Community Violence Exposure, Sleep Disruption, and Insulin Resistance in Low-Income Urban Adolescents.
Background: Exposure to violence, which is experienced at disproportionally higher levels by black versus white youth, is associated with disruptions in sleep and elevated cardiovascular risk. Further, poor sleep hygiene is associated with insulin resistance. However, research to date examining disr...
| Publicado en: | International Journal of Behavioral Medicine Vol. 26; no. 4; pp. 437 - 443 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137664195&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137664195 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705503 7M2 jtl: International Journal of Behavioral Medicine issn: 10705503 maglogo: N pubinfo: dt: Aug2019 vid: 26 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 137664195 137664195 137664195 10.1007/s12529-019-09801-7 137664195 ppf: 437 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Community Violence Exposure, Sleep Disruption, and Insulin Resistance in Low-Income Urban Adolescents. aug: au: Kliewer, Wendy Robins, Jo Lynne Borre, Alicia affil: Department of Psychology, Virginia Commonwealth University, Box 842018, 23284-2018, Richmond, VA, USA sug: subj: Community Violence Risk Factors Exposure to Violence Risk Factors Sleep Disorders Risk Factors Insulin Resistance Risk Factors African Americans Psychosocial Factors Risk Assessment Poverty Urban Health Adolescent Health Sex Factors Human Adolescence Models, Theoretical Structured Interview Fasting Depression Complications Body Mass Index Male Female Adolescent: 13-18 years Male Female ab: Background: Exposure to violence, which is experienced at disproportionally higher levels by black versus white youth, is associated with disruptions in sleep and elevated cardiovascular risk. Further, poor sleep hygiene is associated with insulin resistance. However, research to date examining disruptions in sleep and cardiovascular risk in African-American adolescents has not taken the impact of exposure to violence into account, nor considered how gender might affect patterns of association. The present study addressed this gap by testing a path model linking exposure to community violence, sleep disruption, and insulin resistance in a sample of African-American adolescents and evaluating model fit across gender. Method: African-American adolescents (N = 107; 56% female; Mage = 14.29, SD = 1.17) completed structured interviews at home and provided a blood sample after fasting overnight. Results: The model fit connecting exposure to violence with sleep disruption and insulin resistance, adjusting for depressive symptoms and body mass index z score, was excellent. Multiple group analysis indicated gender differences in model fit. Path analysis revealed significant positive associations between exposure to violence and sleep disruption and sleep disruption and insulin resistance for females but not males. Conclusion: These data indicate that low-income, urban African-American female adolescents who witness violence and experience sleep disruptions may already be at elevated risk for health problems compared with their male counterparts. Additional research should attempt to replicate and explicate the underlying reasons for the gender differences observed here, with the goal of improving health and disrupting the path leading to health disparities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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