title: Childhood adversities and quality of sleep in adulthood: A population-based study of 26,000 Finns.
abstract: OBJECTIVE
  To find out if childhood adversities predict poor sleep quality in working age.
  
  
  METHODS
  Survey data from the Health and Social Support (HeSSup) study was used (N=25,605, 59% women). Negative childhood adversities and quality of sleep in adulthood were assessed by the questionnaire in 1998. Multinomial regression models were used.
  
  
  RESULTS
  A graded association between childhood adversities and the quality of sleep in adulthood was found. Odds ratio (OR) of poor quality of sleep for those with multiple childhood adversities (3-6) was 3.64 (95% CI 2.94-4.50). The association between childhood adversities and the quality of sleep remained significant after adjustments for work status, use of psychotropic drugs, health behaviours, recent life events and child-parent relationships. Poor quality of sleep was clearly increased among those with both poor child-mother (OR 10.4, 95% CI 6.73-16.07) or poor child-father (OR 5.4, 95% CI 3.89-7.50) relationships and multiple childhood adversities. In the analyses of specific childhood adversities, frequent fear of a family member and serious conflicts in the family showed the strongest associations.
  
  
  CONCLUSIONS
  The strong association between childhood adversities and the quality of sleep in adulthood highlights the importance of early life circumstances on adult health. Early stage recognition, prevention and supportive measures against childhood adversities and serious family conflicts should be promoted.
authors: Department of Public Health, University of Helsinki, P.O. Box 41, 00014 Helsinki, Finland. karoline.koskenvuo@kela.fi
authors: Karoliina
authors: K
authors: Koskenvuo
authors: Christer
authors: C
authors: Hublin
authors: Markku
authors: M
authors: Partinen
authors: Tiina
authors: T
authors: Paunio
authors: Markku
authors: M
authors: Koskenvuo
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology; D002648:Child; D002649:Child Abuse / Q000523:psychology / Q000706:statistics & numerical data; D016241:Child of Impaired Parents; D003430:Cross-Sectional Studies; D054541:Family Conflict / Q000523:psychology; D005219:Father-Child Relations; D005239:Fear; D005260:Female; D005387:Finland; D006306:Health Surveys; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D009034:Mother-Child Relations; D009765:Obesity / Q000453:epidemiology / Q000523:psychology; D016017:Odds Ratio; D012307:Risk Factors; D012309:Risk-Taking; D007319:Sleep Initiation and Maintenance Disorders / Q000453:epidemiology* / Q000523:psychology*; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult