COVID-19 infection and sleep health: findings from the nationally representative COVID-19 Unequal Racial Burden survey.

IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Journal of Clinical Sleep Medicine Pub Date : 2025-03-13 DOI:10.5664/jcsm.11638
Dana M Alhasan, Symielle A Gaston, Paula D Strassle, Anna María Nápoles, Chandra L Jackson
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Abstract

Study objectives: To estimate overall and racial/ethnic-specific associations between COVID-19 infection status and sleep health.

Methods: We analyzed online survey data collected from December 2020-February 2021 among Asian, Black, Latino (English and Spanish-speaking), and White adults (n=1000 each), along with American Indian/Alaska Native (AI/AN), Native Hawaiian/Pacific Islander (NH/PI), and multiracial adults (n=500). COVID-19 infection (confirmed, probable, suspected), based on self-reported data on symptoms and infected contacts, was classified using World Health Organization definitions. Sleep disturbances were categorized as 'yes' (mild/moderate/severe) versus 'no' (normal). Weighted analyses were used to generate nationally representative estimates within each racial/ethnic group. Adjusting for sociodemographic and health behaviors, Poisson regression with robust variance estimated prevalence ratios (PRs) and confidence intervals (CIs) for sleep disturbances among individuals with a COVID-19 infection vs. not in the overall population and by race/ethnicity, gender, and ability to get healthcare.

Results: Among 5,359 eligible participants, 24% had a COVID-19 infection. COVID-19 infection was associated with a 32% higher prevalence of sleep disturbances (PR=1.32 [95% CI: 1.22-1.42]). Associations of COVID-sleep associations were higher among AI/AN (PR=1.64 [1.30-2.08]), NH/PI (PR=1.53 [1.24-1.90]), and English-speaking Latino (PR=1.49 [1.20-1.86]) compared to White adults (PR=1.14 [0.93-1.41]), although confidence intervals overlapped,. The higher prevalence of sleep disturbances among women with COVID-19 (PR=1.32 [1.19-1.45]) was similar to men (PR=1.34 [1.18-1.53]). COVID-19 infection also had a similar association with sleep disturbances among participants who did and did not report being unable to get needed healthcare.

Conclusions: COVID-19 infections may lead to sleep disturbances, among racial/ethnic groups.

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来源期刊
CiteScore
6.20
自引率
7.00%
发文量
321
审稿时长
1 months
期刊介绍: Journal of Clinical Sleep Medicine focuses on clinical sleep medicine. Its emphasis is publication of papers with direct applicability and/or relevance to the clinical practice of sleep medicine. This includes clinical trials, clinical reviews, clinical commentary and debate, medical economic/practice perspectives, case series and novel/interesting case reports. In addition, the journal will publish proceedings from conferences, workshops and symposia sponsored by the American Academy of Sleep Medicine or other organizations related to improving the practice of sleep medicine.
期刊最新文献
Clinical significance of sleepiness: an American Academy of Sleep Medicine position statement. Cognitive behavioral therapy for insomnia is associated with reduced sleep apnea severity, but not its endotype traits in those with comorbid insomnia and sleep apnea. COVID-19 infection and sleep health: findings from the nationally representative COVID-19 Unequal Racial Burden survey. Quantifying the sources of discrepancy between total recording time and total sleep time in home sleep apnea testing: insights from home-based polysomnography. Sleep and dreams: how the American Academy of Sleep Medicine and its members have shaped the future of the sleep field for 50 years.
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