Racial/ethnic disparities in infant sleep in the COVID-19 Mother Baby Outcomes (COMBO) study

  1. Maristella Lucchini
  2. Monica R. Ordway
  3. Margaret H. Kyle
  4. Nicolò Pini
  5. Jennifer R. Barbosa
  6. Ayesha Sania
  7. Lauren C. Shuffrey
  8. Morgan R. Firestein
  9. Cristina R. Fernández
  10. William P. Fifer
  11. Carmela Alcántara
  12. Catherine Monk
  13. Dani Dumitriu

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Abstract

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  1. Version published to 10.1016/j.sleh.2022.06.010
  2. ScreenIT

    SciScore for 10.1101/2021.03.22.21254093: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementIRB: All procedures were approved by the Columbia University Institutional Review Board.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variableOn March 22, 2020, universal SARS-CoV-2 PCR testing via nasal swab was initiated for all women admitted to labor and delivery units.

    Table 2: Resources

    Antibodies
    SentencesResources
    Starting in July 2020, all laboring mothers were also tested for COVID-19 antibodies.
    COVID-19
    suggested: None
    Experimental Models: Organisms/Strains
    SentencesResources
    We combined these 2 variables to obtain one single race/ethnicity variable as follows: non-Hispanic White (W), African American (AA), Hispanic (H), and other (O).
    non-Hispanic White
    suggested: None
    Software and Algorithms
    SentencesResources
    Prior to delivery, they were asked to complete the COVID-19 Perinatal Experiences (COPE) survey to collect information on maternal mental and physical health during pregnancy.
    COPE
    suggested: (COPE, RRID:SCR_009153)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).

    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Limitations of this study included the sparse information about additional behavioral and socioecological factors, such as marital status and social support, that may also interact with young children’s sleep and the absence of objective sleep measures. Another limitation is the small sample of AA mothers and infants in the cohort. Next steps for research in this topic area will include objective sleep measures for mothers and infants (e.g. actigraphy) and increasing the numbers of Black/African American mothers in the research sample. In summary, our study shows racial/ethnic disparities in sleep in infants and mothers at 4 months postpartum across several sleep domains, and these disparities persist after controlling for SES and are not mediated by differences by race/ethnicity in maternal mental health. These results highlight important information on the existing health inequities in our sample. Given the short-term and long-term implications of poor sleep health for infant health and neurodevelopment and for maternal physical and mental health, these results underscore the need to further investigate root causes and mechanisms contributing to these inequities. This knowledge will be crucial to know where to invest resources and how to develop strategies to improve sleep in the postpartum period that account for the needs of populations experiencing health inequities.

    Results from TrialIdentifier: No clinical trial numbers were referenced.

    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.

    Results from JetFighter: We did not find any issues relating to colormaps.

    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

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  3. Version published to 10.1101/2021.03.22.21254093v1 on medRxiv