title: Good Sleep Health in Urban Children With Asthma: A Risk and Resilience Approach.
abstract: OBJECTIVE
  To identify children demonstrating "good" sleep health in a sample of urban children with persistent asthma; to compare sociocontextual, asthma clinical characteristics, and sleep behaviors in children with "good" versus "poor" sleep health; and to examine protective effects of family-based health behaviors on sleep health.
  
  
  METHODS
  Participants were 249 Black (33%), Latino (51%) and non-Latino White (16%) children with asthma, ages 7-9 years, and their primary caregivers.
  
  
  RESULTS
  32 percent of children had "good" sleep health. Well-controlled asthma and better lung function were more likely in this group. In the context of urban risks, sleep hygiene appeared to be a protective factor associated with better sleep quality. The protective effect of asthma management functioned differently by ethnic group.
  
  
  CONCLUSIONS
  This study identifies protective processes that may guard against urban risks to optimize sleep health in children with asthma. Intervention programs can be tailored to consider specific supports that enhance sleep health in this high-risk group.
authors.affiliation: Bradley/Hasbro Children's Research Center, The Warren Alpert Medical School of Brown University and Daphne_Koinis-Mitchell@Brown.edu.
authors.forename: Daphne
authors.initials: D
authors.lastname: Koinis-Mitchell
authors.affiliation: Bradley/Hasbro Children's Research Center, The Warren Alpert Medical School of Brown University and.
authors.forename: Sheryl J
authors.initials: SJ
authors.lastname: Kopel
authors.affiliation: Bradley/Hasbro Children's Research Center, The Warren Alpert Medical School of Brown University and.
authors.forename: Julie
authors.initials: J
authors.lastname: Boergers
authors.affiliation: Bradley/Hasbro Children's Research Center, The Warren Alpert Medical School of Brown University and.
authors.forename: Elizabeth L
authors.initials: EL
authors.lastname: McQuaid
authors.affiliation: Bradley/Hasbro Children's Research Center, The Warren Alpert Medical School of Brown University and.
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Esteban
authors.affiliation: Bradley/Hasbro Children's Research Center, The Warren Alpert Medical School of Brown University and.
authors.forename: Ronald
authors.initials: R
authors.lastname: Seifer
authors.affiliation: Bradley/Hasbro Children's Research Center, The Warren Alpert Medical School of Brown University and.
authors.forename: Gregory K
authors.initials: GK
authors.lastname: Fritz
authors.affiliation: Bradley/Hasbro Children's Research Center, The Warren Alpert Medical School of Brown University and.
authors.forename: Alvaro J
authors.initials: AJ
authors.lastname: Beltran
authors.affiliation: Bradley/Hasbro Children's Research Center, The Warren Alpert Medical School of Brown University and.
authors.forename: Robert B
authors.initials: RB
authors.lastname: Klein
authors.affiliation: Department of Integrative Physiology, University of Colorado.
authors.forename: Monique
authors.initials: M
authors.lastname: LeBourgeois
mesh_terms: D001741:Black or African American; D001249:Asthma / Q000208:ethnology / Q000503:physiopathology*; D017028:Caregivers; D002648:Child; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D055500:Resilience, Psychological; D012890:Sleep / Q000502:physiology*; D014505:Urban Population; D044465:White People
keywords: asthma; children; disparities; health behavior; race/ethnicity; resilience; sleep