The role of sleep in health and health inequities in early childhood in Aotearoa New Zealand
This research investigated associations between multiple aspects of sleep health and child health, and the role of sleep in ethnic health inequities in early childhood. Questionnaire data on sleep and health of 3-year-old children (340 Māori, 570 non-Māori) in the Moe Kura: Mother and Child, Sleep a...
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| Veröffentlicht in: | Journal of the Royal Society of New Zealand 2023-10, Vol.53 (5), p.570-586 |
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| creator | Muller, Diane Paine, Sarah-Jane Signal, Tracey Leigh |
| description | This research investigated associations between multiple aspects of sleep health and child health, and the role of sleep in ethnic health inequities in early childhood. Questionnaire data on sleep and health of 3-year-old children (340 Māori, 570 non-Māori) in the Moe Kura: Mother and Child, Sleep and Wellbeing in Aotearoa/New Zealand study were analysed cross-sectionally. Logistic regression models investigated associations between poor sleep and health; and the contribution of socioeconomic deprivation, racism, and poor sleep to ethnic inequities in health (socioemotional difficulties; overweight/obesity; and asthma/eczema/allergy). Sleep measures included weekday and weekend sleep duration (per 24h), differences between weekday and weekend sleep duration and sleep timing, and sleep disturbance. Multiple aspects of sleep were associated with socioemotional or physical health outcomes. Ethnic health inequities existed, with Māori children having higher odds of poor health for all health measures. In sequential logistic regression models, socioeconomic deprivation attenuated ethnic health inequities, as did further adjustment for racism, and for sleep. Findings indicate that poor sleep health may be a pathway linking social disadvantage to ethnic inequities in health outcomes in early childhood. Results provide support for tackling systemic drivers of racism, and social and sleep inequities, to achieve health equity in early childhood. |
| doi_str_mv | 10.1080/03036758.2022.2109689 |
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Questionnaire data on sleep and health of 3-year-old children (340 Māori, 570 non-Māori) in the Moe Kura: Mother and Child, Sleep and Wellbeing in Aotearoa/New Zealand study were analysed cross-sectionally. Logistic regression models investigated associations between poor sleep and health; and the contribution of socioeconomic deprivation, racism, and poor sleep to ethnic inequities in health (socioemotional difficulties; overweight/obesity; and asthma/eczema/allergy). Sleep measures included weekday and weekend sleep duration (per 24h), differences between weekday and weekend sleep duration and sleep timing, and sleep disturbance. Multiple aspects of sleep were associated with socioemotional or physical health outcomes. Ethnic health inequities existed, with Māori children having higher odds of poor health for all health measures. In sequential logistic regression models, socioeconomic deprivation attenuated ethnic health inequities, as did further adjustment for racism, and for sleep. Findings indicate that poor sleep health may be a pathway linking social disadvantage to ethnic inequities in health outcomes in early childhood. Results provide support for tackling systemic drivers of racism, and social and sleep inequities, to achieve health equity in early childhood.</description><identifier>ISSN: 0303-6758</identifier><identifier>ISSN: 1175-8899</identifier><identifier>EISSN: 1175-8899</identifier><identifier>DOI: 10.1080/03036758.2022.2109689</identifier><identifier>PMID: 39440135</identifier><language>eng</language><publisher>New Zealand: Taylor & Francis</publisher><subject>Allergic reactions ; Allergies ; Asthma ; Body weight ; Child health ; Children ; Deprivation ; Eczema ; ethnicity ; Health disparities ; health equity ; Indigenous health ; Overweight ; Racism ; Regression analysis ; Regression models ; Skin diseases ; Sleep ; sleep health ; sleep inequities ; Social behavior ; socioeconomic deprivation ; socioeconomic position ; Socioeconomics</subject><ispartof>Journal of the Royal Society of New Zealand, 2023-10, Vol.53 (5), p.570-586</ispartof><rights>2022 The Royal Society of New Zealand 2022</rights><rights>2022 The Royal Society of New Zealand.</rights><rights>2022 The Royal Society of New Zealand</rights><rights>2022 The Royal Society of New Zealand 2022 The Royal Society of New Zealand</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-102623b8cbda964d3c39915f10de4dad8b701f032ef7bc09a146951ba854f2e03</citedby><cites>FETCH-LOGICAL-c497t-102623b8cbda964d3c39915f10de4dad8b701f032ef7bc09a146951ba854f2e03</cites><orcidid>0000-0002-0447-9069 ; 0000-0002-3414-1982 ; 0000-0003-2497-8946</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11459817/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11459817/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39440135$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Muller, Diane</creatorcontrib><creatorcontrib>Paine, Sarah-Jane</creatorcontrib><creatorcontrib>Signal, Tracey Leigh</creatorcontrib><title>The role of sleep in health and health inequities in early childhood in Aotearoa New Zealand</title><title>Journal of the Royal Society of New Zealand</title><addtitle>J R Soc N Z</addtitle><description>This research investigated associations between multiple aspects of sleep health and child health, and the role of sleep in ethnic health inequities in early childhood. Questionnaire data on sleep and health of 3-year-old children (340 Māori, 570 non-Māori) in the Moe Kura: Mother and Child, Sleep and Wellbeing in Aotearoa/New Zealand study were analysed cross-sectionally. Logistic regression models investigated associations between poor sleep and health; and the contribution of socioeconomic deprivation, racism, and poor sleep to ethnic inequities in health (socioemotional difficulties; overweight/obesity; and asthma/eczema/allergy). Sleep measures included weekday and weekend sleep duration (per 24h), differences between weekday and weekend sleep duration and sleep timing, and sleep disturbance. Multiple aspects of sleep were associated with socioemotional or physical health outcomes. Ethnic health inequities existed, with Māori children having higher odds of poor health for all health measures. In sequential logistic regression models, socioeconomic deprivation attenuated ethnic health inequities, as did further adjustment for racism, and for sleep. Findings indicate that poor sleep health may be a pathway linking social disadvantage to ethnic inequities in health outcomes in early childhood. Results provide support for tackling systemic drivers of racism, and social and sleep inequities, to achieve health equity in early childhood.</description><subject>Allergic reactions</subject><subject>Allergies</subject><subject>Asthma</subject><subject>Body weight</subject><subject>Child health</subject><subject>Children</subject><subject>Deprivation</subject><subject>Eczema</subject><subject>ethnicity</subject><subject>Health disparities</subject><subject>health equity</subject><subject>Indigenous health</subject><subject>Overweight</subject><subject>Racism</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Skin diseases</subject><subject>Sleep</subject><subject>sleep health</subject><subject>sleep inequities</subject><subject>Social behavior</subject><subject>socioeconomic deprivation</subject><subject>socioeconomic position</subject><subject>Socioeconomics</subject><issn>0303-6758</issn><issn>1175-8899</issn><issn>1175-8899</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kU9v1DAQxS0EokvhI4AiceGSxWPHiX2CquKfVLWXckFIlhNPiCtvvLWTVvvtcbS7Fe2Bk62Z35uZp0fIW6BroJJ-pJzyuhFyzShjawZU1VI9IyuARpRSKvWcrBamXKAT8iqlG0oZVLV4SU64qioKXKzI7-sBixg8FqEvkkfcFm4sBjR-Ggoz2uPXjXg7u8lhWvpoot8V3eC8HUKwS-ksTLkaTHGJ98WvLMri1-RFb3zCN4f3lPz8-uX6_Ht5cfXtx_nZRdlVqplKoKxmvJVda42qK8s7rhSIHqjFyhor24ZCTznDvmk7qkx2oQS0RoqqZ0j5Kfm0n7ud2w3aDscpGq-30W1M3OlgnH7cGd2g_4Q7DVAJJaHJEz4cJsRwO2Oa9MalDn12gWFOmgOohtVUyoy-f4LehDmO2Z9mkgvOuWSQKbGnuhhSitg_XANULwHqY4B6CVAfAsy6d_9aeVAdE8vA5z3gxj7EjbkP0Vs9mZ0PsY9m7Nxy7X93_AWCwKoG</recordid><startdate>20231020</startdate><enddate>20231020</enddate><creator>Muller, Diane</creator><creator>Paine, Sarah-Jane</creator><creator>Signal, Tracey Leigh</creator><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7QP</scope><scope>7QR</scope><scope>7SN</scope><scope>7SS</scope><scope>7ST</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>F1W</scope><scope>FR3</scope><scope>H94</scope><scope>H96</scope><scope>L.G</scope><scope>M7N</scope><scope>P64</scope><scope>RC3</scope><scope>SOI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0447-9069</orcidid><orcidid>https://orcid.org/0000-0002-3414-1982</orcidid><orcidid>https://orcid.org/0000-0003-2497-8946</orcidid></search><sort><creationdate>20231020</creationdate><title>The role of sleep in health and health inequities in early childhood in Aotearoa New Zealand</title><author>Muller, Diane ; Paine, Sarah-Jane ; Signal, Tracey Leigh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c497t-102623b8cbda964d3c39915f10de4dad8b701f032ef7bc09a146951ba854f2e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Allergic reactions</topic><topic>Allergies</topic><topic>Asthma</topic><topic>Body weight</topic><topic>Child health</topic><topic>Children</topic><topic>Deprivation</topic><topic>Eczema</topic><topic>ethnicity</topic><topic>Health disparities</topic><topic>health equity</topic><topic>Indigenous health</topic><topic>Overweight</topic><topic>Racism</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Skin diseases</topic><topic>Sleep</topic><topic>sleep health</topic><topic>sleep inequities</topic><topic>Social behavior</topic><topic>socioeconomic deprivation</topic><topic>socioeconomic position</topic><topic>Socioeconomics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Muller, Diane</creatorcontrib><creatorcontrib>Paine, Sarah-Jane</creatorcontrib><creatorcontrib>Signal, Tracey Leigh</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Environment Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 2: Ocean Technology, Policy & Non-Living Resources</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) Professional</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>Environment Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the Royal Society of New Zealand</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Muller, Diane</au><au>Paine, Sarah-Jane</au><au>Signal, Tracey Leigh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of sleep in health and health inequities in early childhood in Aotearoa New Zealand</atitle><jtitle>Journal of the Royal Society of New Zealand</jtitle><addtitle>J R Soc N Z</addtitle><date>2023-10-20</date><risdate>2023</risdate><volume>53</volume><issue>5</issue><spage>570</spage><epage>586</epage><pages>570-586</pages><issn>0303-6758</issn><issn>1175-8899</issn><eissn>1175-8899</eissn><abstract>This research investigated associations between multiple aspects of sleep health and child health, and the role of sleep in ethnic health inequities in early childhood. 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In sequential logistic regression models, socioeconomic deprivation attenuated ethnic health inequities, as did further adjustment for racism, and for sleep. Findings indicate that poor sleep health may be a pathway linking social disadvantage to ethnic inequities in health outcomes in early childhood. Results provide support for tackling systemic drivers of racism, and social and sleep inequities, to achieve health equity in early childhood.</abstract><cop>New Zealand</cop><pub>Taylor & Francis</pub><pmid>39440135</pmid><doi>10.1080/03036758.2022.2109689</doi><tpages>17</tpages><orcidid>https://orcid.org/0000-0002-0447-9069</orcidid><orcidid>https://orcid.org/0000-0002-3414-1982</orcidid><orcidid>https://orcid.org/0000-0003-2497-8946</orcidid><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central |
| subjects | Allergic reactions Allergies Asthma Body weight Child health Children Deprivation Eczema ethnicity Health disparities health equity Indigenous health Overweight Racism Regression analysis Regression models Skin diseases Sleep sleep health sleep inequities Social behavior socioeconomic deprivation socioeconomic position Socioeconomics |
| title | The role of sleep in health and health inequities in early childhood in Aotearoa New Zealand |
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