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Maternal experiences of racial discrimination and offspring sleep in the first 2 years of life: Project Viva cohort, Massachusetts, USA (1999-2002).


ABSTRACT:

Objective

To examine the association of maternal lifetime experiences of racial discrimination with infant sleep duration over the first 2 years of life.

Design

Prebirth cohort study.

Setting

Massachusetts, USA (baseline: 1999-2002).

Participants

552 mother-infant dyads in Project Viva, for whom the mother self-identified as being a woman of color.

Measurements

During pregnancy, mothers completed the Experiences of Discrimination survey that measured lifetime experiences of racial discrimination in eight domains. The main outcome was a weighted average of their infants' 24-hour sleep duration from 6 months to 2 years.

Results

30% reported 0 domains of racial discrimination, 35% 1-2 domains, and 34% ≥3 domains. Any racial discrimination (≥1 vs. 0 domains) was higher among black (80%) versus Hispanic (58%) or Asian (53%) mothers and the United States versus foreign-born mothers (79% vs. 58%) and was associated with higher mean prepregnancy BMI (26.8 vs. 24.5 kg/m2). Children whose mothers reported ≥3 domains versus 0 domains had shorter sleep duration from 6 months to 2 years in unadjusted analysis (β -18.6 min/d; 95% CI -37.3, 0.0), which was attenuated after adjusting for maternal race/ethnicity and nativity (-13.6 min/d; -33.7, 6.5). We found stronger associations of racial discrimination with offspring sleep at 6 months (-49.3 min/d; -85.3, -13.2) than for sleep at 1 year (-13.5 min/d; -47.2, 20.3) or 2 years (4.2 min/d; -21.5, 29.9).

Conclusions

Maternal lifetime experiences of racial discrimination was associated with shorter offspring sleep duration at 6 months, but not with infant's sleep at 1 and 2 years of age.

SUBMITTER: Powell CA 

PROVIDER: S-EPMC7529670 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Publications

Maternal experiences of racial discrimination and offspring sleep in the first 2 years of life: Project Viva cohort, Massachusetts, USA (1999-2002).

Powell Chloé A CA   Rifas-Shiman Sheryl L SL   Oken Emily E   Krieger Nancy N   Rich-Edwards Janet W JW   Redline Susan S   Taveras Elsie M EM  

Sleep health 20200421 4


<h4>Objective</h4>To examine the association of maternal lifetime experiences of racial discrimination with infant sleep duration over the first 2 years of life.<h4>Design</h4>Prebirth cohort study.<h4>Setting</h4>Massachusetts, USA (baseline: 1999-2002).<h4>Participants</h4>552 mother-infant dyads in Project Viva, for whom the mother self-identified as being a woman of color.<h4>Measurements</h4>During pregnancy, mothers completed the Experiences of Discrimination survey that measured lifetime  ...[more]

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