Sleep as a Predictor of Health-Related Quality of Life among Economically Disadvantaged Black Older Adults.

IF 3.4 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ethnicity & Disease Pub Date : 2024-10-22 eCollection Date: 2024-10-01 DOI:10.18865/EthnDis-2022-2027
Julia Roncoroni, Carolyn M Tucker, Guillermo Wippold, Karthek Ramchander, Michell Pirapakaran, Meagan Henry
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Abstract

Objectives: Sleep disturbances may partially account for the health-related quality of life (HRQoL) disparities experienced by Black older adults when compared to non-Hispanic White (NHW) adults. The present study examined the role of self-reported sleep duration and the belief that one is not getting enough sleep on physical and mental HRQoL among Black older adults.

Design: Participants were 281 community-dwelling, economically disadvantaged Black older adults between 60 and 97 years of age (Mean=69.01, SD=6.97) who lived in a large city in the Southeastern United States. The present study uses baseline data from a larger intervention study aimed at promoting social connection and food security among older adults. For this study (and as part of the larger intervention), participants completed an assessment battery that included (1) a demographic data and health questionnaire that included self-reported sleep duration and a belief that one is not getting enough sleep questions; (2) the CDC (Centers for Disease Control and Prevention) Health-Related Quality of Life-14 Healthy Days Core Module; and (3) the World Health Organization Quality of Life-Brief Form.

Results: Descriptive results show that most participants slept less than 7 hours and felt like they did not get enough sleep. Results from 2 hierarchical regressions also showed that believing one is not getting enough sleep predicts lower self-reported mental and physical HRQoL.

Conclusion: While sleep deprivation has a serious impact on quality of life for Black older adults, sleep disturbances in this population are understudied. Interventions to improve sleep duration and quality among Black older adults may help reduce disparities in quality of life between Black older adults and NHW adults.

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睡眠是经济状况不佳的黑人老年人与健康相关的生活质量的预测因素。
目的:与非西班牙裔白人(NHW)成年人相比,黑人老年人与健康相关的生活质量(HRQoL)存在差异,而睡眠障碍可能是造成这种差异的部分原因。本研究调查了黑人老年人自我报告的睡眠时间和认为睡眠不足对身心健康相关生活质量的影响:参与者为 281 名居住在美国东南部某大城市、年龄在 60 岁至 97 岁之间、经济条件较差的社区黑人老年人(平均值=69.01,标准差=6.97)。本研究使用了一项大型干预研究的基线数据,该研究旨在促进老年人的社会联系和食品安全。在本研究中(作为更大规模干预的一部分),参与者完成了一套评估,包括:(1)人口统计学数据和健康问卷,其中包括自我报告的睡眠时间和是否认为自己睡眠不足的问题;(2)美国疾病控制和预防中心(CDC)与健康相关的生活质量-14 健康日核心模块;以及(3)世界卫生组织生活质量简表:描述性结果显示,大多数参与者的睡眠时间不足 7 小时,感觉睡眠不足。两次分层回归的结果还显示,认为自己睡眠不足会降低自我报告的精神和身体 HRQoL:虽然睡眠不足对黑人老年人的生活质量有严重影响,但对这一人群的睡眠障碍研究不足。改善黑人老年人睡眠时间和质量的干预措施可能有助于缩小黑人老年人与非黑白老年人在生活质量方面的差距。
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来源期刊
Ethnicity & Disease
Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.30
自引率
0.00%
发文量
43
审稿时长
6-12 weeks
期刊介绍: Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.
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