Sleep Health最新文献_第10页

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-08-01 DOI: 10.1016/S2352-7218(25)00157-3

引用次数: 0

Associations between neighborhood factors and insomnia and their spatial clustering in Philadelphia, Pennsylvania 宾夕法尼亚州费城邻里因素与失眠症之间的关系及其空间聚类。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-08-01 DOI: 10.1016/j.sleh.2024.09.003

Foster Osei Baah MS-PhD , Augustine Cassis Obeng Boateng MPH , Janeese A. Brownlow PhD , Christine J. So PhD , Katherine E. Miller PhD , Philip Gehrman PhD , Barbara Riegel PhD

Background

Neighborhood-level adverse social determinants may be a risk factor for sleep health disparities. We examined the associations between neighborhood factors and insomnia and explored their spatial clustering in the city of Philadelphia, Pennsylvania.

Methods

We conducted a cross-sectional analysis of data from Philadelphia residents who participated in online screening for insomnia-related research. Participants self-reported sex, age, body mass index, anxiety, post-traumatic stress disorder, depression, and insomnia symptoms. The sample was stratified as “No Insomnia” (≤7) and “Insomnia” (>7) based on the Insomnia Severity Index (range: 0-28). Neighborhood and participant data were merged using geospatial techniques. Multiple regression models and geospatial analysis were used to identify neighborhood variables that are associated with insomnia and their spatial distribution.

Results

The sample (N = 350) was predominantly female (53%), middle-aged (40.8 ± 13.8), overweight (body mass index = 26.1 ± 5.54), and 53.7% had insomnia. The insomnia group had significantly higher depression scores (14.6 ± 5.5), a large percentage had anxiety (64.4%) and post-traumatic stress disorder symptoms (31.9%), and largely resided in high crime (p < .001) and highly deprived neighborhoods (p = .034). Within the insomnia group, a 1-point increase in the number of spiritual centers in the neighborhood was associated with lower insomnia symptoms (b = − 1.02, p = .002), while a 1-point increase in depression scores (b = 0.44, p < .001) and residence in a highly deprived neighborhood (b = 1.49, p = .021) was associated with greater insomnia.

Conclusion

Disparities exist in the neighborhood determinants of insomnia and their spatial distribution in Philadelphia. Interventions targeting the spatial distribution of adverse social determinants may improve insomnia disparities.

背景：邻里层面的不利社会决定因素可能是导致睡眠健康差异的一个风险因素。我们研究了邻里因素与失眠之间的关系，并探讨了这些因素在宾夕法尼亚州费城的空间集群：我们对参与失眠相关研究在线筛查的费城居民的数据进行了横截面分析。参与者自我报告了性别、年龄、体重指数、焦虑、创伤后应激障碍、抑郁和失眠症状。根据失眠严重程度指数（范围：0-28），将样本分为 "无失眠"（≤7）和 "失眠"（>7）两类。利用地理空间技术合并了邻里数据和参与者数据。利用多元回归模型和地理空间分析来确定与失眠相关的邻里变量及其空间分布：样本（N = 350）主要为女性（53%）、中年（40.8 ± 13.8）、超重（体重指数=26.1 ± 5.54），53.7%患有失眠症。失眠组的抑郁得分明显更高（14.6 ± 5.5），有焦虑症（64.4%）和创伤后应激障碍症状（31.9%）的人占很大比例，而且大多居住在犯罪率较高的地区（P费城失眠症的邻里决定因素及其空间分布存在差异。针对不利的社会决定因素的空间分布进行干预可能会改善失眠的差异。

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引用次数: 0

Changes in actigraphy-assessed sleep from childhood to adolescence: The role of neighborhood socioeconomic disadvantage 从儿童到青少年的活动记录仪评估睡眠的变化：社区社会经济劣势的作用。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-08-01 DOI: 10.1016/j.sleh.2025.04.002

Thomas E. Fuller-Rowell PhD , Megan M. Zeringue PhD , Ekjyot K. Saini PhD , Samia Sultana MS , Mona El-Sheikh PhD

Objectives

Few studies have examined longitudinal effects of neighborhood socioeconomic disadvantage on objectively assessed sleep outcomes among youth. This study examined neighborhood disadvantage as a predictor of changes in actigraphy-assessed sleep over a 6-8-year period from childhood to adolescence. Racial/ethnic differences in effects were also considered.

Methods

Participants were 339 children residing in small towns and semirural contexts within the Southeastern region of the United States (M_{age T1} = 10.3 years, SD = 0.8; 46% female; 36% Black, 64% White; M_{age T2} = 17.6 years, SD = 0.8). Sleep duration (from onset to wake time) and quality/continuity (efficiency and long wake episodes) were assessed using wrist actigraphy. Neighborhood disadvantage was assessed from established census tract measures geocoded to childhood residential addresses.

Results

Sleep duration decreased between childhood and adolescence and sleep quality/continuity increased. Neighborhood disadvantage was associated with decreases in sleep quality/continuity from childhood to adolescence, but was not associated with sleep duration. Neighborhood effects remained significant after adjusting for family socioeconomic status. Interaction effects between neighborhood disadvantage and race indicated that the magnitude of neighborhood effects on changes in sleep quality/continuity were larger for Black youth than for White youth.

Conclusions

This study is the first to show that objectively assessed neighborhood disadvantage is associated with longitudinal changes in actigraphy-assessed sleep quality from childhood to adolescence, and that this association was larger for Black youth than for White youth. The results suggest that neighborhood factors may be key to addressing widening racial disparities in sleep across this developmental period.

目的：很少有研究考察了社区社会经济劣势对客观评估的青少年睡眠结果的纵向影响。这项研究考察了从童年到青春期的6-8年期间，邻里劣势作为活动仪评估睡眠变化的预测因子。还考虑了影响方面的种族/民族差异。方法：参与者为339名居住在美国东南部小城镇和半农村地区的儿童(Mage T1 = 10.3years, SD = 0.8；46%的女性;黑人36%，白人64%；T2 = 17.6年，SD = 0.8)。使用手腕活动记录仪评估睡眠持续时间（从开始到清醒时间）和质量/连续性（效率和长清醒发作）。从已建立的人口普查区测量方法到地理编码的童年居住地址，对邻里劣势进行了评估。结果：儿童期和青少年期睡眠时间减少，睡眠质量/连续性增加。邻里不利与从童年到青春期的睡眠质量/连续性下降有关，但与睡眠时间无关。在调整家庭社会经济地位后，邻里效应仍然显著。邻里劣势和种族之间的相互作用表明，黑人青年的邻里关系对睡眠质量/连续性变化的影响程度大于白人青年。结论：本研究首次表明，客观评估的邻里劣势与活动描记法评估的睡眠质量从童年到青春期的纵向变化有关，并且黑人青年的这种关联大于白人青年。结果表明，邻里因素可能是解决这一发育时期不断扩大的种族睡眠差异的关键。

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引用次数: 0

The association between neighborhood social cohesion and poor sleep health in Latinxs: Exploration of moderation by nativity status and English language proficiency 拉丁裔邻里社会凝聚力与睡眠健康状况不佳的关系：母语状况和英语水平对调节作用的探讨

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-08-01 DOI: 10.1016/j.sleh.2025.05.004

Sarah Valentina Diaz MSW , Carmela Alcántara PhD

Objectives

Neighborhood social cohesion has been linked to sleep health in the United States, but the association remains understudied among Latinxs. There is evidence that Latinxs may experience neighborhood social cohesion differentially based on nativity status and English language proficiency. We investigated the moderating role of nativity status and English language proficiency on the relationship between neighborhood social cohesion and two sleep outcomes: insomnia symptoms and sleep quality.

Methods

Using cross-sectional data from 201 healthy Latinx adults from the Latino Sleep and Health Study, two sets of regression models were run. We regressed neighborhood social cohesion on insomnia (Insomnia Severity Index) and sleep quality (The Pittsburgh Sleep Quality Index). Interaction terms—nativity status x neighborhood social cohesion and English language proficiency x neighborhood social cohesion—were added with sociodemographic covariates in two separate sets of models.

Results

Participants were 64.68% female with a Mean age of 37.89 (SD = 14.01), and 33.83% completed less than a bachelor’s degree. In the minimally adjusted model for sleep quality, the interaction term (neighborhood social cohesion x nativity status) was statistically significant (p = .04). Among US-born, in the fully adjusted model, neighborhood social cohesion was negatively statistically significantly associated poor sleep quality (B = −0.09, 95%CI = −0.15, −0.02; p < .01). Neighborhood social cohesion was not statistically significantly associated with insomnia symptoms. English language proficiency had no statistically significant interaction effect in any models.

Conclusions

The association between neighborhood social cohesion and sleep health differs by nativity status, but not by English language proficiency. These results suggest that neighborhood social cohesion may facilitate better sleep differently based on the acculturation marker. Future research should explore within-group differences in protective effects of neighborhood social cohesion on sleep health.

目的：在美国，邻里社会凝聚力与睡眠健康有关，但这种联系在拉丁美洲人中仍未得到充分研究。有证据表明，拉丁美洲人的邻里社会凝聚力可能会因其出生地和英语水平而有所不同。本研究探讨了出生状况和英语熟练程度对邻里社会凝聚力与失眠症状和睡眠质量的关系的调节作用。方法：使用来自拉丁裔睡眠与健康研究的201名健康拉丁裔成年人的横断面数据，运行两组回归模型。我们回归了邻里社会凝聚力对失眠症（失眠严重指数）和睡眠质量（匹兹堡睡眠质量指数）的影响。在两组独立的模型中加入了互动项——出生状况x邻里社会凝聚力和英语语言能力x邻里社会凝聚力——以及社会人口统计学协变量。结果：64.68%的参与者为女性，平均年龄为37.89岁（SD = 14.01）， 33.83%的参与者完成了学士学位以下的学业。在最低调整睡眠质量模型中，交互项（邻里社会凝聚力x出生状态）具有统计学意义（p= 0.04）。在美国出生的人中，在完全调整的模型中，邻里社会凝聚力与睡眠质量差呈负统计学显著相关(B = -0.09, 95%CI = -0.15, -0.02；结论：邻里社会凝聚力与睡眠健康之间的关系因出生状况而异，但与英语水平无关。这些结果表明，基于文化适应标记，邻里社会凝聚力可能以不同的方式促进更好的睡眠。未来的研究应探讨社区社会凝聚力对睡眠健康保护作用的组内差异。

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引用次数: 0

Sustained impacts of neighborhood investments on sleep health over a 5-year period: Insights from a natural experiment in two urban neighborhoods in the United States 社区投资对5年睡眠健康的持续影响：来自美国两个城市社区的自然实验的见解。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-08-01 DOI: 10.1016/j.sleh.2025.03.009

Wendy M. Troxel PhD , Ann Haas MS , Bonnie Ghosh-Dastidar PhD , Andrea L. Rosso PhD , Lauren Hale PhD , Matthew P. Buman PhD , Tamara Dubowitz ScD

Study objectives

Neighborhood disinvestment is a downstream impact of structural racism, especially afflicting minoritized communities. Thus, neighborhood reinvestment may serve as a policy-level intervention to mitigate sleep and other health disparities. This study builds on previous work by leveraging a natural experimental design to evaluate the 5-year effects of neighborhood investments on residents' sleep.

Methods

Data are from the PHRESH Zzz study, a natural experiment conducted in two low-income, predominantly Black American, urban neighborhoods in Pittsburgh, Pennsylvania, with a randomly selected cohort [n = 567; mean age = 54.8 (SD = 14.8); 77.6% female; 96% Black]. Sleep duration, wakefulness after sleep onset, and sleep efficiency were assessed via actigraphy and sleep quality via survey in 2013, 2016, and 2018. All publicly funded neighborhood investments between 2013 and 2016 were recorded and geocoded to calculate the distance from each respondent’s residence to the investment. The primary exposure variable was residents’ proximity to neighborhood investments (<0.1 of a mile).

Results

The overall pattern of results showed worsening sleep over time, regardless of exposure to investments. However, over the 5-year period, those who lived physically close to investments (<0.1 mile) experienced significantly smaller decreases in sleep efficiency and smaller increases in wakefulness after sleep onset, relative to those who lived farther away.

Conclusions

Previously, we found that living near a neighborhood investment improved sleep outcomes over a short-term period of 3 years. Current results indicate that improvements were partially sustained over 5 years. Findings have implications for policy initiatives targeting upstream, structural determinants of sleep health disparities.

研究目的：社区撤资是结构性种族主义的下游影响，尤其是对少数族裔社区的影响。因此，邻里再投资可以作为政策层面的干预措施来缓解睡眠和其他健康差异。本研究建立在以前的工作基础上，利用自然实验设计来评估社区投资对居民睡眠的5年影响。方法：数据来自PHRESH Zzz研究，这是一项自然实验，在宾夕法尼亚州匹兹堡的两个低收入，主要是黑人的城市社区进行，随机选择队列[n=567；平均年龄54.8岁（SD=14.8）；77.6%的女性;96%是黑人。研究人员分别于2013年、2016年和2018年通过活动记录仪评估睡眠持续时间、睡眠后清醒情况和睡眠效率，并通过调查评估睡眠质量。记录2013年至2016年期间所有公共资助的社区投资并进行地理编码，以计算从每个受访者的住所到投资的距离。主要的暴露变量是居民与社区投资的接近程度(结果：总体结果模式显示，随着时间的推移，无论投资的暴露程度如何，睡眠都会恶化。然而，在5年的时间里，那些住得离投资场所近的人(结论：之前，我们发现住得离投资场所近的人在3年的短期内改善了睡眠结果。目前的结果表明，改善部分持续了5年。研究结果对针对睡眠健康差异的上游结构性决定因素的政策举措具有启示意义。

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引用次数: 0

Neighborhood social vulnerability as a mediator of racial disparities in insomnia severity 邻里社会脆弱性是失眠严重程度种族差异的中介因素。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-08-01 DOI: 10.1016/j.sleh.2024.09.005

Philip Cheng PhD , Matthew B. Jennings MA , David Kalmbach PhD , Dayna A. Johnson PhD , Salma Habash BA , Melynda D. Casement PhD , Christopher Drake PhD

Study objectives

Recent data has indicated that Black Americans experience more severe insomnia compared to their White counterparts. Although previous studies have identified psychosocial mechanisms driving this disparity, little is known about the structural determinants of insomnia disparities. This study tested neighborhood social vulnerability as a mechanism driving Black-White disparities in insomnia severity in the United States.

Methods

Participants with a previous diagnosis of insomnia (N = 196) reported their race and insomnia severity (Insomnia Severity Index). As a measure of the neighborhood environment Social Vulnerability Index was calculated by geocoding home address at the time of participation to the respective census tract from the 2020 US Census. A mediation analysis tested the indirect effect of the Social Vulnerability Index between race and insomnia severity.

Results

Black participants reported worse insomnia severity compared to White participants. Black participants also had 3.3 times the odds of living in neighborhoods with higher social vulnerability compared to White participants, with a group median difference of 0.26 percentile points (scale 0 to 1). As hypothesized, results revealed a significant indirect effect of the Social Vulnerability Index, which accounted for 31.1% of the variance between race and insomnia severity.

Conclusion

Living in a socially vulnerable neighborhood environment may be a mechanism driving racial disparities in insomnia severity. Interventions that consider structural determinants of health, including community-based and policy-level interventions could have an enhanced impact on addressing insomnia and its public health consequences.

研究目的：最近的数据表明，美国黑人与白人相比失眠更严重。尽管之前的研究已经发现了导致这种差异的社会心理机制，但对失眠差异的结构性决定因素却知之甚少。本研究测试了邻里社会脆弱性作为美国黑人与白人失眠严重程度差异的驱动机制：曾被诊断为失眠的参与者（196 人）报告了他们的种族和失眠严重程度（失眠严重程度指数）。作为邻里环境的衡量标准，社会脆弱性指数是通过将参加调查时的家庭住址与2020年美国人口普查中的相应普查区进行地理编码计算得出的。一项中介分析检验了社会弱势指数在种族和失眠严重程度之间的间接影响：结果：与白人参与者相比，黑人参与者的失眠严重程度更严重。与白人参与者相比，黑人参与者居住在社会脆弱性较高社区的几率是白人参与者的 3.3 倍，群体中位数差异为 0.26 个百分点（0 到 1）。正如假设的那样，结果显示社会脆弱性指数具有显著的间接影响，占种族与失眠严重程度之间差异的 31.1%：结论：生活在社会弱势社区环境中可能是导致失眠严重程度种族差异的一个机制。考虑到健康结构性决定因素的干预措施，包括基于社区和政策层面的干预措施，可能会对解决失眠及其对公共健康的影响产生更大的影响。

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引用次数: 0

Impact of environmental and lifestyle factors on adolescent sleep health in urban and semiurban areas 城市和半城市地区环境和生活方式因素对青少年睡眠健康的影响

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-08-01 DOI: 10.1016/j.sleh.2025.03.004

Atefeh Ansarin PhD , Khalil Ansarin MD, PhD , Mohammad Shakerkhatibi PhD , Aarefeh Jafarzadeh Kohneloo PhD , Zahra Sabeti PhD

Objectives

This study examines the impact of lifestyle factors on adolescent sleep health across urban and semiurban settings.

Methods

A cross-sectional survey was conducted among 1459 adolescents aged 14-19 years from Tabriz (urban) and Hadishahr (semiurban), two cities with contrasting environmental conditions. Sleep duration and sleep deprivation were assessed using self-reported data, alongside key sociodemographic, behavioral, and health-related factors.

Results

The results showed that adolescents in urban area were significantly more likely to experience shorter sleep durations (OR = 0.63, 95% CI [0.48, 0.83]) and sleep deprivation (OR = 0.66, 95% CI [0.51, 0.85]) compared to those in semiurban environments. Age was positively associated with short sleep (OR = 1.21, 95% CI [1.07, 1.38]), while smoking (OR = 1.46, 95% CI [1.02, 2.08]) and chronic cough (OR = 1.35, 95% CI [1.01, 1.80]) were also linked to reduced sleep duration. In contrast, semiurban residents slept an average of 20 minutes longer than urban residents (β = 0.34, 95% CI [0.17, 0.51]). Sleep deprivation was strongly associated with lower Parent’s income (OR = 0.78, 95% CI [0.61, 0.98]) and daytime fatigue (OR = 1.58, 95% CI [1.26, 2.00]).

Conclusions

The study highlights the need for public health interventions that address environmental barriers to healthy sleep, particularly in urban settings, to mitigate the long-term health risks associated with sleep deprivation.

目的：本研究考察了生活方式因素对城市和半城市青少年睡眠健康的影响。方法：采用横断面调查方法，对来自大不里士（城市）和哈迪沙赫尔（半城市）两个环境条件截然不同的城市1459名14-19岁青少年进行调查。使用自我报告的数据以及关键的社会人口、行为和健康相关因素来评估睡眠时间和睡眠剥夺。结果：结果表明，与半城市环境中的青少年相比，城市地区的青少年更有可能经历较短的睡眠时间（OR=0.63, 95% CI[0.48, 0.83]）和睡眠剥夺（OR=0.66, 95% CI[0.51, 0.85]）。年龄与睡眠不足呈正相关（OR=1.21, 95% CI[1.07, 1.38]），而吸烟（OR=1.46, 95% CI[1.02, 2.08]）和慢性咳嗽（OR=1.35, 95% CI[1.01, 1.80]）也与睡眠时间减少有关。相比之下，半城市居民比城市居民平均多睡20分钟（β=0.34, 95% CI[0.17, 0.51]）。睡眠剥夺与父母收入较低（OR=0.78, 95% CI[0.61, 0.98]）和白天疲劳（OR=1.58, 95% CI[1.26, 2.00]）密切相关。结论：该研究强调需要采取公共卫生干预措施，解决健康睡眠的环境障碍，特别是在城市环境中，以减轻与睡眠剥夺相关的长期健康风险。

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引用次数: 0

Cover 2: Editorial Board 封面2：编辑部

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-08-01 DOI: 10.1016/S2352-7218(25)00142-1

引用次数: 0

A descriptive study of national trends in the dispensing of reimbursed hypnotics in France between 2012 and 2022 2012年至2022年间，法国发放报销催眠药的国家趋势的描述性研究。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-07-31 DOI: 10.1016/j.sleh.2025.07.002

Lionel Tordjman MD , Marc-André Goltzène MD , Elisabeth Ruppert MD, PhD

Objectives

Insomnia and hypnotic consumption are major public health concerns, especially due to issues of dependence, side effects, and misuse. This study aims to describe the dispensing trends of reimbursed hypnotic tablets in France from 2012 to 2022, highlighting the potential impact of public policies designed to mainly reduce prescriptions of benzodiazepines and z-drugs.

Methods

Data were sourced from the Medic'AM database, managed by French National Health Insurance, which records quantities of all reimbursed medications provided by pharmacies. The study focused on 13 reimbursed hypnotics with specific French marketing authorization for insomnia, including z-drugs (zolpidem, zopiclone), antihistamines (alimemazine, doxylamine, chlorazépate+acepromazine, meprobamate+acepromazine), and benzodiazepines (lormetazepam, loprazolam, estazolam, nitrazepam, temazepam, triazolam, flunitrazepam).

Results

Over the 11-year period, alongside public health policies, a 25.30% decrease in reimbursed dispensed tablets was observed. Z-drugs saw a major 39.54% decrease, primarily due to a 69.15% drop in zolpidem prescriptions following the requirement for secure prescription pads. Antihistamines, mainly represented by alimemazine after the withdrawal and delisting of other antihistaminergic specialties, decreased by 5.48%. Benzodiazepines experienced a 16.98% reduction, mainly represented by lormetazepam and loprazolam, following the withdrawal or delisting of flunitrazepam, temazepam, and nitrazepam. Proportionally, the use of z-drugs decreased in favor of antihistamines, while benzodiazepines remained relatively stable. During the COVID-19 pandemic and its lockdowns, there was a smaller reduction in dispensed hypnotics.

Conclusions

Analyzing these trends provides insights into the potential impact of concurrent public health policies. While these trends are promising, continued efforts are necessary, emphasizing preventive and nonpharmacological measures, including improved sleep hygiene.

目的：失眠和催眠消费是主要的公共卫生问题，特别是由于依赖性、副作用和滥用问题。本研究旨在描述2012年至2022年法国报销催眠片的配药趋势，强调以减少苯二氮卓类药物和z类药物处方为主的公共政策的潜在影响。方法：数据来源于Medic’am数据库，由法国国民健康保险管理，该数据库记录了药店提供的所有报销药物的数量。该研究重点研究了13种在法国获得特定上市许可的失眠药物，包括z-药物（唑吡坦、佐匹克隆）、抗组胺药（alimemazine、doxylamine、chlorazsampate +acepromazine、meprobamate+acepromazine）和苯二氮卓类药物（lormetazepam、loprazolam、estazolam、nitrazepam、temazepam、triazolam、氟硝西泮）。结果：在11年的时间里，随着公共卫生政策的实施，可报销的配药片减少了25.30%。z类药物下降了39.54%，主要原因是在要求使用安全处方垫后，唑吡坦的处方减少了69.15%。其他抗组胺类药物撤市后，以alimemazine为代表的抗组胺类药物下降5.48%。在氟硝西泮、替马西泮和硝西泮停药或退市后，苯二氮卓类药物减少了16.98%，主要以氯美西泮和氯吡唑仑为代表。从比例上看，抗组胺药的使用减少，而苯二氮卓类药物的使用保持相对稳定。在2019冠状病毒病大流行及其封锁期间，处方催眠药的减少幅度较小。结论：分析这些趋势可以深入了解同步公共卫生政策的潜在影响。虽然这些趋势是有希望的，但需要继续努力，强调预防和非药物措施，包括改善睡眠卫生。

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引用次数: 0

The complex association between bedtime screen use and adult sleep health 睡前屏幕使用与成人睡眠健康之间的复杂关系。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-07-25 DOI: 10.1016/j.sleh.2025.06.010

Lydi-Anne Vézina-Im PhD , Charles M. Morin PhD , Sijing Chen PhD , Hans Ivers PhD , Colleen E. Carney PhD , Jean-Philippe Chaput PhD , Thien Thanh Dang-Vu MD, PhD , Judith R. Davidson PhD , Rébecca Robillard PhD , On behalf of the Canadian Sleep Research Consortium

Objectives

To evaluate whether bedtime screen use is associated with sleep health and if this association varies by biological sex, age, and income among adults in Canada.

Methods

Data were collected through a national stratified random population-based phone interview on sleep health among adults (≥18 years) from Canada. Self-reported bedtime screen use (in bed or within 1 hour of bedtime) of the past month was used to classify participants into three groups: occasional (<once/week), moderate (1-4 times/week), and regular (≥5 times/week) bedtime screen users. Sleep health (regularity, satisfaction, alertness, timing, efficiency, duration) was measured using the RU-SATED questionnaire. Post-stratified survey weights were computed from the 2021 Canadian census to ensure representativeness of the adult population in terms of geography, biological sex, age, and ethnicity.

Results

The sample included 1342 adults (51.5% females; 41.7% between 40-64 years) and 45.3% reported bedtime screen use every day. After accounting for biological sex, age, and income, both occasional and regular screen users reported the best overall sleep health. Results varied by sleep health dimension and biological sex was a moderator of the bedtime screen use and sleep regularity association. Bedtime screen use frequency was significantly associated (p = .01) with sleep regularity only among males.

Conclusions

The association between bedtime screen use and sleep health appears complex as bedtime screen use frequency, the sleep health dimension measured, and biological sex can all influence this relationship. More research is needed to understand the sleep health and bedtime screen use association and moderators of this relationship in adults.

目的：评估睡前屏幕使用是否与睡眠健康相关，以及这种关联是否因加拿大成年人的生理性别、年龄和收入而异。方法：通过加拿大全国分层随机人群电话访谈收集数据，调查成年人（≥18岁）的睡眠健康状况。使用过去一个月自我报告的睡前屏幕使用情况（在床上或睡前1小时内）将参与者分为三组：偶尔(结果：样本包括1342名成年人(51.5%女性；41.7%（40-64岁）和45.3%报告每天睡前使用屏幕。在考虑了生理性别、年龄和收入后，偶尔和经常使用屏幕的人都报告了最好的整体睡眠健康状况。结果因睡眠健康维度而异，生理性别是睡前屏幕使用和睡眠规律的调节因子。睡前屏幕使用频率仅在男性中与睡眠规律显著相关（p = 0.01）。结论：睡前屏幕使用与睡眠健康之间的关系似乎很复杂，因为睡前屏幕使用频率、测量的睡眠健康维度和生理性别都可以影响这种关系。需要更多的研究来了解成年人的睡眠健康和睡前屏幕使用的关联以及这种关系的调节因素。

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引用次数: 0