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Intergenerational Effects of Discrimination on Black American Children’s Sleep Health

Greater exposure to racial/ethnic discrimination among pregnant Black American women is associated with elevated prenatal depressive symptomatology, poorer prenatal sleep quality, and poorer child health outcomes. Given the transdiagnostic importance of early childhood sleep health, we examined asso...

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Autores principales: Cohen, Madeleine F., Dunlop, Anne L., Johnson, Dayna A., Dunn Amore, Alexis, Corwin, Elizabeth J., Brennan, Patricia A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997890/
https://www.ncbi.nlm.nih.gov/pubmed/35409703
http://dx.doi.org/10.3390/ijerph19074021
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author Cohen, Madeleine F.
Dunlop, Anne L.
Johnson, Dayna A.
Dunn Amore, Alexis
Corwin, Elizabeth J.
Brennan, Patricia A.
author_facet Cohen, Madeleine F.
Dunlop, Anne L.
Johnson, Dayna A.
Dunn Amore, Alexis
Corwin, Elizabeth J.
Brennan, Patricia A.
author_sort Cohen, Madeleine F.
collection PubMed
description Greater exposure to racial/ethnic discrimination among pregnant Black American women is associated with elevated prenatal depressive symptomatology, poorer prenatal sleep quality, and poorer child health outcomes. Given the transdiagnostic importance of early childhood sleep health, we examined associations between pregnant women’s lifetime exposure to racial/ethnic discrimination and their two-year-old children’s sleep health. We also examined women’s gendered racial stress as a predictor variable. In exploratory analyses, we examined prenatal sleep quality and prenatal depressive symptoms as potential mediators of the prior associations. We utilized data from a sample of Black American women and children (n = 205). Women self-reported their lifetime experiences of discrimination during early pregnancy, their sleep quality and depressive symptoms during mid-pregnancy, and their children’s sleep health at age two. Hierarchical linear multiple regression models were fit to examine direct associations between women’s experiences of discrimination and children’s sleep health. We tested our mediation hypotheses using a parallel mediator model. Higher levels of gendered racial stress, but not racial/ethnic discrimination, were directly associated with poorer sleep health in children. Higher levels of racial/ethnic discrimination were indirectly associated with poorer sleep health in children, via women’s prenatal depressive symptomatology, but not prenatal sleep quality. Clinical efforts to mitigate the effects of discrimination on Black American women may benefit women’s prenatal mental health and their children’s sleep health.
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spelling pubmed-89978902022-04-12 Intergenerational Effects of Discrimination on Black American Children’s Sleep Health Cohen, Madeleine F. Dunlop, Anne L. Johnson, Dayna A. Dunn Amore, Alexis Corwin, Elizabeth J. Brennan, Patricia A. Int J Environ Res Public Health Article Greater exposure to racial/ethnic discrimination among pregnant Black American women is associated with elevated prenatal depressive symptomatology, poorer prenatal sleep quality, and poorer child health outcomes. Given the transdiagnostic importance of early childhood sleep health, we examined associations between pregnant women’s lifetime exposure to racial/ethnic discrimination and their two-year-old children’s sleep health. We also examined women’s gendered racial stress as a predictor variable. In exploratory analyses, we examined prenatal sleep quality and prenatal depressive symptoms as potential mediators of the prior associations. We utilized data from a sample of Black American women and children (n = 205). Women self-reported their lifetime experiences of discrimination during early pregnancy, their sleep quality and depressive symptoms during mid-pregnancy, and their children’s sleep health at age two. Hierarchical linear multiple regression models were fit to examine direct associations between women’s experiences of discrimination and children’s sleep health. We tested our mediation hypotheses using a parallel mediator model. Higher levels of gendered racial stress, but not racial/ethnic discrimination, were directly associated with poorer sleep health in children. Higher levels of racial/ethnic discrimination were indirectly associated with poorer sleep health in children, via women’s prenatal depressive symptomatology, but not prenatal sleep quality. Clinical efforts to mitigate the effects of discrimination on Black American women may benefit women’s prenatal mental health and their children’s sleep health. MDPI 2022-03-28 /pmc/articles/PMC8997890/ /pubmed/35409703 http://dx.doi.org/10.3390/ijerph19074021 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cohen, Madeleine F.
Dunlop, Anne L.
Johnson, Dayna A.
Dunn Amore, Alexis
Corwin, Elizabeth J.
Brennan, Patricia A.
Intergenerational Effects of Discrimination on Black American Children’s Sleep Health
title Intergenerational Effects of Discrimination on Black American Children’s Sleep Health
title_full Intergenerational Effects of Discrimination on Black American Children’s Sleep Health
title_fullStr Intergenerational Effects of Discrimination on Black American Children’s Sleep Health
title_full_unstemmed Intergenerational Effects of Discrimination on Black American Children’s Sleep Health
title_short Intergenerational Effects of Discrimination on Black American Children’s Sleep Health
title_sort intergenerational effects of discrimination on black american children’s sleep health
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997890/
https://www.ncbi.nlm.nih.gov/pubmed/35409703
http://dx.doi.org/10.3390/ijerph19074021
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