Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington School of Medicine, Seattle, WA.
Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA.
Chest. 2021 Mar;159(3):1232-1240. doi: 10.1016/j.chest.2020.09.249. Epub 2020 Sep 30.
Disparities in sleep health are important but underrecognized contributors to health disparities. Understanding the factors contributing to sleep heath disparities and developing effective interventions are critical to improving all aspects of heath. Sleep heath disparities are impacted by socioeconomic status, racism, discrimination, neighborhood segregation, geography, social patterns, and access to health care as well as by cultural beliefs, necessitating a cultural appropriateness component in any intervention devised for reducing sleep health disparities. Pediatric sleep disparities require innovative and urgent intervention to establish a foundation of lifelong healthy sleep. Tapping the vast potential of technology in improving sleep health access may be an underutilized tool to reduce sleep heath disparities. Identifying, implementing, replicating, and disseminating successful interventions to address sleep disparities have the potential to reduce overall disparities in health and quality of life.
睡眠健康方面的差异是造成健康差异的重要但未被充分认识的因素。了解导致睡眠健康差异的因素,并制定有效的干预措施,对于改善健康的各个方面至关重要。睡眠健康差异受到社会经济地位、种族主义、歧视、社区隔离、地理位置、社会模式以及获得医疗保健的机会的影响,同时也受到文化信仰的影响,因此,任何旨在减少睡眠健康差异的干预措施都需要考虑文化适宜性因素。儿科睡眠差异需要创新和紧急干预,以建立终身健康睡眠的基础。利用技术在改善睡眠健康方面的巨大潜力可能是减少睡眠健康差异的一种未被充分利用的工具。确定、实施、复制和传播成功的干预措施来解决睡眠差异,有可能减少整体健康和生活质量方面的差异。