“…The lack of discernible patterns in the site-specific sleep durations by HDIs observed in this study is consistent with our previous study (Manyanga et al, 2018) which showed no evidence of epidemiological transition in the relationship between sleep duration and socioeconomic status. Sleep duration can be affected by many factors including bedtimes (Asarnow, McGlinchey, & Harvey, 2014), wake-up times (Carissimi et al, 2016), availability and excessive use of screens in the bedroom (Falbe et al, 2015;Hysing et al, 2015), artificial light (Aulsebrook, Jones, Mulder, & Lesku, 2018), length of daylight (Wams et al, 2017), and other contextual or cultural factors. The need for early wake-up times to accommodate household chores (eg, in rural areas), early school start times (Carissimi et al, 2016), and longer school commute times in LMICs as contributors to shorter sleep F I G U R E 4 Density curves based on participants with complete data comparing sleep duration between, A, urban and rural participants, B, boys and girls, and, C, participants from LMICs and HCIs.…”