies, held in Baltimore, Maryland, on June 2-6, 2018. This research uses data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill and funded by grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development , with cooperative funding from 23 other federal agencies and foundations. Acknowledgment is due to Ronald R. Rindfuss and Barbara Entwisle for assistance in the original design. Information on how to obtain the Add Health data files is available on the Add Health website ( http://www.cpc.unc.edu/addhealth ). No direct support was received from grant P01-HD31921 for this analysis. Darlynn M. Rojo-Wissar is supported by the National Institute of Mental Health ’s Psychiatric Epidemiology Training Program ( 5T32MH014592-39 ; PI: Zandi, Peter). This work was funded, in part, by the Intramural Program at the NIH , National Institute of Environmental Health Sciences ( Z1A ES103325-01 ; Chandra L. Jackson). Adam Spira received an honorarium from Springer Nature Switzerland AG for Guest Editing a Special Issue of Current Sleep Medicine Reports . The other authors have no financial relationships relevant to this article to disclose.
Publisher Copyright:
© 2019 National Sleep Foundation
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/4
Y1 - 2020/4
N2 - Background: Both parent–child relationship quality (PCRQ) and sleep are important for health and development, but few studies have examined links between PCRQ and adolescent sleep and potential interactions by race/ethnicity or sex. Methods: We used cross-sectional data from 6,019 participants (mean = 15.9 years; 50% male; 66% non-Hispanic White, 16% non-Hispanic Black, 5% Hispanic all races) from the National Longitudinal Study of Adolescent to Adult Health, a nationally representative sample of U.S. adolescents. Our exposure was current adolescent-rated PCRQ score. Outcomes were adolescents’ reports of chronic insufficient sleep, sleep duration (mins), and frequency of insomnia symptoms (i.e., trouble falling or staying asleep “almost every day”/“every day” versus “never”/“just a few times”/“about once a week”). Results: Adjusting for demographic characteristics, each 1-point increase in PCRQ score was associated with lower odds of insomnia symptoms (odds ratio [OR] = 0.92, 95% confidence interval [CI]: 0.90, 0.94), chronic insufficient sleep (OR = 0.93, 95% CI: 0.91, 0.95), and longer sleep duration (B = 2.56, 95% CI: 1.90, 3.22). After adjustment for depressive symptoms, the association with insomnia symptoms was no longer statistically significant. Race/ethnicity moderated the association between PCRQ and chronic insufficient sleep such that the magnitude of the association was greater in Hispanics vs. Whites and Blacks. There were no interactions of PCRQ with sex. Conclusions: Among adolescents, better PCRQ was associated with better sleep, and this association varied by race/ethnicity for perceived chronic insufficient sleep. Longitudinal studies with objective and subjective sleep measures are needed to further understand these associations.
AB - Background: Both parent–child relationship quality (PCRQ) and sleep are important for health and development, but few studies have examined links between PCRQ and adolescent sleep and potential interactions by race/ethnicity or sex. Methods: We used cross-sectional data from 6,019 participants (mean = 15.9 years; 50% male; 66% non-Hispanic White, 16% non-Hispanic Black, 5% Hispanic all races) from the National Longitudinal Study of Adolescent to Adult Health, a nationally representative sample of U.S. adolescents. Our exposure was current adolescent-rated PCRQ score. Outcomes were adolescents’ reports of chronic insufficient sleep, sleep duration (mins), and frequency of insomnia symptoms (i.e., trouble falling or staying asleep “almost every day”/“every day” versus “never”/“just a few times”/“about once a week”). Results: Adjusting for demographic characteristics, each 1-point increase in PCRQ score was associated with lower odds of insomnia symptoms (odds ratio [OR] = 0.92, 95% confidence interval [CI]: 0.90, 0.94), chronic insufficient sleep (OR = 0.93, 95% CI: 0.91, 0.95), and longer sleep duration (B = 2.56, 95% CI: 1.90, 3.22). After adjustment for depressive symptoms, the association with insomnia symptoms was no longer statistically significant. Race/ethnicity moderated the association between PCRQ and chronic insufficient sleep such that the magnitude of the association was greater in Hispanics vs. Whites and Blacks. There were no interactions of PCRQ with sex. Conclusions: Among adolescents, better PCRQ was associated with better sleep, and this association varied by race/ethnicity for perceived chronic insufficient sleep. Longitudinal studies with objective and subjective sleep measures are needed to further understand these associations.
KW - Adolescents
KW - Insomnia
KW - Parent–child relationship quality
KW - Sleep duration
UR - http://www.scopus.com/inward/record.url?scp=85078625082&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85078625082&partnerID=8YFLogxK
U2 - 10.1016/j.sleh.2019.12.010
DO - 10.1016/j.sleh.2019.12.010
M3 - Article
C2 - 31980401
AN - SCOPUS:85078625082
VL - 6
SP - 145
EP - 152
JO - Sleep Health
JF - Sleep Health
SN - 2352-7218
IS - 2
ER -