title: Sleep and school problems among children and adolescents in state custody.
abstract: Population-level research into the association between sleep problems and school problems among high-risk youth is limited. This study uses cross-sectional administrative and standardized assessment information for youth entering Tennessee state custody in fiscal year 2009 (n = 4280) to examine whether sleep problems are independently associated with school problems. Sleep problems were identified in 9.8% of the sample. There was no association between sleep and school problems for youth adjudicated delinquent. Among youth adjudicated dependent-neglect/unruly, multivariate logistic regression analysis indicates that youth at risk for sleep problems are 1.78 (95% confidence interval = 1.24-2.55) and youth with actionable sleep problems are 3.30 (95% confidence interval = 1.78-6.14) times more likely than youth without sleep problems to have school problems. Results suggest that the school performance of youth entering state custody adjudicated dependent-neglect/unruly may benefit from systematic screening and intervention for sleep problems.
authors: Department of Psychiatry, Vanderbilt University, Nashville, TN 37212, USA. richard.a.epstein@vanderbilt.edu
authors: Richard A
authors: RA
authors: Epstein
authors: William V
authors: WV
authors: Bobo
authors: Michael J
authors: MJ
authors: Cull
authors: Deborah
authors: D
authors: Gatlin
mesh_terms: D000293:Adolescent; D002648:Child; D002649:Child Abuse / Q000523:psychology; D002655:Child Custody; D002675:Child, Preschool; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006801:Humans; D007604:Juvenile Delinquency / Q000523:psychology; D016015:Logistic Models; D008297:Male; D012307:Risk Factors; D012893:Sleep Wake Disorders / Q000523:psychology*; D013219:State Government; D013714:Tennessee; D055815:Young Adult