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Journal of Behavioral Medicine

Erschienen in:

20.10.2020

Social-ecological considerations for the sleep health of rural mothers

verfasst von: Alexandra R. Fischer, Sha-Rhonda M. Green, Heather E. Gunn

Erschienen in: Journal of Behavioral Medicine | Ausgabe 4/2021

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Abstract

Using a social-ecological framework, we identify social determinants that interact to influence sleep health, identify gaps in the literature, and make recommendations for targeting sleep health in rural mothers. Rural mothers experience unique challenges and protective factors in maintaining adequate sleep health during the postpartum and early maternal years. Geographic isolation, barriers to comprehensive behavioral medicine services, and intra-rural ethno-racial disparities are discussed at the societal (e.g., public policy), social (e.g., community) and individual levels (e.g., stress) of the social-ecological model. Research on sleep health would benefit from attention to methodological considerations of factors affecting rural mothers such as including parity in population-level analyses or applying community-based participatory research principles. Future sleep health programs would benefit from using existing social support networks to disseminate sleep health information, integrating behavioral health services into clinical care frameworks, and tailoring culturally-appropriate Telehealth/mHealth programs to enhance the sleep health of rural mothers.

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Titel: Social-ecological considerations for the sleep health of rural mothers
verfasst von: Alexandra R. Fischer
Sha-Rhonda M. Green
Heather E. Gunn
Publikationsdatum: 20.10.2020
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 4/2021
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-020-00189-4

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