Sleep inequities and associations between poor sleep and mental health for school-aged children: findings from the New Zealand Health Survey

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dc.citation.issue1
dc.citation.volume4
dc.contributor.authorMuller D
dc.contributor.authorSignal TL
dc.contributor.authorShanthakumar M
dc.contributor.authorPaine S-J
dc.coverage.spatialUnited States
dc.date.accessioned2024-02-28T02:09:38Z
dc.date.accessioned2024-07-25T06:32:00Z
dc.date.available2023-11-18
dc.date.available2024-02-28T02:09:38Z
dc.date.available2024-07-25T06:32:00Z
dc.date.issued2023-11-18
dc.description.abstractIn Aotearoa/New Zealand, ethnic inequities in sleep health exist for young children and adults and are largely explained by inequities in socioeconomic deprivation. Poor sleep is related to poor mental health for these age groups but whether sleep inequities and associations with mental health exist for school-aged children is unclear. We aimed to (1) determine the prevalence of poor sleep health including sleep problems by ethnicity, (2) examine social determinants of health associated with poor sleep, and (3) investigate relationships between poor sleep and mental health for 5-14-year-olds using cross-sectional New Zealand Health Survey data (n = 8895). Analyses included weighted prevalence estimates and multivariable logistic regression. Short sleep was more prevalent for Indigenous Māori (17.6%), Pacific (24.5%), and Asian (18.4%) children, and snoring/noisy breathing during sleep was more prevalent for Māori (29.4%) and Pacific (28.0%) children, compared to European/Other (short sleep 10.2%, snoring/noisy breathing 17.6%). Ethnicity and neighborhood socioeconomic deprivation were independently associated with short sleep and snoring/noisy breathing during sleep. Short sleep was associated with increased odds of anxiety, attention deficit hyperactivity disorder, and activity-limiting emotional and psychological conditions after adjusting for ethnicity, deprivation, age, and gender. In addition, long sleep was independently associated with increased odds of depression. These findings demonstrate that for school-aged children ethnic inequities in sleep exist, socioeconomic deprivation is associated with poor sleep, and poor sleep is associated with poor mental health. Sociopolitical action is imperative to tackle social inequities to support sleep equity and mental health across the lifecourse.
dc.description.confidentialfalse
dc.format.paginationzpad049-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/38084299
dc.identifier.citationMuller D, Signal TL, Shanthakumar M, Paine S-J. (2023). Sleep inequities and associations between poor sleep and mental health for school-aged children: findings from the New Zealand Health Survey.. Sleep Adv. 4. 1. (pp. zpad049-).
dc.identifier.doi10.1093/sleepadvances/zpad049
dc.identifier.eissn2632-5012
dc.identifier.elements-typejournal-article
dc.identifier.issn2632-5012
dc.identifier.numberzpad049
dc.identifier.piizpad049
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70366
dc.languageeng
dc.publisherOxford University Press on behalf of Sleep Research Society
dc.publisher.urihttps://academic.oup.com/sleepadvances/article/4/1/zpad049/7426836
dc.relation.isPartOfSleep Adv
dc.rights(c) 2023 The Author/s
dc.rightsCC BY 4.0
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectIndigenous sleep
dc.subjectanxiety
dc.subjectdepression
dc.subjectrace/ethnicity
dc.subjectsleep disorders
dc.subjectsleep disparities
dc.subjectsleep health
dc.subjectsnoring
dc.subjectsocioeconomic position
dc.titleSleep inequities and associations between poor sleep and mental health for school-aged children: findings from the New Zealand Health Survey
dc.typeJournal article
pubs.elements-id485263
pubs.organisational-groupOther
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