Prevalence and correlates of short and long sleep duration among majority-Hispanic young adult survivors of childhood cancer.

Marcie D Haydon, Julia Stal, Sunmin Lee, Kimberly A Miller, Wendy Cozen, David R Freyer, Joel Milam

Abstract read

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Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Marcie D HaydonDepartment of Population Health and Disease Prevention, Joe C. Wen School of Population and Public Health, University of California Irvine, Irvine, CA, USA. mdhaydon@hs.uci.edu.

Julia StalDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.

Sunmin LeeDepartment of Epidemiology and Biostatistics, Joe C. Wen School of Population and Public Health, University of California Irvine, Irvine, CA, USA.

Kimberly A MillerDepartment of Public Health and Population Science, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Wendy CozenDepartment of Epidemiology and Biostatistics, Joe C. Wen School of Population and Public Health, University of California Irvine, Irvine, CA, USA.

David R FreyerDepartment of Public Health and Population Science, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Joel MilamDepartment of Epidemiology and Biostatistics, Joe C. Wen School of Population and Public Health, University of California Irvine, Irvine, CA, USA.

Funding

National Institute on Minority Health and Health Disparities of the National Institutes of Health R01MD007801NCI NIH HHS 4K00CA284291-02NCI NIH HHS P30CA014089 and T32CA009492

6 · The paper itself

Abstract

purposeBoth short (< 7 h) and long (> 9 h) sleep duration are associated with poor health. Yet, little is known about sleep duration patterns and correlates in young adult childhood cancer survivors (CCS).

methodsData were from Project Forward, a population-based survey of young adult CCS in Los Angeles County. Average sleep duration, demographic and medical characteristics (e.g., treatment intensity), and mental (i.e., well-being, depressive symptoms) and physical (i.e., general health, comorbidities) health were measured via self-report. Chi-square and one-way ANOVAs assessed correlations between characteristics and short and long sleep duration (versus recommended; 7-9 h). Multivariable linear and negative binomial regressions examined relationships between sleep duration and mental and physical health.

resultsParticipants (N = 1,062, Mean age = 26.2 years, 50% female, 51% Hispanic) were, on average, 14.5 years (range: 5-22) post-diagnosis. Overall, 30% reported short and 7% reported long sleep. Short sleep was associated with older age, being employed, and having children (ps ≤ .001). Unemployment and lower educational attainment were associated with long sleep (ps ≤ .001). Both short and long sleep were associated with lower well-being (ps ≤ .001), greater depressive symptoms (ps ≤ .001), poorer self-rated general health (ps ≤ .012), and more comorbid conditions (ps = .001), compared to recommended sleep duration. Associations with physical health remained largely significant controlling for depressive symptoms (ps < .025).

conclusionsWe found unique correlates of short and long sleep duration and associations with poorer mental and physical health among a large, diverse sample of young adult CCS. IMPLICATIONS FOR CANCER SURVIVORS: As a modifiable behavior, sleep duration is a relevant intervention target for improving outcomes after cancer.

Indexed as

Cancer survivorshipChildhood cancer survivorsSleepSleep duration

Identifiers

PMID41387641

DOI10.1001/jamapsychiatry.2022.0653

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.