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Health Disparities in Pediatric Sleep

  • Francesca Lupini
    Affiliations
    Children’s National Hospital, 111 Michigan Avenue Northwest, 6 Floor CTR Suite, Room M7658, Washington, DC 20010, USA
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  • Ariel A. Williamson
    Correspondence
    Corresponding author. Children’s Hospital of Philadelphia, Roberts Center for Pediatric Research, 2716 South Street Boulevard, Room 8202, Philadelphia, PA 19146.
    Affiliations
    Children’s Hospital of Philadelphia, Roberts Center for Pediatric Research, 2716 South Street Boulevard, Room 8202, Philadelphia, PA 19146, USA

    University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA 19104, USA
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Published:February 26, 2023DOI:https://doi.org/10.1016/j.jsmc.2023.01.005

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      References

        • health disparities
        • Minority health
        Definitions and parameters. NIMHD.
        (Available at:) (Accessed March 25, 2022)
        • Boyd R.W.
        • Lindo E.G.
        • Weeks L.D.
        • et al.
        On racism: a new standard for publishing on racial health inequities. E-publication, Bethesda, MD2020https://doi.org/10.1377/forefront.20200630.939347
        • Jackson C.L.
        • Walker J.R.
        • Brown M.K.
        • et al.
        A workshop report on the causes and consequences of sleep health disparities.
        Sleep. 2020; 43: zsaa037
        • Bronfenbrenner U.
        Ecological systems theory.
        in: Vasta R. Six theories of child development: revised formulations and current issues. Jessica Kingsley Publishers, London, England1992: 187-249
        • Buysse D.J.
        Sleep health: can we define it? Does it matter?.
        Sleep. 2014; 37: 9-17
        • Meltzer L.J.
        • Williamson A.A.
        • Mindell J.A.
        Pediatric sleep health: it matters, and so does how we define it.
        Sleep Med Rev. 2021; 57: 101425
        • Meltzer L.J.
        • Johnson C.
        • Crosette J.
        • et al.
        Prevalence of diagnosed sleep disorders in pediatric primary care practices.
        Pediatrics. 2011; 125: e1410-e1418
        • Ash T.
        • Taveras E.M.
        • Redline S.
        • et al.
        Contextual and parenting factors contribute to shorter sleep among hispanic/latinx compared to non-hispanic white infants.
        Ann Behav Med. 2021; 55: 424-435
        • Ash T.
        • Davison K.K.
        • Haneuse S.
        • et al.
        Emergence of racial/ethnic differences in infant sleep duration in the first six months of life.
        Sleep Med X. 2019; 1: 100003
        • Lucchini M.
        • Kyle M.
        • Pini N.
        • et al.
        Racial/ethnic disparities in sleep in mothers and infants during the Covid-19 pandemic.
        Sleep Health. 2022; 8: 429-439
        • Nevarez M.D.
        • Rifas-Shiman S.L.
        • Kleinman K.P.
        • et al.
        Associations of early life risk factors with infant sleep duration.
        Acad Pediatr. 2010; 10: 187-193
        • Peña M.M.
        • Rifas-Shiman S.L.
        • Gillman M.W.
        • et al.
        Racial/ethnic and socio-contextual correlates of chronic sleep curtailment in childhood.
        Sleep. 2016; 39: 1653-1661
        • Zhang Z.
        • Adamo K.B.
        • Ogden N.
        • et al.
        Longitudinal correlates of sleep duration in young children.
        Sleep Med. 2021; 78: 128-134
        • Smith J.P.
        • Hardy S.T.
        • Hale L.E.
        • et al.
        Racial disparities and sleep among preschool aged children: a systematic review.
        Sleep Health. 2019; 5: 49-57
        • Yu X.
        • Quante M.
        • Rueschman M.
        • et al.
        Emergence of racial/ethnic and socioeconomic differences in objectively measured sleep–wake patterns in early infancy: results of the Rise & SHINE study.
        Sleep. 2021; 44: zsaa193
        • Lobermeier M.
        • Staples A.D.
        • Peterson C.
        • et al.
        Cumulative risk, infant sleep, and infant social-emotional development.
        Infant Behav Dev. 2022; 67: 101713
        • Mayne S.L.
        • Mitchell J.A.
        • Virudachalam S.
        • et al.
        Neighborhood environments and sleep among children and adolescents: a systematic review.
        Sleep Med Rev. 2021; 57: 101465
        • Williamson A.A.
        • Gould R.
        • Leichman E.S.
        • et al.
        Socioeconomic disadvantage and sleep in early childhood: real-world data from a mobile health application.
        Sleep Health. 2021; 7: 143-152
        • Grimes M.
        • Camerota M.
        • Propper C.B.
        Neighborhood deprivation predicts infant sleep quality.
        Sleep Health. 2019; 5: 148-151
        • Hale L.
        • Berger L.M.
        • LeBourgeois M.K.
        • et al.
        Social and demographic predictors of preschoolers’ bedtime routines.
        J Dev Behav Pediatr. 2009; 30: 394-402
        • Williamson A.A.
        • Mindell J.A.
        Cumulative socio-demographic risk factors and sleep outcomes in early childhood.
        Sleep. 2020; 43: zsz233
        • Guglielmo D.
        • Gazmararian J.A.
        • Chung J.
        • et al.
        Racial/ethnic sleep disparities in US school-aged children and adolescents: a review of the literature.
        Sleep Health. 2018; 4: 68-80
        • Yip T.
        • Cheon Y.M.
        • Wang Y.
        • et al.
        Sociodemographic and environmental factors associated with childhood sleep duration.
        Sleep Health. 2020; 6: 767-777
        • Jarrin D.C.
        • McGrath J.J.
        • Quon E.C.
        Objective and subjective socioeconomic gradients exist for sleep in children and adolescents.
        Health Psychol. 2014; 33: 301-305
        • Sheehan C.
        • Powers D.
        • Margerison-Zilko C.
        • et al.
        Historical neighborhood poverty trajectories and child sleep.
        Sleep Health. 2018; 4: 127-134
        • El-Sheikh M.
        • Bagley E.J.
        • Keiley M.
        • et al.
        Economic adversity and children’s sleep problems: multiple indicators and moderation of effects.
        Health Psychol. 2013; 32: 849-859
        • Marczyk Organek K.D.
        • Taylor D.J.
        • Petrie T.
        • et al.
        Adolescent sleep disparities: sex and racial/ethnic differences.
        Sleep Health. 2015; 1: 36-39
        • Yip T.
        • Cheon Y.M.
        • Wang Y.
        • et al.
        Racial disparities in sleep: associations with discrimination among ethnic/racial minority adolescents.
        Child Dev. 2020; 91: 914-931
        • James S.
        • Chang A.M.
        • Buxton O.M.
        • et al.
        Disparities in adolescent sleep health by sex and ethnoracial group.
        SSM Popul Health. 2020; 11: 100581
        • Matthews K.A.
        • Hall M.
        • Dahl R.E.
        Sleep in healthy black and white adolescents.
        Pediatrics. 2014; 133: e1189-e1196
        • Marco C.A.
        • Wolfson A.R.
        • Sparling M.
        • et al.
        Family socioeconomic status and sleep patterns of young adolescents.
        Behav Sleep Med. 2012; 10: 70-80
        • El-Sheikh M.
        • Shimizu M.
        • Philbrook L.E.
        • et al.
        Sleep and development in adolescence in the context of socioeconomic disadvantage.
        J Adolesc. 2020; 83: 1-11
        • Milan S.
        • Snow S.
        • Belay S.
        The context of preschool children’s sleep: racial/ethnic differences in sleep locations, routines, and concerns.
        J Fam Psychol. 2007; 21: 20-28
        • Patrick K.E.
        • Millet G.
        • Mindell J.A.
        Sleep differences by race in preschool children: the roles of parenting behaviors and socioeconomic status.
        Behav Sleep Med. 2015; 14: 467-479
        • Owens J.A.
        • Spirito A.
        • McGuinn M.
        • et al.
        Sleep habits and sleep disturbance in elementary school-aged children.
        J Dev Behav Pediatr. 2000; 21: 27-36
        • Sheares B.J.
        • Kattan M.
        • Leu C.S.
        • et al.
        Sleep problems in urban, minority, early-school-aged children more prevalent than previously recognized.
        Clin Pediatr. 2013; 52: 302-309
        • Rubens S.L.
        • Patrick K.E.
        • Williamson A.A.
        • et al.
        Individual and socio-demographic factors related to presenting problem and diagnostic impressions at a pediatric sleep clinic.
        Sleep Med. 2016; 25: 67-72
        • Bagley E.J.
        • Kelly R.J.
        • Buckhalt J.A.
        • et al.
        What keeps low-SES children from sleeping well: the role of presleep worries and sleep environment.
        Sleep Med. 2015; 16: 496-502
        • El-Sheikh M.
        • Philbrook L.E.
        • Kelly R.J.
        • et al.
        What does a good night’s sleep mean? Nonlinear relations between sleep and children’s cognitive functioning and mental health.
        Sleep. 2019; 42: zsz078
        • Fernandez-Mendoza J.
        • Bourchtein E.
        • Calhoun S.
        • et al.
        Natural history of insomnia symptoms in the transition from childhood to adolescence: population rates, health disparities, and risk factors.
        Sleep. 2021; 44: zsaa187
        • Troxel W.M.
        • Shih R.A.
        • Ewing B.
        • et al.
        Examination of neighborhood disadvantage and sleep in a multi-ethnic cohort of adolescents.
        Health Place. 2017; 45: 39-45
        • Zapata Roblyer M.I.
        • Grzywacz J.
        Demographic and parenting correlates of adolescent sleep functioning.
        J Child Fam Stud. 2015; 24: 3331-3340
        • Roberts R.E.
        • Roberts C.R.
        • Chan W.
        Ethnic differences in symptoms of insomnia among adolescents.
        Sleep. 2006; 29: 359-365
        • Roberts R.E.
        • Lee E.S.
        • Hemandez M.
        • et al.
        Symptoms of insomnia among adolescents in the lower Rio Grande Valley of Texas.
        Sleep. 2004; 27: 751-760
        • Bixler E.O.
        • Vgontzas A.N.
        • Lin H.M.
        • et al.
        Sleep disordered breathing in children in a general population sample: prevalence and risk factors.
        Sleep. 2009; 32: 6
        • Rosen C.L.
        • Larkin E.K.
        • Kirchner H.L.
        • et al.
        Prevalence and risk factors for sleep-disordered breathing in 8- to 11-year-old children: association with race and prematurity.
        J Pediatr. 2003; 142: 383-389
        • Montgomery-Downs H.E.
        • Gozal D.
        Sleep habits and risk factors for sleep-disordered breathing in infants and young toddlers in Louisville, Kentucky.
        Sleep Med. 2006; 7: 211-219
        • Goldstein N.A.
        • Abramowitz T.
        • Weedon J.
        • et al.
        Racial/ethnic differences in the prevalence of snoring and sleep disordered breathing in young children.
        J Clin Sleep Med. 2011; 7: 163-171
        • Brouillette R.T.
        • Horwood L.
        • Constantin E.
        • et al.
        Childhood sleep apnea and neighborhood disadvantage.
        J Pediatr. 2011; 158: 789-795.e1
        • Archbold K.H.
        • Pituch K.J.
        • Panahi P.
        • et al.
        Symptoms of sleep disturbances among children at two general pediatric clinics.
        J Pediatr. 2002; 140: 97-102
        • Marcus C.L.
        • Brooks L.J.
        • Draper K.A.
        • et al.
        Diagnosis and management of childhood obstructive sleep apnea syndrome.
        Pediatrics. 2012; 130: 576-584
        • Redline S.
        • Tishler P.V.
        • Schluchter M.
        • et al.
        Risk factors for sleep-disordered breathing in children: associations with obesity, race, and respiratory problems.
        Am J Respir Crit Care Med. 1999; 159: 1527-1532
        • Weinstock T.G.
        • Rosen C.L.
        • Marcus C.L.
        • et al.
        Predictors of obstructive sleep apnea severity in adenotonsillectomy candidates.
        Sleep. 2014; 37: 261-269
        • Boss E.F.
        • Smith D.F.
        • Ishman S.L.
        Racial/ethnic and socioeconomic disparities in the diagnosis and treatment of sleep-disordered breathing in children.
        Int J Pediatr Otorhinolaryngol. 2011; 75: 299-307
        • Spilsbury J.C.
        • Storfer-Isser A.
        • Kirchner H.L.
        • et al.
        Neighborhood disadvantage as a risk factor for pediatric obstructive sleep apnea.
        J Pediatr. 2006; 149: 342-347
        • Wang R.
        • Dong Y.
        • Weng J.
        • et al.
        Associations among neighborhood, race, and sleep apnea severity in children. A six-city analysis.
        Ann Am Thorac Soc. 2017; 14: 76-84
        • Cooper J.N.
        • Koppera S.
        • Boss E.F.
        • et al.
        Differences in tonsillectomy utilization by race/ethnicity, type of health insurance, and rurality.
        Acad Pediatr. 2021; 21: 1031-1036
        • Kum-Nji P.
        • Mangrem C.L.
        • Wells P.J.
        • et al.
        Black/white differential use of health services by young children in a rural Mississippi community.
        South Med J. 2006; 99: 957-962
        • Marcus C.L.
        • Moore R.H.
        • Rosen C.L.
        • et al.
        A randomized trial of adenotonsillectomy for childhood sleep apnea.
        N Engl J Med. 2013; 368: 2366-2376
        • Pecha P.P.
        • Chew M.
        • Andrews A.L.
        Racial and ethnic disparities in utilization of tonsillectomy among medicaid-insured children.
        J Pediatr. 2021; 233: 191-197.e2
        • Boss E.F.
        • Benke J.R.
        • Tunkel D.E.
        • et al.
        Public insurance and timing of polysomnography and surgical care for children with sleep-disordered breathing.
        JAMA Otolaryngol-Head Neck Surg. 2015; 141: 106-111
        • Billings M.E.
        • Cohen R.T.
        • Baldwin C.M.
        • et al.
        Disparities in sleep health and potential intervention models.
        Chest. 2021; 159: 1232-1240
        • Williamson A.A.
        • Johnson T.J.
        • Tapia I.E.
        Health disparities in pediatric sleep-disordered breathing.
        Paediatr Respir Rev. 2022; S1526-0542: 00005-00007
        • Paradies Y.
        • Ben J.
        • Denson N.
        • et al.
        Racism as a determinant of health: a systematic review and meta-analysis.
        PLoS One. 2015; 10: e0138511
        • Pieterse A.L.
        • Todd N.R.
        • Neville H.A.
        • et al.
        Perceived racism and mental health among Black American adults: a meta-analytic review.
        J Couns Psychol. 2012; 59: 1-9
        • Trent M.
        • Dooley D.G.
        • Dougé J.
        • et al.
        The impact of racism on child and adolescent health.
        Pediatrics. 2019; 144: e20191765
        • Berry O.O.
        • Londoño Tobón A.
        • Njoroge W.F.M.
        Social determinants of health: the impact of racism on early childhood mental health.
        Curr Psychiatry Rep. 2021; 23: 23
        • Sadeh A.
        • Tikotzky L.
        • Scher A.
        Parenting and infant sleep.
        Sleep Med Rev. 2010; 14: 89-96
        • Sadeh A.
        • Anders T.F.
        Infant sleep problems: origins, assessment, interventions.
        Infant Ment Health J. 1993; 14: 17-34
        • Jian N.
        • Teti D.M.
        Emotional availability at bedtime, infant temperament, and infant sleep development from one to six months.
        Sleep Med. 2016; 23: 49-58
        • Fuller-Rowell T.E.
        • Nichols O.I.
        • Burrow A.L.
        • et al.
        Day-to-day fluctuations in experiences of discrimination: associations with sleep and the moderating role of internalized racism among African American college students.
        Cultur Divers Ethnic Minor Psychol. 2021; 27: 107-117
        • Goosby B.J.
        • Cheadle J.E.
        • Strong-Bak W.
        • et al.
        Perceived discrimination and adolescent sleep in a community sample.
        RSF. 2018; 4: 43-61
        • Huynh V.W.
        • Gillen-O’Neel C.
        Discrimination and sleep: the protective role of school belonging.
        Youth Soc. 2016; 48: 649-672
        • Bathory E.
        • Tomopoulos S.
        • Rothman R.
        • et al.
        Infant sleep and parent health literacy.
        Acad Pediatr. 2016; 16: 550-557
        • Owens J.A.
        • Jones C.
        Parental knowledge of healthy sleep in young children: results of a primary care clinic survey.
        J Dev Behav Pediatr. 2011; 32: 447-453
        • Cespedes E.M.
        • Gillman M.W.
        • Kleinman K.
        • et al.
        Television viewing, bedroom television, and sleep duration from infancy to mid-childhood.
        Pediatrics. 2014; 133: e1163-e1171
        • Palimaru A.I.
        • Dong L.
        • Brown R.A.
        • et al.
        Mental health, family functioning, and sleep in cultural context among American Indian/Alaska native urban youth: a mixed methods analysis.
        Soc Sci Med. 2022; 292: 114582
        • Quante M.
        • Khandpur N.
        • Kontos E.Z.
        • et al.
        Let’s talk about sleep”: a qualitative examination of levers for promoting healthy sleep among sleep-deprived vulnerable adolescents.
        Sleep Med. 2019; 60: 81-88
        • Wilson K.E.
        • Miller A.L.
        • Bonuck K.
        • et al.
        Sleep environments and sleep durations in a sample of low-income preschool children.
        J Clin Sleep Med. 2014; 10: 7
        • Mileva-Seitz V.R.
        • Bakersmans-Kraneburg M.J.
        • Battaini C.
        • et al.
        Parent-child bed-sharing: the good, the bad, and the burden of evidence.
        Sleep Med Rev. 2017; 32: 4-27
        • Covington L.B.
        • Armstrong B.
        • Black M.M.
        Bed sharing in toddlerhood: choice versus necessity and provider guidelines.
        Glob Pediatr Health. 2019; 6 (2333794X19843929)https://doi.org/10.1177/2333794X19843929
        • Mindell J.A.
        • Sadeh A.
        • Wiegand B.
        • et al.
        Cross-cultural differences in infant and toddler sleep.
        Sleep Med. 2010; 11: 274-280
        • Barajas R.G.
        • Martin A.
        • Brooks-Gunn J.
        • et al.
        Mother-child bed-sharing in toddlerhood and cognitive and behavioral outcomes.
        Pediatrics. 2011; 128: e339-e347
        • Zambrano D.N.
        • Mindell J.A.
        • Reyes N.R.
        • et al.
        It’s not all about my baby’s sleep”: a qualitative study of factors influencing low-income african american mothers’ sleep quality.
        Behav Sleep Med. 2016; 14: 489-500
        • Caldwell B.A.
        • Ordway M.R.
        • Sadler L.S.
        • et al.
        Parent perspectives on sleep and sleep habits among young children living with economic adversity.
        J Pediatr Health Care. 2020; 34: 10-22
        • Williamson A.A.
        • Milaniak I.
        • Watson B.
        • et al.
        Early childhood sleep intervention in urban primary care: caregiver and clinician perspectives.
        J Pediatr Psychol. 2020; 45: 933-945
        • Spilsbury J.C.
        • Patel S.R.
        • Morris N.
        • et al.
        Household chaos and sleep-disturbing behavior of family members: results of a pilot study of African American early adolescents.
        Sleep Health. 2017; 3: 84-89
        • Koopman-Verhoeff M.E.
        • Serdarevic F.
        • Kocevska D.
        • et al.
        Preschool family irregularity and the development of sleep problems in childhood: a longitudinal study.
        J Child Psychol Psychiatry. 2019; 60: 856-857
        • Covington L.B.
        • Patterson F.
        • Hale L.E.
        • et al.
        The contributory role of the family context in early childhood sleep health: a systematic review.
        Sleep Health. 2021; 7: 254-265
        • Daniel L.C.
        • Childress J.L.
        • Flannery J.L.
        • et al.
        Identifying modifiable factors linking parenting and sleep in racial/ethnic minority children.
        J Pediatr Psychol. 2020; 45: 867-876
        • Fronberg K.M.
        • Bai S.
        • Teti D.M.
        Household chaos mediates the link between family resources and child sleep.
        Sleep Health. 2022; 8: 121-129
        • Rojo-Wissar D.M.
        • Owusu J.T.
        • Nyhuis C.
        • et al.
        Parent-child relationship quality and sleep among adolescents: modification by race/ethnicity.
        Sleep Health. 2020; 6: 145-152
        • Powell C.A.
        • Rifas-Shiman S.L.
        • Oken E.
        • et al.
        Maternal experiences of racial discrimination and offspring sleep in the first 2 years of life: project Viva cohort, Massachusetts, USA (1999-2002).
        Sleep Health. 2020; 6: 463-468
        • Slopen N.
        • Lewis T.T.
        • Williams D.R.
        Discrimination and sleep: a systematic review.
        Sleep Med Rev. 2016; 18: 88-95
        • Cohen M.F.
        • Dunlop A.L.
        • Johnson D.A.
        • et al.
        Intergenerational effects of discrimination on black american children’s sleep health.
        Int J Environ Res Public Health. 2022; 19: 4021
        • Blackson E.A.
        • Gerdes M.
        • Segan E.
        • et al.
        Racial bias toward children in the early childhood education setting.
        J Early Child Res. 2022; (1476718X221087051)https://doi.org/10.1177/1476718X221087051
        • Maina I.W.
        • Belton T.D.
        • Ginzberg S.
        • et al.
        A decade of studying implicit racial/ethnic bias in healthcare providers using the implicit association test.
        Soc Sci Med. 2018; 199: 219-229
        • Starck J.G.
        • Riddle T.
        • Sinclair S.
        • et al.
        Teachers are people too: examining the racial bias of teachers compared to other american adults.
        Educ Res. 2020; 49: 273-284
        • van Ryn M.
        Research on the provider contribution to race/ethnicity disparities in medical care.
        Med Care. 2002; 40: I140-I151
        • Wang E.C.
        • Choe M.C.
        • Meara J.G.
        • et al.
        Inequality of access to surgical specialty health care: why children with government-funded insurance have less access than those with private insurance in Southern California.
        Pediatrics. 2004; 114: e584-e590
        • Yip T.
        • Wang Y.
        • Xie M.
        • et al.
        School Start Times, Sleep, and Youth Outcomes: A Meta-analysis.
        Pediatrics. 2022; 149 (e2021054068)
        • Levenson J.C.
        • Thoma B.C.
        • Hamilton J.L.
        • et al.
        Sleep among gender minority adolescents.
        Sleep. 2021; 44: zsaa185
      1. Crenshaw K. Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. University of Chicago Legal Forum 1989, no. 1 (1989): 139-167.

        • Schwichtenberg A.J.
        • Abel E.A.
        • Keys E.
        • et al.
        Diversity in pediatric behavioral sleep intervention studies.
        Sleep Med Rev. 2019; 47: 103-111
        • Baumann A.A.
        • Cabassa L.J.
        Reframing implementation science to address inequities in healthcare delivery.
        BMC Health Serv Res. 2020; 20: 190
        • Andrews K.
        • Parekh J.
        • Peckoo S.
        How to embed a racial and ethnic equity perspective in research: practical guidance for the research process.
        Child Trends. 2019; (Available at:) (Accessed May 2, 2022)