Emily Bryant

Emily Bryant

Associations Between Sleep Quality, Household Income, and Medication Adherence in Adolescents With Asthma


Emily Bryant, Andrea Fidler, David Fedele


Dr. David Fedele


College of Liberal Arts and Sciences, College of Public Health and Health Professions


Adolescents with asthma are at-risk for poor sleep quality. Little research has examined the relationship between sleep quality and inhaled corticosteroids (ICS) adherence. Individuals from lower-income backgrounds experience disparities that may also contribute to sleep quality. This study sought to 1) examine associations between household income and sleep quality and 2) analyze the relationship between sleep quality and ICS adherence among adolescents with asthma. Forty-one adolescents with persistent asthma (Mage = 14.83, SD = 1.28) completed the Adolescent Sleep Wake Scale (ASWS) to measure sleep quality across five subscales. Caregivers provided their estimated household income per year and completed a free response question measuring ICS adherence. We used Spearman’s rank-order correlations to examine associations between sleep quality, household income and ICS adherence. Sleep quality and household income were not significantly related (r = .262, p = .098). Although none of the ASWS subscales were significantly related to income, the association between maintaining sleep and household income approached significance (r = .287, p = .069). Sleep quality was not associated with ICS adherence (r = -.028, p = .867). Sleep quality was not significantly related to household income or ICS adherence in adolescents with asthma. Limitations include limited power given a small sample size and less reliable measures of household income and adherence therefore, future directions should focus on using more precise measures. Additional research with larger sample sizes may help better understand potential relationships between sleep quality, ICS adherence, and household income within youth with asthma.


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