Table 3: Poor sleep quality measures according to types of Adverse Childhood Experiences*.

 

Sleep Apnea or Other Sleep Disorder

 

Yes

No

Crude Risk Ratio

 (95% CI)

Adjusted** Risk Ratio (95% CI)

Parental separation, divorce, abandonment

Yes

173

24

1.81 (1.09, 2.99)

2.01 (1.12, 3.61)

No

443

32

1.00 (ref)

1.00 (ref)

Emotional abuse

Yes

94

14

1.74 (0.99, 3.07)

1.97 (1.01, 3.84)

No

522

42

1.00 (ref)

1.00 (ref)

Emotional neglect

Yes

58

9

1.73 (0.89, 3.37)

1.77 (0.80, 3.93)

No

558

47

1.00 (ref)

1.00 (ref)

Physical abuse

Yes

47

8

1.87 (0.93, 3.75)

1.95 (0.84, 4.54)

No

569

48

1.00 (ref)

1.00 (ref)

Sexual abuse

Yes

80

10

1.41 (0.74, 2.68)

1.59 (0.75, 3.41)

No

536

46

1.00 (ref)

1.00 (ref)

Problematic alcohol or drug use in a household member

Yes

161

18

1.30 (0.76, 2.23)

1.30 (0.70, 2.40)

No

455

38

1.00 (ref)

1.00 (ref)

Mental illness in a household member

Yes

178

28

2.26 (1.38, 3.72)

2.93 (1.63-5.25)

No

438

28

1.00 (ref)

1.00 (ref)

Mother treated violently

Yes

43

9

2.28 (1.19, 4.39)

2.33 (1.02, 5.35)

No

573

47

1.00 (ref)

1.00 (ref)

Low socioeconomic status

Yes

110

14

1.47 (0.83, 2.61)

1.72 (0.85, 3.46)

No

506

42

1.00 (ref)

1.00 (ref)

Peer victimization

Yes

58

13

2.56 (1.45, 4.52)

3.15 (1.54, 6.44)

No

558

43

1.00 (ref)

1.00 (ref)

Peer isolation or rejection

Yes

91

21

3.00 (1.82, 4.95)

3.92 (2.11, 7.30)

No

525

35

1.00 (ref)

1.00 (ref)

* Results based on fewer than five individuals in any category were omitted from the table.

**Adjusted for assigned sex at birth, age at questionnaire completion, maternal education, paternal occupation, and number of older siblings.

 

Breathing Pauses

 

Yes

No

Crude Risk Ratio

 (95% CI)

Adjusted** Risk Ratio (95% CI)

Parental separation, divorce, abandonment

Exposed

177

20

1.07 (0.65, 1.77)

1.07 (0.60, 1.92)

Unexposed

430

45

1.00 (ref)

1.00 (ref)

Emotional abuse

Exposed

94

14

1.43 (0.82, 2.50)

1.68 (0.87, 3.25)

Unexposed

513

51

1.00 (ref)

1.00 (ref)

Emotional neglect

Exposed

62

5

0.75 (0.31, 1.81)

0.62 (0.23, 1.65)

Unexposed

545

60

1.00 (ref)

1.00 (ref)

Physical abuse

Exposed

48

7

1.35 (0.65, 2.82)

1.42 (0.59, 3.44)

Unexposed

559

58

1.00 (ref)

1.00 (ref)

Sexual abuse

Exposed

78

12

1.46 (0.81, 2.63)

2.06 (1.01, 4.20)

Unexposed

529

53

1.00 (ref)

1.00 (ref)

Problematic alcohol or drug use in a household member

Exposed

163

16

0.90 (0.53, 1.54)

0.86 (0.46, 1.60)

Unexposed

444

49

1.00 (ref)

1.00 (ref)

Mental illness in a household member

Exposed

190

16

0.74 (0.43, 1.27)

0.87 (0.47, 1.61)

Unexposed

417

49

1.00 (ref)

1.00 (ref)

Low socioeconomic status

Exposed

107

17

1.57 (0.93, 2.63)

1.68 (0.87, 3.24)

Unexposed

500

48

1.00 (ref)

1.00 (ref)

Peer victimization

Exposed

56

15

2.54 (1.51, 4.28)

2.90 (1.48, 5.68)

Unexposed

551

50

1.00 (ref)

1.00 (ref)

Peer isolation/rejection

Exposed

94

18

1.91 (1.16, 3.17)

2.29 (1.23, 4.25)

Unexposed

513

47

1.00 (ref)

1.00 (ref)

Neighborhood considered “dangerous”

Exposed

16

5

2.58 (1.16, 5.76)

2.51 (0.81, 7.77)

Unexposed

591

60

1.00 (ref)

1.00 (ref)

*Results based on fewer than five individuals in any category were omitted from the table.
** Adjusted for assigned sex at birth, age at questionnaire completion, maternal education, paternal occupation, and number of older siblings.

 

Loud Snoring

 

Yes

No

Crude Risk Ratio

 (95% CI)

Adjusted** Risk Ratio (95% CI)

Parental separation, divorce, abandonment

Exposed

141

56

1.07 (0.82, 1.40)

1.10 (074, 1.63)

Unexposed

349

126

1.00 (ref)

1.00 (ref)

Emotional abuse

Exposed

74

34

1.20 (0.88, 1.64)

1.41 (0.88, 2.26)

Unexposed

416

148

1.00 (ref)

1.00 (ref)

Emotional neglect

Exposed

48

19

1.05 (0.70, 1.57)

1.02 (0.56, 1.85)

Unexposed

442

163

1.00 (ref)

1.00 (ref)

Physical abuse

Exposed

37

18

1.23 (0.82, 1.84)

1.41 (0.75, 2.63)

Unexposed

453

164

1.00 (ref)

1.00 (ref)

Sexual abuse

Exposed

67

23

0.94 (0.64, 1.36)

1.14 (0.67, 1.94)

Unexposed

423

159

1.00 (ref)

1.00 (ref)

Problematic alcohol or drug use in a household member

Exposed

136

43

0.85 (0.63, 1.15)

0.78 (0.52, 1.19)

Unexposed

354

139

1.00 (ref)

1.00 (ref)

Mental illness in a household member

Exposed

149

57

1.03 (0.79, 1.35)

1.23 (0.83, 1.82)

Unexposed

341

125

1.00 (ref)

1.00 (ref)

Mother treated violently

Exposed

32

20

1.47 (1.02, 2.13)

1.61 (0.86, 3.00)

Unexposed

458

162

1.00 (ref)

1.00 (ref)

Low socioeconomic status

Exposed

81

43

1.37 (1.03, 1.81)

1.69 (1.07, 2.67)

Unexposed

409

139

1.00 (ref)

1.00 (ref)

Peer victimization

Exposed

38

33

1.87 (1.41, 2.50)

2.51 (1.48, 4.25)

Unexposed

452

149

1.00 (ref)

1.00 (ref)

Peer isolation or rejection

Exposed

78

34

1.15 (0.84, 1.57)

1.28 (0.80, 2.03)

Unexposed

412

148

1.00 (ref)

1.00 (ref)

Neighborhood considered “dangerous”

Exposed

12

9

1.61 (0.97, 2.69)

1.95 (0.76, 5.01)

Unexposed

478

173

1.00 (ref)

1.00 (ref)

*Results based on fewer than five individuals in any category were omitted from the table.
** Adjusted for assigned sex at birth, age at questionnaire completion, maternal education, paternal occupation, and number of older siblings.

 

Short Sleep Duration

 

< 7 hours

7 hours or more

Crude Risk Ratio

 (95% CI)

Adjusted** Risk Ratio (95% CI)

Parental separation, divorce, abandonment

Exposed

141

56

1.14 (0.87, 1.50)

1.12 (0.76, 1.65)

Unexposed

357

118

1.00 (ref)

1.00 (ref)

Emotional abuse

Exposed

81

27

0.96 (0.67, 1.37)

0.92 (0.57, 1.50)

Unexposed

417

147

1.00 (ref)

1.00 (ref)

Emotional neglect

Exposed

45

22

1.31 (0.90, 1.89)

1.37 (0.78, 2.39)

Unexposed

453

152

1.00 (ref)

1.00 (ref)

Physical abuse

Exposed

36

19

1.38 (0.93, 2.03)

1.41 (0.77, 2.58)

Unexposed

462

155

1.00 (ref)

1.00 (ref)

Sexual abuse

Exposed

64

26

1.14 (0.80, 1.62)

1.25 (0.75, 2.08)

Unexposed

434

148

1.00 (ref)

1.00 (ref)

Problematic alcohol or drug use in a household member

Exposed

131

48

1.05 (0.79, 1.40)

1.03 (0.69, 1.54)

Unexposed

367

126

1.00 (ref)

1.00 (ref)

Mental illness in a household member

Exposed

156

50

0.91 (0.69, 1.21)

0.91 (0.62, 1.35)

Unexposed

342

124

1.00 (ref)

1.00 (ref)

Mother treated violently

Exposed

34

18

1.38 (0.92, 2.05)

1.36 (0.73, 2.53)

Unexposed

464

156

1.00 (ref)

1.00 (ref)

Incarceration of a household member

Exposed

20

9

1.21 (0.69, 2.11)

1.31 (0.57, 3.00)

Unexposed

478

165

1.00 (ref)

1.00 (ref)

Low socioeconomic status

Exposed

83

41

1.36 (1.02, 1.82)

1.36 (0.87, 2.13)

Unexposed

415

133

1.00 (ref)

1.00 (ref)

Peer victimization

Exposed

43

28

1.62 (1.18, 2.24)

1.79 (1.06, 3.01)

Unexposed

455

146

1.00 (ref)

1.00 (ref)

Peer isolation/rejection

Exposed

82

30

1.04 (0.74, 1.46)

0.99 (0.62, 1.59)

Unexposed

416

144

1.00 (ref)

1.00 (ref)

Neighborhood considered “dangerous”

Exposed

13

8

1.49 (0.85, 2.62)

1.51 (0.60, 3.83)

Unexposed

485

166

1.00 (ref)

1.00 (ref)

*Results based on fewer than five individuals in any category were omitted from the table.
** Adjusted for assigned sex at birth, age at questionnaire completion, maternal education, paternal occupation, and number of older siblings.

 

Difficulty Falling or Staying Asleep

 

Sometimes/Often

Never/Rarely

Crude Risk Ratio

 (95% CI)

Adjusted** Risk Ratio (95% CI)

Parental separation, divorce, abandonment

Exposed

93

104

1.05 (0.89, 1.23)

1.06 (0.75, 1.49)

Unexposed

236

239

1.00 (ref)

1.00 (ref)

Emotional abuse

Exposed

42

66

1.24 (1.05, 1.48)

1.55 (1.01, 2.37)

Unexposed

287

277

1.00 (ref)

1.00 (ref)

Emotional neglect

Exposed

32

35

1.03 (0.81, 1.31)

0.99 (0.59, 1.66)

Unexposed

297

308

1.00 (ref)

1.00 (ref)

Physical abuse

Exposed

20

35

1.27 (1.03, 1.58)

1.61 (0.90, 2.89)

Unexposed

309

308

1.00 (ref)

1.00 (ref)

Sexual abuse

Exposed

40

50

1.10 (0.90, 1.35)

1.08 (0.68, 1.70)

Unexposed

289

293

1.00 (ref)

1.00 (ref)

Problematic alcohol or drug use in a household member

Exposed

73

106

1.23 (1.06, 1.43)

1.52 (1.07, 2.17)

Unexposed

256

237

1.00 (ref)

1.00 (ref)

Mental illness in a household member

Exposed

83

123

1.26 (1.09, 1.47)

1.58 (1.12, 2.22)

Unexposed

246

220

1.00 (ref)

1.00 (ref)

Mother treated violently

Exposed

19

33

1.27 (1.02, 1.58)

1.71 (0.94, 3.11)

Unexposed

310

310

1.00 (ref)

1.00 (ref)

Incarceration of a household member

Exposed

8

21

1.45 (1.14, 1.83)

2.50 (1.08, 5.81)

Unexposed

321

322

1.00 (ref)

1.00 (ref)

Low socioeconomic status

Exposed

56

68

1.09 (0.91, 1.31)

1.12 (0.74, 1.69)

Unexposed

273

275

1.00 (ref)

1.00 (ref)

Peer victimization

Exposed

21

50

1.44 (1.22, 1.71)

2.62 (1.52, 4.53)

Unexposed

308

293

1.00 (ref)

1.00 (ref)

Peer isolation or rejection

Exposed

38

74

1.38 (1.17, 1.61)

2.00 (1.30, 3.08)

Unexposed

291

269

1.00 (ref)

1.00 (ref)

Neighborhood considered “dangerous”

Exposed

5

16

1.52 (1.18, 1.95)

3.23 (1.15, 9.09)

Unexposed

324

327

1.00 (ref)

1.00 (ref)

*Results based on fewer than five individuals in any category were omitted from the table.
** Adjusted for assigned sex at birth, age at questionnaire completion, maternal education, paternal occupation, and number of older siblings.

 

Feeling Poorly Rested in the Morning

 

Sometimes/Often

Never/Rarely

Crude Risk Ratio

 (95% CI)

Adjusted** Risk Ratio (95% CI)

Parental separation, divorce, abandonment

Exposed

59

138

1.02 (0.91, 1.14)

1.05 (0.72, 1.52)

Unexposed

149

326

1.00 (ref)

1.00 (ref)

Emotional abuse

Exposed

25

83

1.14 (1.01, 1.28)

1.55 (0.96, 2.52)

Unexposed

183

381

1.00 (ref)

1.00 (ref)

Emotional neglect

Exposed

14

53

1.16 (1.02, 1.33)

1.79 (0.96, 3.34)

Unexposed

194

411

1.00 (ref)

1.00 (ref)

Physical abuse

Exposed

9

46

1.23 (1.09, 1.40)

2.40 (1.14, 5.05)

Unexposed

199

418

1.00 (ref)

1.00 (ref)

Sexual abuse

Exposed

24

66

1.07 (0.94, 1.23)

1.23 (0.74, 2.04)

Unexposed

184

398

1.00 (ref)

1.00 (ref)

Problematic alcohol or drug use in a household member

Exposed

51

128

1.05 (0.94, 1.17)

1.15 (0.79, 1.69)

Unexposed

157

336

1.00 (ref)

1.00 (ref)

Mental illness in a household member

Exposed

50

156

1.15 (1.04, 1.27)

1.54 (1.05, 2.25)

Unexposed

158

308

1.00 (ref)

1.00 (ref)

Mother treated violently

Exposed

11

41

1.16 (0.99, 1.34)

1.75 (0.87, 3.51)

Unexposed

197

423

1.00 (ref)

1.00 (ref)

Low socioeconomic status

Exposed

27

97

1.17 (1.05, 1.30)

 1.75 (1.08, 2.83)

Unexposed

181

367

1.00 (ref)

1.00 (ref)

Peer victimization

Exposed

16

55

1.14 (0.99, 1.31)

1.68 (0.93, 3.04)

Unexposed

192

409

1.00 (ref)

1.00 (ref)

Peer isolation or rejection

Exposed

25

87

1.15 (1.03, 1.29)

1.70 (1.05, 2.76)

Unexposed

183

377

1.00 (ref)

1.00 (ref)

*Results based on fewer than five individuals in any category were omitted from the table.
** Adjusted for assigned sex at birth, age at questionnaire completion, maternal education, paternal occupation, and number of older siblings.

 

Trouble Staying Awake During the Day

 

Sometimes/Often

Never/Rarely

Crude Risk Ratio

 (95% CI)

Adjusted** Risk Ratio (95% CI)

Parental separation, divorce, abandonment

Exposed

133

64

1.17 (0.91, 1.50)

1.20 (0.83, 1.74)

Unexposed

343

132

1.00 (ref)

1.00 (ref)

Emotional abuse

Exposed

71

37

1.22 (0.91, 1.63)

1.27 (0.81, 1.98)

Unexposed

405

159

1.00 (ref)

1.00 (ref)

Emotional neglect

Exposed

45

22

1.14 (0.79, 1.64)

1.12 (0.64, 1.94)

Unexposed

431

174

1.00 (ref)

1.00 (ref)

Physical abuse

Exposed

31

24

1.57 (1.13, 2.17)

1.82 (1.03, 3.24)

Unexposed

445

172

1.00 (ref)

1.00 (ref)

Sexual abuse

Exposed

56

34

1.36 (1.01, 1.82)

1.49 (0.93, 2.40)

Unexposed

420

162

1.00 (ref)

1.00 (ref)

Problematic alcohol or drug use in a household member

Exposed

119

60

1.22 (0.95, 1.56)

1.27 (0.87, 1.85)

Unexposed

357

136

1.00 (ref)

1.00 (ref)

Mental illness in a household member

Exposed

140

66

1.15 (0.90, 1.47)

1.19 (0.83, 1.98)

Unexposed

336

130

1.00 (ref)

1.00 (ref)

Mother treated violently

Exposed

31

21

1.43 (1.00, 2.04)

1.60 (0.88, 2.90)

Unexposed

445

175

1.00 (ref)

1.00 (ref)

Incarceration of a household member

Exposed

14

15

1.84 (1.27, 2.67)

2.74 (1.28, 5.88)

Unexposed

462

181

1.00 (ref)

1.00 (ref)

Low socioeconomic status

Exposed

81

43

1.24 (0.94, 1.64)

1.28 (0.83, 1.98)

Unexposed

395

153

1.00 (ref)

1.00 (ref)

Peer victimization

Exposed

40

31

1.59 (1.18, 2.13)

2.00 (1.20, 3.33)

Unexposed

436

165

1.00 (ref)

1.00 (ref)

Peer isolation or rejection

Exposed

69

43

1.41 (1.07, 1.84)

1.57 (1.02, 2.41)

Unexposed

407

153

1.00 (ref)

1.00 (ref)

Neighborhood considered “dangerous”

Exposed

10

11

1.84 (1.20, 2.82)

2.72, (1.11, 6.68)

Unexposed

466

185

1.00 (ref)

1.00 (ref)

*Results based on fewer than five individuals in any category were omitted from the table.
** Adjusted for assigned sex at birth, age at questionnaire completion, maternal education, paternal occupation, and number of older siblings.

 

Number of Poor Sleep Quality Indicators

 

3 or more

Less than 3

Crude Risk Ratio

 (95% CI)

Adjusted** Risk Ratio (95% CI)

Parental separation, divorce, abandonment

Exposed

109

88

1.18 (0.97, 1.43)

1.24 (0.88, 1.76)

Unexposed

295

180

1.00 (ref)

1.00 (ref)

Emotional abuse

Exposed

55

53

1.29 (1.03, 1.60)

1.53 (1.00, 2.34)

Unexposed

349

215

1.00 (ref)

1.00 (ref)

Emotional neglect

Exposed

37

30

1.14 (0.86, 1.51)

1.13 (0.67, 1.90)

Unexposed

367

238

1.00 (ref)

1.00 (ref)

Physical abuse

Exposed

23

32

1.52 (1.19, 1.94)

2.03 (1.14, 3.61)

Unexposed

381

236

1.00 (ref)

1.00 (ref)

Sexual abuse

Exposed

47

43

1.24 (0.97, 1.57)

1.45 (0.92, 2.30)

Unexposed

357

225

1.00 (ref)

1.00 (ref)

Problematic alcohol or drug use in a household member

Exposed

100

79

1.15 (0.94, 1.41)

1.22 (0.86, 1.75)

Unexposed

304

189

1.00 (ref)

1.00 (ref)

Mental illness in a household member

Exposed

115

91

1.16 (0.96, 1.41)

1.33 (0.94, 1.88)

Unexposed

289

177

1.00 (ref)

1.00 (ref)

Mother treated violently

Exposed

24

28

1.39 (1.06, 1.82)

1.63 (0.91, 2.93)

Unexposed

380

240

1.00 (ref)

1.00 (ref)

Incarceration of a household member

Exposed

12

17

1.50 (1.09, 2.07)

2.15 (1.00, 4.66)

Unexposed

392

251

1.00 (ref)

1.00 (ref)

Low socioeconomic status

Exposed

58

66

1.44 (1.18, 1.76)

1.80 (1.19, 2.73)

Unexposed

346

202

1.00 (ref)

1.00 (ref)

Peer victimization

Exposed

25

46

1.75 (1.43, 2.14)

2.90 (1.72, 4.90)

Unexposed

379

222

1.00 (ref)

1.00 (ref)

Peer isolation or rejection

Exposed

51

61

1.47 (1.21, 1.80)

1.94 (1.28, 2.94)

Unexposed

353

207

1.00 (ref)

1.00 (ref)

Neighborhood considered “dangerous”

Exposed

6

15

1.84 (1.38, 2.45)

3.58 (1.34, 9.58)

Unexposed

398

253

1.00 (ref)

1.00 (ref)

*Results based on fewer than five individuals in any category were omitted from the table.
** Adjusted for assigned sex at birth, age at questionnaire completion, maternal education, paternal occupation, and number of older siblings.