What keeps low-SES children from sleeping well: the role of presleep worries and sleep environment
Open accessAbstract
Objectives Children in families of low socioeconomic status (SES) have been found to have poor sleep, yet the reasons for this finding are unclear. Two possible mediators, presleep worries and home environment conditions, were investigated as indirect pathways between SES and children's sleep.Participants/methods The participants consisted of 271 children (M (age) = 11.33 years; standard deviation (SD) = 7.74 months) from families varying in SES as indexed by the income-to-needs ratio. Sleep was assessed with actigraphy (sleep minutes, night waking duration, and variability in sleep schedule) and child self-reported sleep/wake problems (e.g., oversleeping and trouble falling asleep) and sleepiness (e.g., sleeping in class and falling asleep while doing homework). Presleep worries and home environment conditions were assessed with questionnaires.Results Lower SES was associated with more subjective sleep/wake problems and daytime sleepiness, and increased exposure to disruptive sleep conditions and greater presleep worries were mediators of these associations. In addition, environmental conditions served as an intervening variable linking SES to variability in an actigraphy-derived sleep schedule, and, similarly, presleep worry was an intervening variable linking SES to actigraphy-based night waking duration. Across sleep parameters, the model explained 5-29% of variance.Conclusions Sleep environment and psychological factors are associated with socioeconomic disparities, which affect children's sleep.
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Children and families of lower SES may face increased challenges implementing a consistent bedtime routine due to social and contextual issues.
“children and families of lower SES may face increased challenges implementing a consistent bedtime routine due to social and contextual issues.”
From Benefits of a bedtime routine in young children: Sleep, development, and beyond. (2018) · cites this paper as [139]
The Discussion reports that lower SES was linked to environmental conditions, which in turn were linked to greater variability in children’s sleep schedules. That supports the concern about contextual barriers to consistency, but the study measured sleep timing, not families’ ability to implement a bedtime routine. It also found no direct association between lower SES and sleep-schedule variability. (LLM, conf=0.83)
Experimental — accuracy not yet measuredChildren living in lower SES households may be more likely to have single caregivers and/or caregivers who engage in evening or shift work, as well as increased household crowding, noise, and light exposure.
“children living in lower SES households may be more likely to have single caregivers and/or caregivers who engage in evening or shift work, as well experience increased household crowding, noise, and light exposure [139,140]”
From Benefits of a bedtime routine in young children: Sleep, development, and beyond. (2018) · cites this paper as [139]
The Introduction (§1.1; page unavailable) says fewer resources may make quiet, dark sleep environments harder to maintain and links smaller homes to tighter sleeping conditions. The Results (§3.4; page unavailable) associate lower income-to-needs ratios with more disruptive environmental conditions. The paper reports the proportion of single-parent families in its sample but does not link single caregiving to lower SES, and the passages found do not address caregivers’ evening or shift work. (LLM, conf=0.87)
Experimental — accuracy not yet measuredWorrying specifically contributes to sleep disturbance.
“research has demonstrated that worrying in particular contributes to sleep disturbance (Bagley, Kelly, Buckhalt, & El-Sheikh, 2015; Yan et al., 2014).”
From Can Mindfulness Mechanistically Target Worry to Improve Sleep Disturbances? Theory and Study Protocol for App-Based Anxiety Program. (2020) · cites this paper as Bagley, Kelly, Buckhalt, & El-Sheikh, 2015
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- Authors
- Bagley, E. J., Kelly, R. J., Buckhalt, J. A., & El-Sheikh, M.
- Affiliations
- Muhlenberg College (US)
- University of New Mexico (US)
- Auburn University (US)
- Corresponding author
- Bagley, Erika J.
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2015-04
- Volume
- 16
- Issue
- 4
- Pages
- 496-502
- ISSN
- 1389-9457 (ISSN-L)
- PMC
- PMC4395518
- OpenAlex
- W2110539701
- Cited by
- 237
- References
- 47
- Citations by year
- 2026: 13 · 2025: 16 · 2024: 13 · 2023: 21 · 2022: 57 · 2021: 32 · 2020: 26 · 2019: 18 · 2018: 21 · 2017: 9 · 2016: 10 · 2015: 1
- FWCI
- 9.28
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL093246)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- socioeconomic status, children's sleep, sleep environment, daytime sleepiness, nocturnal awakenings, income-to-needs ratio, actigraphy
- MeSH terms
- Anxiety, Child, Environment, Female, Humans, Income, Male, Poverty, Sleep Deprivation, Sleep Wake Disorders, Socioeconomic Factors, Actigraphy
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