Day-to-day associations of intersectional minority stressors with sleep health in sexual and gender minority people of color.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-08-01 Epub Date: 2024-04-11 DOI:10.1037/hea0001372

Joseph A Belloir, Ipek Ensari, Kasey Jackman, Ari Shechter, Anisha Bhargava, Walter O Bockting, Billy A Caceres

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Abstract

Objective: To determine the day-to-day associations between minority stressors (i.e., anticipated and experienced discrimination) and sleep health outcomes (i.e., total sleep time (TST), sleep disturbances, and sleep-related impairment) among sexual and gender minority (SGM) people of color.

Method: An online sample of SGM people of color living in the United States participated in a 30-day daily diary study. Daily anticipated and experienced discrimination as well as subjective sleep outcomes were assessed via electronic diaries using validated measures. Wrist-worn actigraphy was used to objectively assess TST. Multilevel linear models (MLMs) were used to estimate the independent associations of daily intersectional minority stressors with subsequent sleep outcomes, adjusted for demographic factors and lifetime discrimination.

Results: The sample included 43 SGM people of color with a mean age of 27.0 years (± 7.7) of which 84% were Latinx, 47% were multiracial, and 37% were bisexual. Results of MLMs indicated that greater report of daily experienced discrimination was positively associated with same-night sleep disturbances, B (SE) = 0.45 (0.10), p < .001. Daily anticipated discrimination was positively associated with sleep-related impairment on the following day, B (SE) = 0.77 (0.17), p < .001. However, daily anticipated and experienced discrimination were not associated with same-night TST.

Conclusions: Findings highlight the importance of considering the differential effects of daily intersectional minority stressors on the sleep health of SGM people of color. Further research is needed to identify factors driving the link between daily minority stressors and sleep outcomes to inform sleep health interventions tailored to this population. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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少数群体交叉压力与有色人种中性与性别少数群体睡眠健康的日常关联。

目的确定性与性别少数群体（SGM）有色人种中少数群体压力源（即预期和经历的歧视）与睡眠健康结果（即总睡眠时间（TST）、睡眠障碍和睡眠相关损害）之间的日常关联：居住在美国的有色人种 SGM 在线样本参与了一项为期 30 天的每日日记研究。通过电子日记，采用经过验证的测量方法，对每天预期和经历的歧视以及主观睡眠结果进行评估。腕戴式行动计用于客观评估TST。多层次线性模型（MLMs）用于估算日常交叉少数群体压力与后续睡眠结果之间的独立关联，并对人口统计因素和终生歧视进行调整：样本包括 43 名有色人种 SGM，平均年龄为 27.0 岁（± 7.7），其中 84% 为拉丁裔，47% 为多种族，37% 为双性恋。MLMs 的结果表明，较多报告日常经历的歧视与同夜睡眠障碍呈正相关，B (SE) = 0.45 (0.10)，P < .001。每天预期的歧视与次日睡眠相关障碍呈正相关，B（SE）= 0.77 (0.17)，p < .001。然而，每日预期和经历的歧视与当晚的 TST 无关：研究结果凸显了考虑日常交叉性少数群体压力对有色人种 SGM 睡眠健康的不同影响的重要性。需要进一步开展研究，以确定日常少数群体压力与睡眠结果之间的关联因素，从而为针对该人群的睡眠健康干预措施提供依据。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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