Understanding Sleep Facilitators, Barriers, and Cultural Dimensions in Native American Urban Youth

Authors: Alina Palimaru, PhD, MPP, Ryan Brown, PhD MA, Wendy Troxel, PhD MS, Daniel Dickerson, DO MPH, Carrie Johnson, PhD, Elizabeth D'Amico, PhD MA

Publication Year: 2020

Last Updated: August 2020

Journal: Sleep Health

Keywords: Childcare; Health Disparities; Mental and Behavioral Health

 

Short Abstract:

 

Abstract: Background: AI/AN youth are a high-risk group for sleep problems and associated conditions. AI/AN youth are a high-risk group for sleep problems and associated chronic conditions. Urban AI/AN youth may face certain challenges, including specific psychosocial stressors (e.g., discrimination) and environmental factors (e.g., noise, light) that render them particularly vulnerable to poor sleep health. However, few studies have explored AI/AN adolescent sleep. Purpose of Study: To better understand the sleep health of urban Native American youths and its associated factors such as sleep environment and behaviors. Type of Info: Data Method: Qualitative approach to community-based participatory research with in-depth interviews. Sample: AI/AN youth (12-16 years old) living in Central or Southern California cities. Results: We identified five main themes, each with subthemes: sleep patterns and desired sleep, sleep barriers inside the home, environmental factors, sleep facilitators, and cultural dimensions. Key concerns discussed were poor sleep hygiene, excessive use of electronics prior to bedtime, issues with temperature regulation, and noise both within and outside the home. Parents can be an important vehicle for messaging around sleep health and behavior management. Participating adolescents also indicated differing levels of attachment to Native identity, suggesting that culturally-targeted sleep interventions should build openness and flexibility to a range of identity starting points. Further, we identified cultural practices, such as sweat lodges and dreamcatchers, that could be incorporated into future sleep interventions for this population. Limitations/Things to Know: Small sample size, so generalizability is limited. Conclusion: Findings increase our understanding of urban AI/AN youth’s sleep environments and behaviors, thus potentially informing program development around sleep health for this vulnerable population.

 

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529658/

Type of Resource: Peer-reviewed scientific article