Objectives
Over a third of US adults report short sleep duration (SSD), which is associated with an increased risk for chronic conditions. Black Americans are twice as likely as White Americans to report SSD and this is most pronounced among Black women. The purpose of this study is to determine the barriers and the strategies to meeting the national sleep guideline among Black women who experience SSD.
Methods
We conducted in-depth interviews with Black women, 35 and older, who reported getting less than 7 hours of sleep in a typical evening. Interviews were conducted until reaching a point of theoretical saturation (N = 24 total). Our codes of barriers and strategies to sleep was conceptualized across the social ecology (intrapersonal, interpersonal, institutional, and community levels). We conducted member checking with a subsample of participants (N = 3).
Results
Participants generated 35 barrier codes and 23 strategy codes. Barriers such as stress spanned several ecological levels while other barriers, such as family responsibility, occurred on a single level (interpersonal). Strategies (actual and potential) emerged on the intrapersonal and interpersonal levels. Intrapersonal level strategies (N = 20) involved increasing the frequency of sleep-inducing behaviors while interpersonal level strategies (N = 3) involved managing relationships and better communication with family in the household.
Conclusions
Sleep interventionists should consider the interpersonal and intrapersonal sleep strategies that Black women are using when planning and adapting the sleep hygiene aspect of sleep interventions. Sleep interventions must also address stress and consider factors such as relationships and family responsibility when adapting and implementing sleep interventions.
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号