Table 4.

Association between each ACE and severe level of insufficient sleep duration, NSCH 2016–2017.

Adverse Childhood Experience (ACE)	1 hr less vs. sufficient	>1 hr less vs.sufficient	P-value (1 hr less vs >1 hr less
	AOR 95% CI	AOR 95% CI
Domestic violence witness*	1.4  1.1–1.7	2.1  1.6–2.8	0.004
Neighborhood violence	1.2  0.9–1.5	1.6  1.2–2.2	0.07
witness/victims*
Parent served time in jail	1.1  0.99–1.3	1.3  1.04–1.7	0.13
Living with someone who had a substance use problem*	1.2  1.04–1.5	1.4  1.1–1.7	0.41
Parental divorce/separation*	1.2  1.1–1.4	1.5  1.3–1.9	0.01
Living with a mentally ill, suicidal, or severely depressed person*	1.1  0.9–1.3	1.5  1.2–1.9	0.004
Financial hardship*	1.1  0.99–1.3	2.1  1.8–2.6	<0.001
Unfair treatment because of one’s race/ethnicity*	1.2  0.9–1.5	1.4  1.1–1.9	0.24
Parental/guardian death*	1.4  1.1–1.8	1.0  0.7–1.3	0.047
Number of ACEs*
0	1.0  Reference	1.0  Reference
1	1.3  1.1–1.5	1.4  1.2–1.6	0.06
2+	1.6  1.3–2.0	2.2  1.7–2.7	<0.001

AOR= Adjusted odds ratios from multinomial logistic regression models adjusted for youth’s age in years, gender, race/ethnicity, family poverty, family structure, depression, and anxiety; and caretaker’s level of education. Models for parent served time in jail, parental divorce/separation, and parental/guardian death omitted adjustment for family structure; model for living with mentally ill, suicidal, or severely depressed person omitted adjustment for depression and anxiety.

^*p<0.05, joint test of association of the ACE with each level of insufficient sleep duration.