目的:调查种族不平等,和社会决定因素,新西兰Aotearoa的青少年睡眠健康。
方法:分析来自中学生(12至18岁)的横断面调查的自我报告数据。分析包括按种族分层的良好和不良睡眠健康的加权患病率估计,和多变量逻辑回归模型同时针对种族进行了调整,学年,性别,rurality,邻里剥夺,学校十位数,住房剥夺,由于缺乏足够的住房而睡在其他地方,不安全的环境,种族主义。
结果:毛利人(新西兰奥特罗阿土著人民;n=1528)和少数民族(太平洋n=1204;亚洲n=1927;中东,拉丁美洲,和非洲[MELAA]n=210;和“其他种族n=225)青少年。毛利人的比例更高,太平洋,亚洲人,MELAA,和“其他”青少年睡眠不足,与欧洲相比(n=3070)。毛利人,太平洋,亚洲人,MELAA青少年更有可能报告晚睡时间(午夜之后),还有毛利人,太平洋,和\'其他\'青少年更有可能报告早期觉醒时间(上午5-6点或更早),在学校的日子。Rurality,邻里剥夺,学校层面的剥夺,住房剥夺,由于住房不足而睡在其他地方,不安全的环境,部分种族主义,但不完全,解释了种族和睡眠不足之间的关联,晚睡时间,和早醒时间。
结论:新西兰奥特罗阿青少年睡眠健康中存在种族不平等现象。需要采取社会政治行动来解决种族主义和殖民主义,这是青少年睡眠中种族不平等的根本原因,确保所有年轻人享有良好睡眠健康和相关身心健康的基本人权。
OBJECTIVE: To investigate ethnic inequities in, and social determinants of, adolescent sleep health in Aotearoa New Zealand.
METHODS: Analysis of self-report data from a cross-sectional survey of secondary school students (12- to 18-year-olds). Analyses included weighted prevalence estimates of good and poor sleep health stratified by ethnicity, and multivariable logistic regression models concurrently adjusted for ethnicity, school year, gender, rurality, neighborhood deprivation, school decile, housing deprivation, sleeping elsewhere due to lack of adequate housing, unsafe environment, and racism.
RESULTS: Inequities in social determinants of health were evident for Māori (
Indigenous peoples of Aotearoa New Zealand; n = 1528) and minoritized (Pacific n = 1204; Asian n = 1927; Middle Eastern, Latin American, and African [MELAA] n = 210; and \'Other\' ethnicity n = 225) adolescents. A greater proportion of Māori, Pacific, Asian, MELAA, and \'Other\' adolescents had short sleep, compared to European (n = 3070). Māori, Pacific, Asian, and MELAA adolescents were more likely to report late bedtimes (after midnight), and Māori, Pacific, and \'Other\' adolescents were more likely to report early waketimes (5 AM-6 AM or earlier), on school days. Rurality, neighborhood deprivation, school-level deprivation, housing deprivation, sleeping elsewhere due to inadequate housing, unsafe environments, and racism partially, but not fully, explained associations between ethnicity and short sleep, late bedtimes, and early waketimes.
CONCLUSIONS: Ethnic inequities exist in adolescent sleep health in Aotearoa New Zealand. Socio-political actions are needed to address racism and colonialism as root causes of ethnic inequities in adolescent sleep, to ensure all young people are afforded the basic human right of good sleep health and associated mental and physical well-being.