TY - JOUR
T1 - Racial/ethnic disparities in infant sleep in the COVID-19 Mother Baby Outcomes (COMBO) study
AU - Lucchini, Maristella
AU - Ordway, Monica R.
AU - Kyle, Margaret H.
AU - Pini, Nicolò
AU - Barbosa, Jennifer R.
AU - Sania, Ayesha
AU - Shuffrey, Lauren C.
AU - Firestein, Morgan R.
AU - Fernández, Cristina R.
AU - Fifer, William P.
AU - Alcántara, Carmela
AU - Monk, Catherine
AU - Dumitriu, Dani
N1 - Funding Information:
Research reported in this publication was supported by an R01MH126531 to DD and CM and by the Eunice Kennedy Shriver National Institute of Child Health and Human Development under grant number P2CHD058486 , awarded to the Columbia Population Research Center. LCS is supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development under grant number K99HD103910 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health .
Funding Information:
Research reported in this publication was supported by an R01MH126531 to DD and CM and by the Eunice Kennedy Shriver National Institute of Child Health and Human Development under grant number P2CHD058486, awarded to the Columbia Population Research Center. LCS is supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development under grant number K99HD103910. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2022 National Sleep Foundation
PY - 2022/10
Y1 - 2022/10
N2 - Objective: Investigate racial and ethnic differences in infant sleep and examine associations with insurance status and parent-infant bedtime behavioral factors (PIBBF). Methods: Participants are part of the COVID-19 Mother Baby Outcomes (COMBO) Initiative, Columbia University. Data on infant sleep (night, day and overall sleep duration, night awakenings, latency, infant's sleep as a problem) were collected at 4 months postpartum. Regressions estimated associations between race/ethnicity, insurance status, PIBBF and infants’ sleep. Results: A total of 296 infants were eligible (34.4% non-Hispanic White [NHW], 10.1% Black/African American [B/AA], 55.4% Hispanic). B/AA and Hispanic mothers were more likely to have Medicaid, bed/room-share, and report later infant bedtime compared to NHW mothers. Infants of B/AA mothers had longer sleep latency compared to NHW. Infants of Hispanic mothers slept less at night (∼70 ± 12 minutes) and more during the day (∼41 ± 12 minutes) and Hispanic mothers were less likely to consider infants’ sleep as a problem compared to NHW (odds ratio 0.4; 95% confidence interval: 0.2-0.7). After adjustment for insurance status and PIBBF, differences by race/ethnicity for night and day sleep duration and perception of infant's sleep as a problem persisted (∼32 ± 14 minutes, 35 ± 15 minutes, and odds ratio 0.4; 95% confidence interval: 0.2-0.8 respectively). Later bedtime was associated with less sleep at night (∼21 ± 4 minutes) and overall (∼17 ± 5 minutes), and longer latency. Infants who did not fall asleep independently had longer sleep latency, and co-sleeping infants had more night awakenings. Conclusions: Results show racial/ethnic differences in sleep in 4-month-old infants across sleep domains. The findings of our study suggest that PIBBF have an essential role in healthy infant sleep, but they may not be equitably experienced across racial/ethnic groups.
AB - Objective: Investigate racial and ethnic differences in infant sleep and examine associations with insurance status and parent-infant bedtime behavioral factors (PIBBF). Methods: Participants are part of the COVID-19 Mother Baby Outcomes (COMBO) Initiative, Columbia University. Data on infant sleep (night, day and overall sleep duration, night awakenings, latency, infant's sleep as a problem) were collected at 4 months postpartum. Regressions estimated associations between race/ethnicity, insurance status, PIBBF and infants’ sleep. Results: A total of 296 infants were eligible (34.4% non-Hispanic White [NHW], 10.1% Black/African American [B/AA], 55.4% Hispanic). B/AA and Hispanic mothers were more likely to have Medicaid, bed/room-share, and report later infant bedtime compared to NHW mothers. Infants of B/AA mothers had longer sleep latency compared to NHW. Infants of Hispanic mothers slept less at night (∼70 ± 12 minutes) and more during the day (∼41 ± 12 minutes) and Hispanic mothers were less likely to consider infants’ sleep as a problem compared to NHW (odds ratio 0.4; 95% confidence interval: 0.2-0.7). After adjustment for insurance status and PIBBF, differences by race/ethnicity for night and day sleep duration and perception of infant's sleep as a problem persisted (∼32 ± 14 minutes, 35 ± 15 minutes, and odds ratio 0.4; 95% confidence interval: 0.2-0.8 respectively). Later bedtime was associated with less sleep at night (∼21 ± 4 minutes) and overall (∼17 ± 5 minutes), and longer latency. Infants who did not fall asleep independently had longer sleep latency, and co-sleeping infants had more night awakenings. Conclusions: Results show racial/ethnic differences in sleep in 4-month-old infants across sleep domains. The findings of our study suggest that PIBBF have an essential role in healthy infant sleep, but they may not be equitably experienced across racial/ethnic groups.
KW - Bedtime behavioral factors
KW - Disparities
KW - Ethnicity
KW - Infancy
KW - Race
KW - Sleep
UR - http://www.scopus.com/inward/record.url?scp=85141334263&partnerID=8YFLogxK
U2 - 10.1016/j.sleh.2022.06.010
DO - 10.1016/j.sleh.2022.06.010
M3 - Article
C2 - 36038499
AN - SCOPUS:85141334263
SN - 2352-7218
VL - 8
SP - 429
EP - 439
JO - Sleep Health
JF - Sleep Health
IS - 5
ER -