Fam Syst Health

Introduction:Shortened sleep duration in adolescence has been found to be associated with adverse health outcomes. While several studies have explored individual predictors, few have examined the role of neighborhood-level factors, family and peer contexts as predictors of sleep among adolescents.Methods:We examined contextual factors of sleep duration in a sample of 1,614 urban, public high school students from the 2008 Boston Youth Survey. Neighborhood data came from the 2008 Boston Neighborhood Survey of 1,710 adult Boston residents, the 2009 American Community Survey Census (ACS), and Boston Police.Results:Using multi-level linear regression, adjusting for neighborhood and school clustering, age, race and sex, we found concentrated neighborhood poverty to be positively associated with sleep duration (\u3b2=0.09, p=0.03). Family context was significantly associated with longer sleep duration: >1\u20133 hours of homework per night reported longer sleep compared to students reporting 641 hour per night (\u3b2=0.20, p=0.005). Students reporting lower levels of positive parenting influence had shorter sleep duration (0\u201325th percentile: \u3b2= 120.25, p=0.01; 26th-50th \u3b2= 120.24, p=0.03), compared to students in the highest percentile. Students who never ate dinner with family had shorter sleep duration as compared to those having dinner with family five or more times per week (\u3b2= 120.22, p=0.05).Discussion:Our findings focusing on neighborhood and family context represent potentially modifiable practices. These finding are important for public health advocates and health care providers as they seek to curb the epidemic of sleep deprivation in youth.MCHB Epidemiological MPH/SPH Institute/InternationalU49 CE000740/CE/NCIPC CDC HHS/United StatesMaternal and Child Health Bureau/InternationalP2C HD041041/HD/NICHD NIH HHS/United StatesCenters for Disease Control and Prevention National Center for Injury Prevention and Control/International2019-12-01T00:00:00Z30137999PMC6310096696