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Changes in Sleep-Wake Patterns and Disturbances Before and During COVID-19 in Urban American Indian/ Alaska Native Adolescents.

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Title: Changes in Sleep-Wake Patterns and Disturbances Before and During COVID-19 in Urban American Indian/ Alaska Native Adolescents.
Authors: Troxel, Wendy M. (AUTHOR), Palimaru, Alina I. (AUTHOR), Klein, David J. (AUTHOR), Dong, Lu (AUTHOR), Dickerson, Daniel L. (AUTHOR), Brown, Ryan A. (AUTHOR), Johnson, Carrie L. (AUTHOR), D'Amico, Elizabeth J. (AUTHOR)
Source: Behavioral Sleep Medicine. May/Jun2022, Vol. 20 Issue 3, p343-356. 14p. 4 Charts, 1 Graph.
Subjects: Alaska Natives, School start times, Sleep interruptions, COVID-19, Teenage girls, Teenagers
Abstract: COVID-19 has profoundly affected sleep, although little research has focused on high-risk populations for poor sleep health, including American Indian/Alaska Native (AI/AN) adolescents. This is the first longitudinal study to examine changes in sleep with surveys completed before the pandemic and during the early months of COVID-19 in a sample of urban AI/AN adolescents (N = 118; mean age = 14 years at baseline; 63% female). We use a mixed-methods approach to explore how COVID-19 affected urban AI/AN adolescents' sleep, daily routines, and interactions with family and culture. Quantitative analysis examined whether pandemic-related sleep changes were significant and potential moderators of COVID-19's effect on sleep, including family and community cohesion and engagement in traditional practices. : Findings demonstrate changes in sleep, including increases in sleep duration, delays in bedtimes and waketimes, and increases in sleep-wake disturbances (p's <.001). Higher levels of family cohesion and higher levels of engagement in traditional practices moderated pandemic-related increases in weekday sleep duration. Qualitative analyses revealed changes in adolescents' sleep and daily behaviors, as well as strategies adolescents used to cope with pandemic-related disruptions in sleep and routines. Findings demonstrate positive and negative changes in sleep during COVID-19 stay-at-home orders, including simultaneous increases in sleep duration and sleep-wake disturbances. Results highlight the importance of considering multi-level influences on adolescent sleep, such as early school start times, family dynamics, and cultural factors. A multi-level approach may help guide prevention and intervention efforts to improve adolescent sleep health. [ABSTRACT FROM AUTHOR]
Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Changes in Sleep-Wake Patterns and Disturbances Before and During COVID-19 in Urban American Indian/ Alaska Native Adolescents.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Troxel%2C+Wendy+M%2E%22&quot;&gt;Troxel, Wendy M.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Palimaru%2C+Alina+I%2E%22&quot;&gt;Palimaru, Alina I.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Klein%2C+David+J%2E%22&quot;&gt;Klein, David J.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Dong%2C+Lu%22&quot;&gt;Dong, Lu&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Dickerson%2C+Daniel+L%2E%22&quot;&gt;Dickerson, Daniel L.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Brown%2C+Ryan+A%2E%22&quot;&gt;Brown, Ryan A.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Johnson%2C+Carrie+L%2E%22&quot;&gt;Johnson, Carrie L.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22D&#39;Amico%2C+Elizabeth+J%2E%22&quot;&gt;D&#39;Amico, Elizabeth J.&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Behavioral+Sleep+Medicine%22&quot;&gt;Behavioral Sleep Medicine&lt;/searchLink&gt;. May/Jun2022, Vol. 20 Issue 3, p343-356. 14p. 4 Charts, 1 Graph.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Alaska+Natives%22&quot;&gt;Alaska Natives&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22School+start+times%22&quot;&gt;School start times&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sleep+interruptions%22&quot;&gt;Sleep interruptions&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22COVID-19%22&quot;&gt;COVID-19&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Teenage+girls%22&quot;&gt;Teenage girls&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Teenagers%22&quot;&gt;Teenagers&lt;/searchLink&gt;
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  Label: Abstract
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  Data: COVID-19 has profoundly affected sleep, although little research has focused on high-risk populations for poor sleep health, including American Indian/Alaska Native (AI/AN) adolescents. This is the first longitudinal study to examine changes in sleep with surveys completed before the pandemic and during the early months of COVID-19 in a sample of urban AI/AN adolescents (N = 118; mean age = 14 years at baseline; 63% female). We use a mixed-methods approach to explore how COVID-19 affected urban AI/AN adolescents&#39; sleep, daily routines, and interactions with family and culture. Quantitative analysis examined whether pandemic-related sleep changes were significant and potential moderators of COVID-19&#39;s effect on sleep, including family and community cohesion and engagement in traditional practices. : Findings demonstrate changes in sleep, including increases in sleep duration, delays in bedtimes and waketimes, and increases in sleep-wake disturbances (p&#39;s &lt;.001). Higher levels of family cohesion and higher levels of engagement in traditional practices moderated pandemic-related increases in weekday sleep duration. Qualitative analyses revealed changes in adolescents&#39; sleep and daily behaviors, as well as strategies adolescents used to cope with pandemic-related disruptions in sleep and routines. Findings demonstrate positive and negative changes in sleep during COVID-19 stay-at-home orders, including simultaneous increases in sleep duration and sleep-wake disturbances. Results highlight the importance of considering multi-level influences on adolescent sleep, such as early school start times, family dynamics, and cultural factors. A multi-level approach may help guide prevention and intervention efforts to improve adolescent sleep health. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Behavioral Sleep Medicine is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1080/15402002.2021.2022679
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      – Code: eng
        Text: English
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        PageCount: 14
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    Subjects:
      – SubjectFull: Alaska Natives
        Type: general
      – SubjectFull: School start times
        Type: general
      – SubjectFull: Sleep interruptions
        Type: general
      – SubjectFull: COVID-19
        Type: general
      – SubjectFull: Teenage girls
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      – SubjectFull: Teenagers
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              Text: May/Jun2022
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