Abstract
Study Objectives: The main objective for this study was to assess the association of adverse childhood experiences (ACEs) and subsequent short sleep duration among adults. Methods: This cross-sectional examination used data from the 2011 Behavioral Risk Factor Surveillance System, a nationwide telephone-administered survey. Participants completed a standardized questionnaire to report childhood experiences of abuse, neglect, household challenges, and sleep time. Multinominal logistic regression analyses included survey weighting procedures and adjusted for age, race, education, income, sex, and body mass index; associations were also examined by age strata, using age as a proxy for time since ACEs occurred. Results: Complete data were available for 22 403 adults (mean age = 46.66 years) including 14 587 (65%) with optimum sleep duration (7-9 h/night) and 2069 (9%) with short sleep duration (<6 h/night). Compared with adults with optimum sleep duration, the number of ACEs was associated with the odds of short sleep duration (odds ratio [OR] = 1.22, 95% CI = 1.16 to 1.28), and the odds increased as the number of ACEs increased. The association held for each decade of age until the 60s, although the magnitude attenuated. Mental health challenges or poor physical health did not account for the association. Conclusion: ACEs increased the odds of chronic short sleep duration during adulthood and showed both a time-dependent and dose-response nature. These associations were independent of self-reported mental health challenges or poor physical health. The association of ACEs with short sleep duration throughout the adult lifespan emphasizes the importance of child health and identifying underlying psychological challenges in adults with sleep difficulties.
Original language | English |
---|---|
Article number | zsz087 |
Journal | Sleep |
Volume | 42 |
Issue number | 7 |
DOIs | |
State | Published - Jul 2019 |
Keywords
- ACEs
- adverse childhood experiences
- insomnia
- risk factor
- sleep
- sleep disruption
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Sullivan, K., Rochani, H., Huang, L. T., Donley, DI. K. (2019). Adverse childhood experiences affect sleep duration for up to 50 years later. Sleep, 42(7), Article zsz087. https://doi.org/10.1093/sleep/zsz087
Sullivan, Kelly ; Rochani, Haresh ; Huang, Li Ting et al. / Adverse childhood experiences affect sleep duration for up to 50 years later. In: Sleep. 2019 ; Vol. 42, No. 7.
@article{8ab8cafc451b4457822235c1efc0111e,
title = "Adverse childhood experiences affect sleep duration for up to 50 years later",
abstract = "Study Objectives: The main objective for this study was to assess the association of adverse childhood experiences (ACEs) and subsequent short sleep duration among adults. Methods: This cross-sectional examination used data from the 2011 Behavioral Risk Factor Surveillance System, a nationwide telephone-administered survey. Participants completed a standardized questionnaire to report childhood experiences of abuse, neglect, household challenges, and sleep time. Multinominal logistic regression analyses included survey weighting procedures and adjusted for age, race, education, income, sex, and body mass index; associations were also examined by age strata, using age as a proxy for time since ACEs occurred. Results: Complete data were available for 22 403 adults (mean age = 46.66 years) including 14 587 (65%) with optimum sleep duration (7-9 h/night) and 2069 (9%) with short sleep duration (<6 h/night). Compared with adults with optimum sleep duration, the number of ACEs was associated with the odds of short sleep duration (odds ratio [OR] = 1.22, 95% CI = 1.16 to 1.28), and the odds increased as the number of ACEs increased. The association held for each decade of age until the 60s, although the magnitude attenuated. Mental health challenges or poor physical health did not account for the association. Conclusion: ACEs increased the odds of chronic short sleep duration during adulthood and showed both a time-dependent and dose-response nature. These associations were independent of self-reported mental health challenges or poor physical health. The association of ACEs with short sleep duration throughout the adult lifespan emphasizes the importance of child health and identifying underlying psychological challenges in adults with sleep difficulties.",
keywords = "ACEs, adverse childhood experiences, insomnia, risk factor, sleep, sleep disruption",
author = "Kelly Sullivan and Haresh Rochani and Huang, {Li Ting} and Donley, {DIane K.} and Jian Zhang",
note = "Publisher Copyright: {\textcopyright} 2019 Sleep Research Society 2019. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail [emailprotected].",
year = "2019",
month = jul,
doi = "10.1093/sleep/zsz087",
language = "English",
volume = "42",
journal = "Sleep",
issn = "0161-8105",
publisher = "Oxford University Press",
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}
Sullivan, K, Rochani, H, Huang, LT, Donley, DIK 2019, 'Adverse childhood experiences affect sleep duration for up to 50 years later', Sleep, vol. 42, no. 7, zsz087. https://doi.org/10.1093/sleep/zsz087
Adverse childhood experiences affect sleep duration for up to 50 years later. / Sullivan, Kelly; Rochani, Haresh; Huang, Li Ting et al.
In: Sleep, Vol. 42, No. 7, zsz087, 07.2019.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - Adverse childhood experiences affect sleep duration for up to 50 years later
AU - Sullivan, Kelly
AU - Rochani, Haresh
AU - Huang, Li Ting
AU - Donley, DIane K.
AU - Zhang, Jian
N1 - Publisher Copyright:© 2019 Sleep Research Society 2019. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail [emailprotected].
PY - 2019/7
Y1 - 2019/7
N2 - Study Objectives: The main objective for this study was to assess the association of adverse childhood experiences (ACEs) and subsequent short sleep duration among adults. Methods: This cross-sectional examination used data from the 2011 Behavioral Risk Factor Surveillance System, a nationwide telephone-administered survey. Participants completed a standardized questionnaire to report childhood experiences of abuse, neglect, household challenges, and sleep time. Multinominal logistic regression analyses included survey weighting procedures and adjusted for age, race, education, income, sex, and body mass index; associations were also examined by age strata, using age as a proxy for time since ACEs occurred. Results: Complete data were available for 22 403 adults (mean age = 46.66 years) including 14 587 (65%) with optimum sleep duration (7-9 h/night) and 2069 (9%) with short sleep duration (<6 h/night). Compared with adults with optimum sleep duration, the number of ACEs was associated with the odds of short sleep duration (odds ratio [OR] = 1.22, 95% CI = 1.16 to 1.28), and the odds increased as the number of ACEs increased. The association held for each decade of age until the 60s, although the magnitude attenuated. Mental health challenges or poor physical health did not account for the association. Conclusion: ACEs increased the odds of chronic short sleep duration during adulthood and showed both a time-dependent and dose-response nature. These associations were independent of self-reported mental health challenges or poor physical health. The association of ACEs with short sleep duration throughout the adult lifespan emphasizes the importance of child health and identifying underlying psychological challenges in adults with sleep difficulties.
AB - Study Objectives: The main objective for this study was to assess the association of adverse childhood experiences (ACEs) and subsequent short sleep duration among adults. Methods: This cross-sectional examination used data from the 2011 Behavioral Risk Factor Surveillance System, a nationwide telephone-administered survey. Participants completed a standardized questionnaire to report childhood experiences of abuse, neglect, household challenges, and sleep time. Multinominal logistic regression analyses included survey weighting procedures and adjusted for age, race, education, income, sex, and body mass index; associations were also examined by age strata, using age as a proxy for time since ACEs occurred. Results: Complete data were available for 22 403 adults (mean age = 46.66 years) including 14 587 (65%) with optimum sleep duration (7-9 h/night) and 2069 (9%) with short sleep duration (<6 h/night). Compared with adults with optimum sleep duration, the number of ACEs was associated with the odds of short sleep duration (odds ratio [OR] = 1.22, 95% CI = 1.16 to 1.28), and the odds increased as the number of ACEs increased. The association held for each decade of age until the 60s, although the magnitude attenuated. Mental health challenges or poor physical health did not account for the association. Conclusion: ACEs increased the odds of chronic short sleep duration during adulthood and showed both a time-dependent and dose-response nature. These associations were independent of self-reported mental health challenges or poor physical health. The association of ACEs with short sleep duration throughout the adult lifespan emphasizes the importance of child health and identifying underlying psychological challenges in adults with sleep difficulties.
KW - ACEs
KW - adverse childhood experiences
KW - insomnia
KW - risk factor
KW - sleep
KW - sleep disruption
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U2 - 10.1093/sleep/zsz087
DO - 10.1093/sleep/zsz087
M3 - Article
SN - 0161-8105
VL - 42
JO - Sleep
JF - Sleep
IS - 7
M1 - zsz087
ER -
Sullivan K, Rochani H, Huang LT, Donley DIK, Zhang J. Adverse childhood experiences affect sleep duration for up to 50 years later. Sleep. 2019 Jul;42(7):zsz087. doi: 10.1093/sleep/zsz087