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Data were derived from a longitudinal cohort originating from predominately low-income hospital settings in Australia (\n                    <jats:italic>n<\/jats:italic>\n                    = 1952 children; 50.6% female; 80.1% maternal education of trade school or less; 87.4% born in Australia or UK; 2.1% identified as Aboriginal and\/or Torres Strait Islander) across three developmental waves (prenatal, 12 months, and three years). Children with two distinct patterns of heavy PAE, heavy reducer and heavy throughout,\u00a0showed statistically significantly reductions in sleep duration at age three in the context of early threat exposure, relative to children with no PAE (11 minute reduction per threat exposure &amp; 30 minute reduction per threat exposure, respectively; small effects). Threat exposure during infancy also independently predicted more night waking (11% increase in frequency per threat exposure; moderate effects) at three years. Overall, Overall, addressing children\u2019s intersectional pre- and post-natal risks remains a critical way forward.\n                  <\/jats:p>","DOI":"10.1017\/s0954579426101321","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T11:36:38Z","timestamp":1774611398000},"page":"1497-1509","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Unraveling intersectional risks: Postnatal adversities condition the impact of prenatal alcohol exposures on early childhood sleep outcomes"],"prefix":"10.1017","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2052-3456","authenticated-orcid":false,"given":"Ned","family":"Chandler-Mather","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02sc3r913","id-type":"ROR","asserted-by":"publisher"}],"name":"Griffith University School of Applied Psychology Gold Coast Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Dawe","sequence":"additional","affiliation":[{"name":"Griffith University School of Applied Psychology Mount Gravatt Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Scuffham","sequence":"additional","affiliation":[{"name":"Griffith University School of Medicine and Dentistry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu-Kay","family":"Ng","sequence":"additional","affiliation":[{"name":"Griffith University School of Medicine and Dentistry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Eggins","sequence":"additional","affiliation":[{"name":"Griffith University School of Applied Psychology Mount Gravatt Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erinn","family":"Hawkins","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02sc3r913","id-type":"ROR","asserted-by":"publisher"}],"name":"Griffith University School of Applied Psychology Gold Coast Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianne","family":"Shanley","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02sc3r913","id-type":"ROR","asserted-by":"publisher"}],"name":"Griffith University School of Applied Psychology Gold Coast Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn Lynn","family":"Modecki","sequence":"additional","affiliation":[{"name":"The University of Western Australia"},{"name":"The Kids Research Institute Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"S0954579426101321_ref54","doi-asserted-by":"publisher","DOI":"10.1177\/0963721416655883"},{"key":"S0954579426101321_ref10","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsac264"},{"key":"S0954579426101321_ref83","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.113.144089"},{"key":"S0954579426101321_ref72","unstructured":"R Core Team. 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