Material Hardships and Infant and Toddler Sleep Duration in Low-Income Hispanic Families
Open accessAbstract
Objective To assess relationships between material hardships, shortened sleep duration, and suboptimal sleep practices across infancy and toddlerhood in low-income Hispanic families.Methods We analyzed longitudinal data of 451 low-income Hispanic mother-child pairs from a child obesity prevention trial. During infancy and toddlerhood, we used adjusted linear regression to assess associations between material hardship (financial difficulty, food insecurity, housing disrepair, and multiple hardships), sleep duration (24-hour, night), and the number of suboptimal sleep practices (eg, later bedtime, co-sleeping). We used adjusted linear regression to assess the longitudinal association between the number of suboptimal sleep practices in infancy and toddlerhood, and tested whether specific or multiple hardships moderated this association.Results In infants, financial difficulty and multiple hardships were associated with decreased night sleep (B = -0.59 hours, 95% confidence interval [CI]: -1.04, -0.14; and B = -0.54 hours, 95% CI: -1.00, -0.08). Housing disrepair was associated with decreased 24-hour sleep (B = -0.64 hours, 95% CI: -1.29, -0.01). In toddlers, each additional suboptimal sleep practice was associated with a decrease in night sleep (B = -0.19 hours, 95% CI: -0.29, -0.09). Each additional suboptimal sleep practice in infancy was associated with a 0.30 increase in the number of suboptimal sleep practices in toddlerhood (P < .001), with greater increases for those with food insecurity or multiple hardships.Conclusion Specific and multiple hardships shortened sleep duration during infancy, and moderated the increase of suboptimal sleep behaviors between infancy and toddlerhood. Future studies should consider these early critically sensitive periods for interventions to mitigate material hardships and establish healthy sleep practices.
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Material hardships are associated with poor outcomes in key infant domains such as cognitive development, obesogenic feeding behaviors, and decreased sleep duration.
“Previous studies have identified associations between material hardships, or a lack of essential resources, and poor outcomes in key infant domains such as cognitive development [5], obesogenic feeding behaviors [6], and decreased sleep duration [7].”
From Material Hardship and Stress from COVID-19 in Immigrant Chinese American Families with Infants (2022) · cites this paper as [7]
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- Authors
- Duh-Leong, C., Messito, M. J., Katzow, M. W., Tomopoulos, S., Nagpal, N., Fierman, A. H., & Gross, R. S.
- Affiliations
- New York University (US)
- Northwell Health (US)
- ORCID
- Venue
- Academic Pediatrics
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 20
- Issue
- 8
- Pages
- 1184-1191
- ISSN
- 1876-2859 (ISSN-L)
- PMC
- PMC9286002
- OpenAlex
- W3038163491
- Cited by
- 16
- References
- 39
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 2 · 2020: 1
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Academic Pediatrics (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Health Resources and Services Administration
- Clinical and Translational Science Institute, New York University
- U.S. Department of Agriculture
- National Institute of Child Health and Human Development
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Keywords
- material hardship, infant sleep duration, financial hardship, food insecurity, housing disrepair, co-sleeping, bedtime, childhood obesity prevention, critical periods of development
- MeSH terms
- Child, Preschool, Hispanic or Latino, Housing, Humans, Infant, Poverty, Sleep, Pediatric Obesity
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