Social epidemiology of multidimensional sleep health in early adolescence

Sociodemographic disparities in adolescent sleep health outcomes have been studied, but few have explored associations with multidimensional sleep metrics. US early adolescents reported an average sleep duration of 8.9 h, with 50.5% of 11-12-year-olds and 61.0% of 13-14-year-olds meeting the American Academy of Sleep Medicine's sleep guidelines. Older age, gay/bisexual, Black, Latino/Hispanic, Native American, lower household income, and lower parental education were associated with worse sleep outcomes, including shorter sleep duration, later chronotype, and greater social jet lag. The association between Black race and worse sleep outcomes was stronger among higher-income/parental education households.