{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T19:03:06Z","timestamp":1761418986480,"version":"3.37.3"},"reference-count":41,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,7,7]],"date-time":"2015-07-07T00:00:00Z","timestamp":1436227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung and Blood Institute","doi-asserted-by":"crossref","award":["R01HL089493"],"award-info":[{"award-number":["R01HL089493"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>We examined associations between asthma and sleep in a sample of inner\u2010city adolescents with asthma\u2010like symptoms who are undiagnosed, and to assess the extent to which youth's report of perceived stress moderates this association.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A total of 349 adolescents (83% girls), with a mean age of 15.8 years, and their primary caregivers participated. Large segments of the sample were Latinos (46%) or African Americans (37%). Adolescents reported on asthma\u2014namely, rate of waking up at night due to asthma\u2010like symptoms and perceived severity of breathing problems\u2014and sleep, specifically sleep\u2010wake behavior problems and daytime sleepiness during activities. Caregivers provided demographic information by telephone.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Night awakenings and perceived severity of breathing problems were each independently associated with sleep\u2010wake behavior problems and daytime sleepiness during activities. Youth report of perceived stress moderated the association between perceived severity of breathing problems and sleep\u2010wake behavior problems, and perceived severity of breathing problems and daytime sleepiness during activities.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Results suggest the importance of interventions that consider undiagnosed asthma and its effects on sleep indicators related to daytime functioning in this high risk group of youth. This study highlights the need for interventions that consider asthma severity, nocturnal asthma, and sleep problems among urban adolescents with no asthma diagnosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.12277","type":"journal-article","created":{"date-parts":[[2015,7,7]],"date-time":"2015-07-07T06:58:37Z","timestamp":1436252317000},"page":"519-526","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The Association Between Asthma and Sleep in Urban Adolescents With Undiagnosed Asthma"],"prefix":"10.1111","volume":"85","author":[{"given":"Daphne","family":"Koinis Mitchell","sequence":"first","affiliation":[{"name":"Bradley\/Hasbro Children's Research Center Warren Alpert Medical School of Brown University  1 Hoppin Street Providence RI 02903"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheryl J.","family":"Kopel","sequence":"additional","affiliation":[{"name":"Bradley\/Hasbro Children's 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