Adverse Childhood Experiences and Sleep Disturbances Among Puerto Rican Young Adults Public
Olsen, Eudora (Spring 2024)
Published
Abstract
Importance
Sleep quality is a known marker of overall health. Studies suggest that Adverse Childhood Experiences (ACEs) are associated with sleep disturbances in children and adults.
Objective
To explore the association between retrospective and prospective ACEs and sleep quality in a cohort of Puerto Rican young adults from two sociocultural contexts.
Design
Prospective cohort study from Boricua Youth Study (BYS) conducted 2013-2017. Analysis conducted 2023-2024.
Setting
Population-based study representing Puerto Ricans from the South Bronx, New York and Puerto Rico.
Participants
Participants from BYS who participated in the Health Assessment (HA) when they were ages 18-29. Eligibility criteria for BYS included having at least one child in the household that was age 5 to 13 years old and at least one of the child’s parents/primary caretakers be of Puerto Rican descent. HA was a subsample of those who were 5-9 years of age at enrollment in BYS and participated in wave 4 of BYS. Of the eligible 982 participants, 83% participated in HA (n = 813).
Exposures
Prospective ACEs measured from parent and youth responses and retrospective ACEs measured among young adults using questions from validated questionnaires.
Outcomes
Sleep quality assessed in HA with the Pittsburgh Sleep Quality Index (PSQI). Summary score included 7 components of PSQI.
Results
813 participants, 53.9% of the participants lived in Puerto Rico as children, 50.55% identified as female, and average age of participants was 22.9 (SE = 0.074). After adjusting for sociodemographic factors, retrospective ACEs have a significant association with worse sleep outcomes (B = 0.29, SE = 0.074, p < 0.001). Prospective ACEs do not have a significant association with sleep quality, after adjusting for sociodemographic factors (B = 0.051, SE = 0.095, p = 0.59).
Conclusions
There is a significant association between retrospective ACEs and sleep quality among Puerto Rican young adults, after adjusting for sociodemographic factors. Prospective ACEs were not significantly associated with sleep disturbances, after adjusting for sociodemographic factors. Addressing ACEs reported in young adulthood may help reduce sleep disorders.
Table of Contents
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