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Sleep Med. Rev., Sep 12 2024, 78 S1087-0792(24)00112-6 | https://doi.org/10.1016/j.smrv.2024.102008
Social determinants of health at multiple socio-ecological levels and sleep health in adolescents: A scoping review
Misol Kwon a,b, Shayleigh Dickson Page a,b, Ariel A. Williamson c, Sherry Morgan d, Amy M. Sawyer a,b,e
aUniversity of Pennsylvania Perelman School of Medicine, Division of Sleep Medicine, Philadelphia, PA, USA
bUniversity of Pennsylvania School of Nursing, Philadelphia, PA, USA
cUniversity of Oregon, The Ballmer Institute for Children's Behavioral Health, Portland, OR, USA
dUniversity of Pennsylvania Libraries, Philadelphia, PA, USA
eCorporal Michael J. Crescenz Veteran Affairs Medical Center, Philadelphia, PA, USA
Corresponding author : Misol Kwon
Abstract
Heightened sleep disturbances occur in adolescence, yet existing research has predominantly focused on individual factors linked to poor sleep and a limited set of sleep outcomes, such as sleep duration and timing. This scoping review aimed to identify the multilevel social determinants of adolescent sleep health across domains, including regularity, satisfaction/quality, alertness/sleepiness, timing, efficiency/continuity, duration, and behavior. Social determinants of health (SDoH) were categorized through a socio-ecological lens, while sleep health domains were aligned with the RU-SATED and Peds B-SATED sleep health frameworks. A systematic database search resulted in 57 studies of non-clinical adolescent and young adult populations (age 10-24 y) in North America, published between 2014 and 2022. Research gaps include 1) absence of other sleep health domains other than duration which is predicated on the included studies using a limited set of sleep outcome measures rather than a more comprehensive measurement strategy that align with the multifaceted domains of sleep health, and 2) inconsistent terminology and/or absent conceptual and operational definitions of subjective sleep reports. The findings highlight the multilevel SDoH that influence adolescent sleep health, underscoring the need for more comprehensive research. Such efforts will facilitate the development of interventions focused on fostering optimal adolescent sleep health this populations.
논문정보
- Review Paper
- 2024년 09월 (BRIC 등록일 2024-09-30)
- 국외 연구진
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