Food programs with work requirements led more people to need mental health care

Story at a glance


  • The Supplemental Nutrition Assistance Program (SNAP) is designed to help low-income families struggling with food insecurity.

  • However, some states have tacked on work requirements to SNAP benefits, adding an additional hurdle to these populations struggling for food.

  • For the first time, new research shows these work requirements are linked with more visits to mental health providers among SNAP recipients.

Individuals who receive Supplemental Nutrition Assistance Program (SNAP) support with the caveat of work requirements were more likely to need mental health care for anxiety and mood disorders, according to data collected from West Virginia. 

Food insecurity is already associated with poor mental health outcomes, as is job insecurity, while the nation is currently struggling with a mental health care provider shortage

SNAP provides eligible low-income families with federal nutrition assistance and in 2015, over 20 million families participated in the program, researchers said. However, some recent work requirement policies have been implemented in several states, which could pose barriers to those who most need the services. 

To better understand what impact these requirements have on enrollees’ mental health, researchers assessed data from West Virginia, which rolled back work requirement exemptions in some of the state’s counties.  


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A total of 65,157 Medicaid enrollees across nine counties were included in the study. 

Using Medicaid claims data collected between 2015 and 2018, analyses showed work requirements were associated with a 0.9 percentage point increased risk of having a mood disorder visit among women. Similarly, a 0.7 percentage point increase was seen among men.

With regard to anxiety specifically, over the time period women subjected to work requirements experienced a 17.8 percent relative increased risk compared with a baseline of 5.8 percent, while men saw a relative change of 24.3 percent over a baseline probability of 5 percent. However, the rate of increase among men was more gradual than that of women. 

The threat of losing SNAP benefits could worsen already-existing mood disorders among enrollees, which could lead to an uptick in mental health services used, authors explained. In addition, those with undiagnosed or untreated conditions might be prompted to visit a provider in search of an exemption for work requirements.

“We found that women were impacted much earlier by work requirements compared to men, in line with a host of studies that have documented an association between food insecurity and poorer mental health outcomes among women,” authors said. 

Women are also overrepresented in SNAP programs, as they tend to play a bigger role in securing food for their families.

“Half of non-working women have reported that childcare/family obligations contributed to their employment decision. Women are also more likely than men to have part-time work, limiting their eligibility for a policy exemption,” they added. 

Citing previous research that shows work requirements do not yield large employment gains and actually reduce SNAP participation among vulnerable populations, researchers concluded “policy makers and future research should seek to better understand these tradeoffs when considering the net impact of SNAP work requirement policies on an already-marginalized population.” 

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LIV Golf crowd shouts 'Let's go Brandon' to Trump, Greene, Carlson

Fox News host Tucker Carlson and Rep. Marjorie Taylor Greene (R-Ga.) were among the GOP figures who joined former President Trump at the LIV Golf event at his Bedminster Golf Club in New Jersey this weekend.

At one point, the crowd gathered near where the trio were watching the action, in a tent just off a tee box, and broke out in a “Let’s Go Brandon” chant, an online joke turned political slogan popularized on the right by critics of President Biden.

Carlson, Greene and Trump are all seen smiling on the video, with the former president giving the crowd several fist bumps and egging them on.

Trump has praised the Saudi-backed league, which has come under scrutiny given the country’s human rights abuses and reported ties to the Sept. 11, 2001, terrorist attacks.

“I think LIV has been a great thing for Saudi Arabia, for the image of Saudi Arabia,” Trump said of the new league last week. “I think it’s going to be an incredible investment from that standpoint, and that’s more valuable than lots of other things because you can’t buy that — even with billions of dollars.” 

Dozens of PGA Tour golfers have defected to the Saudi-backed league, which is paying millions of dollars in guaranteed money to participants.

Swedish golfer Henrik Stenson won the Bedminster tournament, taking home $4 million in prize money.

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Benzene traces spark recall of Banana Boat sunscreen

The company that produces the popular sunscreen Banana Boat recalled three batches of spray bottles on Sunday over concerns they contained trace amounts of the cancerous chemical benzene.

Edgewell Personal Care Company, which is headquartered in Shelton, Conn., issued a voluntary nationwide recall for six-ounce cans of Banana Boat Hair & Scalp Sunscreen Spray SPF 30, according to a press release from the company shared with the Food and Drug Administration.

While benzene is not an ingredient in the sunscreen, the company said, the chemical was detected in the products through an internal review that found chemical came out of the propellant that sprays the lotion from the cans.

Benzene is a natural and manmade chemical that can have a wide range of negative long-term health effects, such as leukemia, according to the Centers for Disease Control and Prevention.

Benzene is a flammable, colorless liquid that evaporates in the air. People are primarily exposed to the chemical by inhaling it.

Edgewell noted no additional batches, besides the three listed in the release, contain benzene. All other Banana Boat products are safe to use, the company stressed, adding that there have been no reports of adverse reactions to the product.

Edgewell operates in 50 markets across the U.S., Canada, Mexico, Germany, Japan, the U.K. and Australia.

Banana Boat is a best-selling sunscreen in the U.S.

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Seven dead in wrong-way Illinois interstate crash

Seven people died in a crash in Illinois on Sunday when a driver traveling the wrong way on I-90 hit another car and caused both vehicles to be engulfed in flames, Illinois State Police said.

Authorities said the crash, which occurred at 2:11 a.m. on Sunday, killed the driver of the wrong-way car and one adult and five children passengers in the other car. 

Authorities said the crash occurred in the westbound lanes of I-90 near milepost 33 in McHenry County. The car was traveling the wrong direction for “unknown reasons,” authorities said.

State police identified the adult victims as 22-year-old Jennifer Fernandez, who was driving the wrong-way car, and 31-year-old Lauren Dobosz. They did not name the five children who died but said they were between the ages of 5 and 13.

Thomas Dobosz, a 32-year-old man who was driving the car traveling in the correct direction, sustained serious injuries and was airlifted to an area hospital, authorities said.

WGN News reported a neighbor of Thomas and Lauren Dobosz said the couple was married with four children and believed the fifth child was their oldest child’s friend.

Authorities temporarily closed the interstate’s westbound lanes near the crash but reopened the highway later on Sunday morning.

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Biden cannot give China’s Xi the upper hand

China’s foreign ministry reported that Chinese President Xi Jinping warned President Biden that “those who play with fire will perish by it” during their two-hour phone conversation on Thursday. This barely disguised threat to the United States likely was related to the planned trip to Taiwan by House Speaker Nancy Pelosi (D-Calif.). Xi also reportedly advanced a demand of non-interference by other powers in the Beijing-Taipei relationship, saying it’s an internal matter of the Chinese Communist Party (CCP) that the U.S. must accept.  

Xi issued other warnings to Biden regarding China’s conception of what the U.S. can and cannot do to protect its interests in the Indo-Pacific. In what one senior administration official described as a “direct” and “honest” conversation, Biden affirmed that the U.S. does not seek Taiwan’s independence and the U.S. has not changed its “One China” policy. Xi reportedly claimed that people expect Beijing and Washington to work together to solve the world’s problems and to promote development and prosperity.

The seemingly truculent and — if presented accurately — horribly one-sided phone conversation provides an opportunity to take stock of the Sino-American relationship in the second year of the Biden administration.

First, it is questionable how useful such conversations are if they provide a forum for Xi to berate Biden and offer what must be considered diktat — and if China can advance its interpretation of the dialogue faster and wider than the U.S. can. The Biden administration’s leaden response after these events hinders U.S. diplomacy and global standing. This was similar to previous conversations the leaders have had, or exchanges between officials in Anchorage or Luxembourg, in which China appeared to set the tone and harangued the U.S. side. 

The credibility of U.S. commitments and expressions of U.S. resolve matter in global politics, most pointedly now with Beijing’s increasing aggression against Taiwan. No U.S. president should permit himself to be so treated for the honor of the country, the credibility of its commitment, and strength of its deterrent. In conversations with Xi, Biden must express the interests of the United States clearly and firmly. U.S. commitments underpin the stability of international politics and what is said affects the perception of our country by global audiences, including U.S. adversaries.  

Equally important, Biden is in the right to take the upper hand — China is committing genocide against Muslim peoples in Xinjiang and the U.S. should not be reticent to express its moral superiority. The U.S. should never accept hectoring or abuse from authoritarian governments that violate human rights. Unfortunately, it appears that in this conversation, Biden may not have reaffirmed intolerance for China’s human rights abuses.

Second, Xi evidently attempted to raise his status as the leader who can guide the world by establishing equality between China and the United States as the two titans that can heal what ails the world — thus, his statement regarding the need for China and the U.S. to work together to address the world’s needs and developments. Domestically, Xi blames the U.S. as the only source of global chaos when, in fact, it is the CCP that threatens the world and is determined to overthrow international stability and standards of human rights.  

The Biden administration simply cannot accept attempts to establish a moral parity regarding the world’s future. There are two paths illuminated by these two powers, but they are not equal. Washington offers the hope of freedom, equality and prosperity and is a better ally for the peoples of the world. Beijing’s future is one of tyranny and control, and a brutal and strict hierarchy with all others subordinate to China. No U.S. president should be concerned about how China might interpret the conversation; what matters is what the U.S. must accomplish expeditiously.

The biggest misconception inherent in Biden’s China policy is the premise that China’s threats to the U.S. and international liberal order can be eliminated through risk management. Biden and his advisers apparently fail to see that the CCP’s treacherous, subversive and violent nature cannot be controlled, or managed or changed. No matter how much CCP strategy changes with individual leaders — from Deng Xiaoping’s “biding one’s time,” to Hu Jintao’s “making great achievements,” to Xi’s “guiding the world and mankind in the right direction” — the party’s true intent of global domination never changes.

Biden’s phone call with Xi undoubtedly will help Xi in his bid to secure a third term giving him legitimacy, and any promised cooperation by the U.S. could give the party-state another strategic opportunity to catch up with the United States. The communist regime will pretend to work with the West but turn on Washington when the chance arises. This is Mao Zedong’s strategy of “using the revolutionary’s two hands to deal with the counter-revolutionary’s two hands,” a euphemism he often used to justify deception. 

Third, rather than being on the back foot, the U.S. has an opportunity on these occasions to force Xi to respond to the CCP’s abuses. Biden could push Xi on human rights abuses by raising specific issues or cases. To have a conversation with Xi without raising what China is doing to the Kazakh, Kyrgyz and Uyghur Muslims is unconscionable. Additionally, Biden might have insisted that Xi lower the Great Firewall, which prevents Chinese citizens from accessing the internet freely and helps to sustain the CCP’s power. He could have insisted that Xi honor his 2015 pledge to President Obama regarding cyber theft and security.  

Although the issue of Ukraine reportedly was raised, the U.S. should have insisted on Xi’s support before Russia’s invasion — and even now. Biden might have expressed the need to extend the boycott of Chinese firms doing business in Russia from a small number to the totality of Chinese entities. Moreover, Biden might have told Xi that he will work to prevent U.S. entities from investing in firms that support the genocide in Xinjiang from the modest number imposed in December 2021 to all entities supporting the abuse of Muslims. Ending this genocide and the “cotton gulag” that China has created should be the highest priority.

The Biden administration must know that reiterating no support for Taiwan’s independence and maintaining the status quo with its China policy no longer can satisfy Xi. This is because Xi now sees “liberating” Taiwan as part of his “Chinese Dream” of national rejuvenation, which he believes he must accomplish by any means and at any cost. Besides, by opposing Taiwan’s independence, the U.S. not only disrespects the will of Taiwan’s people but also undermines the existing world order that is based on self-determination. 

As the midterm elections approach, it is time for the American people to consider the Sino-American relationship and what the Biden presidency has or has not gained from its relationship with Xi’s regime. The U.S. has gained too little. The CCP is becoming more aggressive; the expansion of China’s influence in Africa, Asia and the Pacific is unrelenting. China’s support for Russia’s invasion of Ukraine has not abated, and the pressure against Taiwan and India are building. The genocide in Xinjiang continues, as do endemic human rights abuses against the Chinese people. Yet Wall Street permits investments in Chinese entities to fund it all.  

Far from playing with fire, the Biden administration’s approach to China is as accommodating as Xi can expect. The future of stability in global politics does not rest with Xi’s placation, but instead depends upon confrontation to cause his defeat. Biden must learn from Mao, “Cast away illusions [and] prepare for struggle.”

Lianchao Han is vice president of Citizen Power Initiatives for China and worked in the U.S. Senate for 12 years. He and Bradley A. Thayer are co-authors of the forthcoming book, “Understanding the China Threat.”

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Boeing union cancels strike set to start Monday

The union representing Boeing employees canceled a planned strike that would have started Monday, announcing they will instead vote on a modified contract.

The International Association of Machinists and Aerospace Workers (IAM) hammered out negotiations with Boeing over the weekend and will vote on the modified contract Wednesday, the union said in a press release.

Close to 2,500 workers from the St. Louis region, part of the IAM District 837, will participate in the vote.

Last week, the workers threatened to strike on Monday after accusing Boeing of making “billions of dollars each year off the backs of our hardworking members” while not writing them a fair contract.

Boeing responded that it would offer a fair 401(K) plan, award workers a 7.2 percent pay raise as well as a $3,000 signing bonus.

The new contract includes an $8,000 lump sum that can be wholly invested into the 401(K) retirement plan, as well as no changes to the plan, which employees had protested.

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Kristof returns to New York Times after failed Oregon governor bid

Nicholas Kristof is getting his job at the New York Times back.

Kristof, a longtime columnist at the New York Times who briefly left the newspaper to pursue a run for governor of his home state of Oregon, will rejoin the newspaper as a columnist for its Opinions section, the outlet announced on Monday.

“Nick built a deep and enduring relationship with our audience in the United States and worldwide over the course of his four-decade career at The Times,” Opinion Editor Kathleen Kingsbury wrote in a note announcing the news. “He draws on deep experience as a reporter, an interviewer and a listener, and is committed to pursuing the truth with an open and inquisitive mind and a keen appreciation for context, nuance and accuracy.”

Kristof last October announced he was leaving the Times to run as a Democrat in the race to replace Oregon Gov. Kate Brown (D).

In February, the Oregon Supreme Court ruled that Kristof cannot run for governor of the state because he does not meet the state’s three-year residency requirements. 

The longtime columnist called the decision “disappointing” at the time.

Kingsbury said Kristof’s columns are expected to resume this fall after he finishes work on a new book.

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Friendships key to upward mobility: research

Story at a glance


  • Childhood friendships between individuals of different economic classes in the United States is significantly associated with adult economic mobility, according to new research published in Nature.

  • The findings draw on data from 21 billion Facebook accounts. 

  • In the future, researchers hope to conduct similar studies to determine whether or how social networks impact political affiliations or health behaviors. 

The networks of relationships one develops over time, or an individual’s social capital, can impact different facets of life, ranging from education to health care.

In an effort to better understand what types of social capital matters for certain outcomes, a team of researchers conducted two studies assessing 21 billion Facebook friendships. 

Results of these analyses revealed a higher share of friends with higher socioeconomic status (SES) among those with low SES “is among the strongest predictors of upward income mobility identified to date,” authors wrote.

Defining this phenomenon as economic connectedness, researchers showed such friendships outweighed any other social capital measures, such as social cohesion, or cliques within networks, and civic engagement (volunteering), both of which had no strong association with economic mobility. 

Notably, the data showed “if children with low-SES parents were to grow up in counties with economic connectedness comparable to that of the average child with high-SES parents, their incomes in adulthood would increase by 20% on average.”

Researchers hypothesize the lack of economic connectedness among certain societies can explain relationships between upward economic mobility and racial segregation, along with poverty rates and inequality. 


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The data are compiled into a website that breaks down associations between social capital and outcomes by ZIP code, county, high school and college. 

For example, in Sampson County, N.C., 23 percent of individuals’ friends are high-income, compared with 57.9 percent of friends in Santa Clara County, Calif. From 2016 to 2020, the median household income in Sampson County was $42,914, according to U.S. census data. In that same window, the median household income in Santa Clara County was $130,890.

Because Facebook friendships were used as a proxy for real-life friendships rather than online networks, the studies did not yield information on the impacts of strictly online social networks. 

To be included in the analyses, Facebook users had to have been active on the site at least once in the past 30 days and were on average between the ages 25 and 44. Individuals also had to have at least 100 friends based in the U.S. and have a residential ZIP code listed. 

“Many theoretical studies have shown how connections to more educated or affluent individuals can be valuable for transferring information, shaping aspirations and providing mentorship or job referrals,” authors wrote. 

In the study, researchers defined SES on average income for individuals’ neighborhoods and any self-reported levels of education attained. 

Those with higher SES tended to be friends with other high SES individuals, while “a one percentile point increase in one’s own SES rank is associated with a 0.44 percentile point increase in the SES rank of one’s friends on average.”

Although the study did show areas with higher economic connectedness had positive causal effects on children’s potential upward mobility, researchers cautioned that this connectedness might not be the best or most important measure of general social capital. 

Data showed network cohesiveness measures, for example, were more strongly associated with differences in life expectancy among those with low income across U.S. counties.

Additional research is needed to better understand how these social networks might influence political preferences or health behaviors.

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A path to peace from Biden’s trip — How the Arab states can help

President Biden approached his Middle East trip with a strategic view. Many critics took the narrow view that he failed to secure any announced increase in oil production or to make any progress between Israelis and Palestinians. Time will tell whether his discussions will yield not just a more stable oil market but also one in which the Saudis and others are actively collaborating with us to manage a stable transition away from fossil fuels over the next two decades.

However, on the Palestinian issue, the critics missed that Biden sees the region differently. In speaking to Arab leaders of nine states in Jedda, Biden said that “we will operate in the context of the Middle East as it is today: a region more united than it has been in years … Increasingly, the world is seeing the Mideast through the lens of opening and opportunity.”

The new reality in the region — providing economic cooperation between Arabs and Israel — means Biden understood there is a new paradigm for peace-making between Israelis and Palestinians. As he told an Israeli television interviewer on the eve of the trip, “the more Israel is integrated into the region as an equal and is accepted, the more likely there is going to be a means by which they can eventually come to accommodation with the Palestinians down the road.” If in the past an Israeli-Palestinian deal was the gateway between Israel and Arab states, now Biden is saying the reverse. The message is that ties with the Arabs give Israel something to lose.

But there also is a different Arab angle to the Biden view: Arab states are no longer willing to wait for the Palestinians and forego what is in their interests. Because Sunni Arab leaders are increasingly mindful that Israel can help on critical domestic needs, ranging from water to cyber security challenges, they are seeking cooperation with Israel. What began as under-the-radar cooperation against terror and traditional security threats is now expanding to include domestic economic needs. That reality has emerged very much in the open with the Abraham Accord countries, especially in the United Arab Emirates (UAE)-Israeli ties. However, with Israeli business people now doing business in Saudi Arabia, albeit on second passports, the phenomena is clearly not limited to the countries that have made formal peace with Israel.

President Biden’s trip showed how one Abraham Accord country, Morocco, could help the Palestinians now: Morocco played a key role in getting Israel to agree to keeping the Allenby Bridge crossing — one which Palestinians use to cross to and from Jordan — open on a 24/7 basis. Biden administration officials also made clear during the trip that the Negev Forum, a regional framework of four Arab states hosted by Israel, should involve the Palestinians on different economic working groups ranging from health to food security.

Arab states themselves understand they have leverage in making peace with Israel. When the Emirates approached the Trump administration in July 2020, they conveyed that they were ready for full normalization with Israel provided that Israel did not unilaterally annex West Bank territory allotted to it under the Trump peace plan. The Palestinians rejected what the Emiratis were doing, seeing Israel rewarded with normalization before occupation was ended. What the Palestinian leadership has failed to realize is that the needs of Arab states now mean they are no longer willing to wait for the Palestinians, particularly because they doubt the Palestinian leadership is capable of doing anything to help resolve the conflict.

Like the Palestinians, most critics of Israel hold it solely responsible for the conflict with the Palestinians. They absolve the Palestinians of the need to do anything except be on the receiving end of Israeli concessions. They ignore that peace-making is a two-way street, including preparing both publics for peace and acknowledging that Jews also have a historical attachment to the land. The inability to acknowledge Israeli needs, and the continuing public incitement against Israel which necessarily legitimizes violence, gives the Israeli public little reason to think that the Palestinians will ever make real peace. Therefore, they are unwilling to support any political concessions to the Palestinians.

The problem for Israel is that the Palestinians are not going anywhere and staying on the current path will yield one state in time. The irony is that neither the Israelis nor the Palestinians are capable of politically breaking their stalemate.

But Arab states can play a role here. 

Consider how the UAE approached the issue of full normalization: Its leaders tied it to Israel not taking a negative step toward the Palestinians. Other Arab states could offer variations of this model. For example, the Saudis could offer to open a commercial trade office in Tel Aviv, something that would serve their interest in building a resilient, tech-driven economy; for this, they could ask the Israelis to stop building to the east of the security barrier in the West Bank, meaning Israel would not build on 92 percent of the West Bank. That would preserve the two-state outcome, even as it demonstrated to the Palestinians that the Saudis were preventing incremental Israeli annexation. 

Alternatively, a less political move but one that could greatly benefit Palestinians would be for the Saudis to invest in water infrastructure in the West Bank — something hugely important, given water shortages, but something that would necessitate the Saudis working directly with the Israelis to be able to implement the projects.

Put simply, in an environment of political gridlock between Israelis and Palestinians, a new factor is needed to unlock possibilities. Arab state outreach to Israelis is going to happen anyway, so why not take advantage of it? It can help Palestinians and make Israeli political moves more acceptable to the Israeli public.

Biden was right to recognize the region is changing and to promote the new paradigm.

Dennis Ross is counselor and the William Davidson Distinguished Fellow at the Washington Institute for Near East Policy. He served as special assistant to President Obama, as Special Middle East Coordinator under President Clinton, and as director of the State Department’s Policy Planning Staff in the first Bush administration. He is the author, with David Makovsky, of “Be Strong and of Good Courage: How Israel’s Most Important Leaders Shaped Its Destiny.” Follow him on Twitter @AmbDennisRoss.

David Makovsky is the Ziegler Distinguished Fellow and director of the Koret Project on Arab-Israel Relations at the Washington Institute for Near East Policy. Between 2013-2014 he served in the Office of the Secretary of State as a senior adviser to the Special Envoy for Israeli-Palestinian Negotiations. He is an adjunct professor at the Johns Hopkins University Paul H. Nitze School of Advanced International Studies (SAIS) and the creator of the Decision Points podcast. Follow him on Twitter @DavidMakovsky.

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Sleeping less than 9 hours could affect kids' memory and mental health

Story at a glance


  • University of Maryland researchers examined MRI images and medical records of more than 8,300 children aged 9 to 10. 

  • The team linked lack of sleep to mental health issues like depression and anxiety and to memory issues, including problem solving and decision making.

  • The American Academy of Sleep Medicine recommends between 9 and 12 hours of sleep nightly for children ages 6 to 12. 

Elementary school-age kids who sleep less than the recommended number of hours per night exhibit differences in brain regions associated with memory, intelligence and well-being, according to a recent study.  

For the study published in Lancet Child & Adolescent Health, researchers from the University of Maryland examined MRI images and medical records of more than 8,300 children aged 9 to 10, as well as surveys completed by the participants and their parents. 

The team linked lack of sleep to mental health issues like depression and anxiety and to memory issues, including problem solving and decision making.  

Researchers accounted for socioeconomic status, gender, puberty status, and other factors that could affect a child’s sleep habits and brain function. 

Follow up evaluations showed that the sleep habits of the group who did not meet the recommended 9 to 12 hours per night did not change significantly over two years.    

“We found that children who had insufficient sleep, less than nine hours per night, at the beginning of the study had less grey matter or smaller volume in certain areas of the brain responsible for attention, memory, and inhibition control, compared to those with healthy sleep habits,” the study’s corresponding author Ze Wang, said in a news release

“These differences persisted after two years, a concerning finding that suggests long-term harm for those who do not get enough sleep,” he continued. 

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The American Academy of Sleep Medicine recommends between 9 and 12 hours of sleep nightly for children ages 6 to 12.  

Parents can help their children reach this sleep goal by limiting technology use close to bedtime and establishing a consistent sleep schedule.  

“This is a crucial study finding that points to the importance of doing long-term studies on the developing child’s brain,” said E. Albert Reece, Dean of University of Maryland School of Medicine. “Sleep can often be overlooked during busy childhood days filled with homework and extracurricular activities. Now we see how detrimental that can be to a child’s development.”

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