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0013 Sleep Problems and Binge Drinking among Urban Multiracial and Monoracial Youth: Role of Discrimination Experiences and Negative Mood

Sleep (New York, N.Y.), 2019-04, Vol.42 (Supplement_1), p.A5-A6 [Peer Reviewed Journal]

Sleep Research Society 2019. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com. ;ISSN: 0161-8105 ;EISSN: 1550-9109 ;DOI: 10.1093/sleep/zsz067.012

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  • Title:
    0013 Sleep Problems and Binge Drinking among Urban Multiracial and Monoracial Youth: Role of Discrimination Experiences and Negative Mood
  • Author: Goodhines, Patricia A ; Desalu, Jessica M ; Zaso, Michelle J ; Gellis, Les A ; Park, Aesoon
  • Subjects: Alcohol use ; Insomnia ; Racial differences ; Sleep
  • Is Part Of: Sleep (New York, N.Y.), 2019-04, Vol.42 (Supplement_1), p.A5-A6
  • Description: Introduction Multiracial (versus monoracial) youth may be at increased risk for adverse health outcomes, including sleep problems and risky alcohol use. Theoretical frameworks (e.g., Integrative Temporal Model of Youth Sleep and Substance Problems; Edwards et al. 2015) posit that exposure to stressors induces emotional dysregulation, which in turn increases risk for both sleep problems and risky alcohol use in youth. This study examined a stressor-emotional dysregulation (i.e., discrimination experiences frequency and negative mood) pathway that may underlie racial disparities in concurrent sleep problems and binge drinking. Methods Cross-sectional data were drawn from an ongoing longitudinal study of adolescent health behaviors, Project Teen. Participants were 414 9th - 11th graders (mean age=15.39 years [SD=.15, range=13-19], 57% female, 17% multiracial, 83% monoracial [41% Black, 22% White, 18% Asian, 2% Other]) at an urban, socioeconomically-disadvantaged high school. Students completed a web-based survey assessing health behaviors and correlates, such as sleep problems, alcohol use, discrimination experiences, and negative mood. Results Insomnia symptom severity was positively correlated with discrimination experiences frequency and negative mood (r’s=.22-.38), but not binge drinking frequency (r=.08). Multirace (versus monorace) status was positively correlated with binge drinking frequency (rs =.10), but not insomnia symptom severity (rs =.02). Path analysis results demonstrated that the relationship of multirace (versus monorace) status with insomnia symptom severity was fully explained by an indirect effect of discrimination experiences frequency and in turn negative mood (95% bootstrapped CI=0.11, 0.56); also, multirace (versus monorace) status was directly and positively associated with binge drinking frequency (b=1.39, SE=0.63, IRR=4.00, p=.01) after accounting for the indirect effects. Conclusion Discrimination experiences frequency and negative mood may function as intermediate factors contributing to racial disparities in sleep problems (but not alcohol behaviors) among multiracial and monoracial adolescents. To our knowledge, no previous studies have tested this theory-based, multifinal risk pathway involving stressor exposure and emotional dysregulation underlying youth sleep and alcohol problems. Given the current cross-sectional design, replication with longitudinal data is a critical next step. Support (If Any) NIAAA grant R15 AA022496 awarded to Aesoon Park.
  • Publisher: Westchester: Oxford University Press
  • Language: English
  • Identifier: ISSN: 0161-8105
    EISSN: 1550-9109
    DOI: 10.1093/sleep/zsz067.012
  • Source: ProQuest One Psychology
    Alma/SFX Local Collection
    ProQuest Central
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