Sleep Health最新文献_第8页

Heterogeneities in sleep duration and quality among U.S. immigrants from different racial and ethnic backgrounds 来自不同种族和民族背景的美国移民在睡眠时间和质量方面的异质性。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.03.006

Objectives

Sleep plays an essential role in well-being. Although U.S. immigrants are considerably growing, few studies have examined sleep in this diverse population, particularly those from Asian backgrounds. It is also unclear how sleep differs by the length of residence across immigrant groups. In this study, we examined the relationships among race/ethnicity, length of residence, and sleep using a nationally representative cohort of U.S. immigrants.

Methods

We analyzed data from the 2013-2018 National Health Interview Survey. The sample (N = 27,761; 14% ≥65 years old) included foreign-born adults from the following racial/ethnic backgrounds: non-Hispanic White, non-Hispanic Black, Asian (Chinese, Filipino, Asian Indian), and Hispanic/Latino. Length of residence was categorized as <5, 5-9, 10-14, and ≥15 years. Sleep was assessed with self-reported sleep duration (normal, short, and long) and poor sleep quality (trouble falling asleep, trouble staying asleep, and waking up unrested).

Results

Filipino and Hispanic/Latino immigrants reported the highest prevalence of short (41.8%) and long (7.0%) sleep, respectively. Non-Hispanic White immigrants had the highest prevalence rate across all three poor sleep quality measures (range 17.7-41.5%). Length of residence ≥15 years was significantly associated with worse sleep, and it moderated White-Asian differences in sleep quality. Immigrants from different racial/ethnic groups showed variations in sleep patterns as they resided longer in the US.

Conclusions

Immigrants exhibited substantial heterogeneities in sleep. Future research should investigate the contributing factors to the variations in their sleep patterns, both between groups and within the same group of immigrants, in order to inform tailored interventions.

目标睡眠对身心健康起着至关重要的作用。虽然美国移民人数大幅增长，但很少有研究对这一多样化人群，尤其是来自亚洲背景的移民的睡眠情况进行调查。此外，目前还不清楚不同移民群体的居住时间长短对睡眠有何影响。在这项研究中，我们利用具有全国代表性的美国移民队列研究了种族/族裔、居住时间和睡眠之间的关系：我们分析了 2013-2018 年全国健康访谈调查的数据。样本（N = 27,761; 14% ≥65岁）包括来自以下种族/族裔背景的外国出生成年人：非西班牙裔白人、非西班牙裔黑人、亚裔（中国人、菲律宾人、亚洲印第安人）和西班牙裔/拉丁美洲人。居住时间按结果分类：菲律宾裔移民和西班牙裔/拉丁美洲裔移民的睡眠时间最短（41.8%），睡眠时间最长（7.0%）。非西班牙裔白人移民在所有三项睡眠质量不良指标中的患病率最高（范围为 17.7%-41.5%）。居住时间≥15年与睡眠质量较差有显著相关性，而且它能调节白人与亚洲人在睡眠质量上的差异。来自不同种族/族裔群体的移民在美国居住时间越长，睡眠模式越不同：结论：移民在睡眠方面表现出很大的异质性。未来的研究应调查造成移民睡眠模式差异的因素，包括不同群体之间和同一移民群体内部的差异，以便为有针对性的干预措施提供信息。

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引用次数: 0

Disadvantaged social status contributed to sleep disorders: An observational and genome-wide gene-environment interaction analysis 弱势社会地位导致睡眠障碍：一项观察性和全基因组的基因-环境交互作用分析。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.03.003

Background

Sleep is a natural and essential physiological need for individuals. Our study aimed to research the associations between accumulated social risks and sleep disorders.

Methods

In this study, we came up with a polysocial risk score (PsRS), which is a cumulative social risk index composed of 13 social determinants of health. This research includes 239,165 individuals with sleep disorders and social determinants of health data from the UK Biobank cohort. First, logistic regression models were performed to examine the associations of social determinants of health and sleep disorders, including chronotype, narcolepsy, insomnia, snoring, short and long sleep duration. Then, PsRS was calculated based on statistically significant social determinants of health for each sleep disorder. Third, a genome-wide gene-environment interaction study was conducted to explore the interactions between single-nucleotide polymorphisms and PsRS in relation to sleep disorders.

Results

Higher PsRS scores were associated with worse sleep status, with the adjusted odds ratio (OR) ranging from 1.10 (95% Confidence interval [CI]: 1.09-1.11) to 1.29 (95% CI: 1.27-1.30) for sleep disorders. Emotional stress (OR = 1.36, 95% CI: 1.28-1.43) and not in paid employment (OR = 2.62, 95% CI: 2.51-2.74) were found to have significant contributions for sleep disorders. Moreover, multiple single-nucleotide polymorphisms were discovered to have interactions with PsRS, such as FRAS1 (P = 2.57 × 10⁻¹⁴) and CACNA1A (P = 8.62 × 10⁻¹⁴) for narcolepsy, and ACKR3 (P = 1.24 × 10⁻⁸) for long sleep.

Conclusions

Our findings suggested that cumulative social risks was associated with sleep disorders, while the interactions between genetic susceptibility and disadvantaged social status are risk factors for the development of sleep disorders.

背景介绍睡眠是人的自然生理需求。我们的研究旨在探讨累积的社会风险与睡眠障碍之间的关联：在这项研究中，我们提出了一个多社会风险评分（PsRS），这是一个由 13 个健康的社会决定因素组成的累积性社会风险指数。这项研究包括英国生物库队列中的 239,165 名睡眠障碍患者和健康社会决定因素数据。首先，通过逻辑回归模型来研究健康的社会决定因素与睡眠障碍的关联，包括慢性型、嗜睡症、失眠、打鼾、睡眠时间短和睡眠时间长。然后，根据对每种睡眠障碍具有统计学意义的健康社会决定因素计算出 PsRS。第三，进行了一项全基因组基因-环境交互作用研究，以探讨单核苷酸多态性与睡眠障碍相关的PsRS之间的交互作用：PsRS得分越高，睡眠状况越差，调整后的睡眠障碍几率比（OR）从1.10（95% 置信区间[CI]：1.09-1.11）到1.29（95% 置信区间：1.27-1.30）不等。研究发现，情绪压力（OR = 1.36，95% CI：1.28-1.43）和未从事有偿工作（OR = 2.62，95% CI：2.51-2.74）对睡眠障碍有显著影响。此外，还发现多个单核苷酸多态性与 PsRS 有相互作用，如 FRAS1（P = 2.57 × 10-14）和 CACNA1A（P = 8.62 × 10-14）与嗜睡症有关，ACKR3（P = 1.24 × 10-8）与长睡眠有关：我们的研究结果表明，累积的社会风险与睡眠障碍有关，而遗传易感性和弱势社会地位之间的相互作用是睡眠障碍发生的风险因素。

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引用次数: 0

Disparities in sleep duration and quality by industry of employment and occupational class among Native Hawaiian/Pacific Islanders and non-Hispanic Whites in the United States 美国夏威夷原住民/太平洋岛民和非西班牙裔白人在睡眠时间和睡眠质量方面的差异（按就业行业和职业等级划分）。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.05.006

Objective

To investigate disparities in the work-sleep relationship between Native Hawaiian/Pacific Islanders (NHPIs) and non-Hispanic (NH)-White populations.

Methods

Using data from a nationally representative sample of U.S. adults (n = 20,828) in the 2014 National Health Interview Survey, we estimated prevalence of short sleep duration (<7 hours) among NHPIs (10%) and NH-Whites for each of 7 employment industry categories and 3 occupational classes. Mean age was 41 ± 0.5 years for NHPIs and 49 ± 0.2 years for NH-Whites. Women comprised 52% of both groups.

Results

NHPIs were more likely than NH-Whites to report short sleep duration across all industry of employment categories (except for food and accommodation services) and occupational classes. The disparity was widest among NHPI and NH-White workers in the “professional/management" industry category, with NHPIs having higher prevalence of very short (<6 hours; 20% vs. 7%) and short sleep (30% vs. 22%) durations and lower prevalence of recommended sleep duration (45% vs. 68%) and waking up feeling rested (53% vs. 67%). Among the occupational classes, the NHPI-White disparity was widest among participants who held support service occupations. Although professionals had the lowest and laborers had the highest prevalence of short sleep among the three occupational classes in both NHPI and NH-White groups, short sleep duration prevalence was higher among NHPI professionals (35%) than NH-White laborers (33%). NH-White workers across industry and occupational classes had higher sleep medication use prevalence compared to NHPI workers.

Conclusions

The work environment via occupation type may contribute to racial/ethnic disparities in short sleep. Further investigations are warranted.

目的调查夏威夷原住民/太平洋岛民（NHPIs）与非西班牙裔（NH）白人之间工作与睡眠关系的差异：利用 2014 年全国健康访谈调查中具有全国代表性的美国成年人样本（n = 20828）的数据，我们估算了睡眠时间短的流行率（结果：夏威夷原住民比非夏威夷原住民更容易出现睡眠时间短的情况：在所有行业的就业类别（食品和住宿服务除外）和职业类别中，国家高收入人群比国家高收入白人更有可能报告睡眠时间短。在 "专业/管理 "行业类别中，国家高危人群和国家高危人群-白人之间的差距最大，国家高危人群睡眠时间极短的发生率更高（结论：工作环境和职业类型可能会导致种族/族裔睡眠时间短的差异。有必要进行进一步调查。

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引用次数: 0

Sleep Health Times NSF 睡眠健康时报》NSF

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2024-08-01 DOI: 10.1016/S2352-7218(24)00155-4

引用次数: 0

Cover 2: Editorial Board 封面 2：编辑委员会

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2024-08-01 DOI: 10.1016/S2352-7218(24)00137-2

引用次数: 0

Sleep duration, napping behaviors and restless legs syndrome during pregnancy and the trajectories of ultrasonographic measures of fetal growth: Findings from the NICHD Fetal Growth Studies–Singletons 孕期睡眠时间、午睡行为和不安腿综合征与胎儿生长的超声波测量轨迹：NICHD胎儿生长研究-Singletons的发现。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.04.004

Objectives

Given the plausible mechanisms and the lacking of empirical evidence, the study aims to investigate how gestational sleep behaviors and the development of sleep disorders, such as restless legs syndrome, influence ultrasonographic measures of fetal growth.

Methods

The study included 2457 pregnant women from the NICHD Fetal Growth Studies - Singletons (2009-2013), who were recruited between 8-13 gestational weeks and followed up to five times during pregnancy. Women were categorized into six groups based on their total sleep hours and napping frequency. The trajectory of estimated fetal weight from 10-40 weeks was derived from three ultrasonographic measures. Linear mixed effect models were applied to model the estimated fetal weight in relation to self-reported sleep-napping behaviors and restless legs syndrome status, adjusting for age, race and ethnicity, education, parity, prepregnancy body mass index category, infant sex, and prepregnancy sleep-napping behavior.

Results

From enrollment to near delivery, pregnant women’s total sleep duration and nap frequency declined and restless legs syndrome symptoms frequency increased generally. No significant differences in estimated fetal weight were observed by sleep-napping group or by restless legs syndrome status. Results remained similar in sensitivity analyses and stratified analyses by women’s prepregnancy body mass index category (normal vs. overweight/obese) or by infant sex.

Conclusions

Our data indicate that there is no association between sleep during pregnancy—assessed as total sleep duration and napping frequency, nor restless legs syndrome symptoms—and fetal growth from weeks 10 to 40 in healthy pregnant women.

研究目的本研究旨在探讨妊娠期睡眠行为和睡眠障碍（如不安腿综合征）的发展如何影响胎儿生长的超声测量：该研究纳入了美国国家卫生与健康研究所（NICHD）胎儿生长研究--单胎（2009-2013年）中的2457名孕妇，她们在妊娠8-13周时被招募，并在妊娠期间接受了长达5次的随访。研究人员根据孕妇的总睡眠时间和午睡频率将其分为六组。10-40周期间的胎儿估计体重轨迹是通过三种超声波测量得出的。线性混合效应模型用于模拟估计胎儿体重与自我报告的睡眠打盹行为和不安腿综合征状态之间的关系，并对年龄、种族和民族、教育程度、奇偶数、孕前体重指数类别、婴儿性别和孕前睡眠打盹行为进行了调整：结果：从入学到临近分娩，孕妇的总睡眠时间和午睡次数均有所减少，不安腿综合征症状的出现频率普遍增加。在估计胎儿体重方面，睡眠中断组和不安腿综合征症状组没有发现明显差异。在敏感性分析和按妇女孕前体重指数类别（正常与超重/肥胖）或婴儿性别进行的分层分析中，结果仍然相似：我们的数据表明，在健康孕妇中，孕期睡眠（评估为总睡眠时间和小睡频率）或不安腿综合征症状与第10周至第40周的胎儿生长之间没有关联。

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引用次数: 0

Irregular sleep is linked to poorer mental health: A pooled analysis of eight studies 睡眠不规律与精神健康状况较差有关：对八项研究的汇总分析。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.03.004

Objectives

Greater sleep disturbances on average are a risk factor for impaired mental health. Recent research has shown that more intraindividual variability (i.e., inconsistency) in sleep (hereafter called “sleep intraindividual variability”) may also be uniquely related to mental health, even above the influence of mean sleep patterns averaged across days. The current study examined associations between sleep intraindividual variability and symptoms of anxiety, depression, and insomnia across different facets of sleep intraindividual variability (sleep duration, efficiency, and timing) and sleep measurement types (sleep diary and actigraphy).

Methods

We pooled eight datasets (N = 3053 participants) that assessed repeated measures of sleep diary- and/or actigraphy-determined sleep across multiple days, as well as one-time measures of mental health or sleep disorder symptoms (i.e., anxiety, depression, and insomnia). Multilevel regression analyses were conducted to examine associations between sleep intraindividual variability and mental health or sleep disorder symptoms.

Results

Greater diary- and actigraphy-determined sleep duration intraindividual variability was associated with more depression symptoms (diary: b = 0.02, p < .001; actigraphy: b = 0.03, p = .006) and more insomnia symptoms (diary: b = 0.02, p < .001; actigraphy: b = 0.02, p < .001). Greater diary-determined sleep efficiency intraindividual variability was associated with fewer anxiety symptoms (b = − 0.23, p = .019) and fewer insomnia symptoms (b = − 0.15, p < .001). Greater diary- and actigraphy-determined sleep midpoint intraindividual variability was associated with more insomnia symptoms (diary: b = 0.41, p = .044; actigraphy: b = 0.66, p = .021).

Conclusions

More inconsistent sleep duration and sleep timing may be a correlate of poorer mental health. Future experimental work should examine whether stabilizing sleep patterns can improve mental health outcomes.

目标平均而言，较大的睡眠障碍是心理健康受损的一个风险因素。最近的研究表明，睡眠中更多的个体内变异性（即不一致性）（以下称为 "睡眠个体内变异性"）也可能与心理健康有独特的关系，甚至高于平均睡眠模式在各天中的影响。本研究考察了睡眠个体内变异性与焦虑、抑郁和失眠症状之间的关系，包括睡眠个体内变异性的不同方面（睡眠持续时间、效率和时间）和睡眠测量类型（睡眠日记和行为记录仪）：我们汇集了八个数据集（N = 3053 名参与者），这些数据集评估了多日睡眠日记和/或动图法确定的睡眠的重复测量结果，以及心理健康或睡眠障碍症状（即焦虑、抑郁和失眠）的一次性测量结果。研究人员进行了多层次回归分析，以检验睡眠个体内变异性与心理健康或睡眠障碍症状之间的关联：结果：由日记和动静描记法确定的睡眠持续时间个体内部变异性越大，抑郁症状越多（日记：b=0.02，p 结论：睡眠持续时间和睡眠时间的个体内部变异性越大，抑郁症状越多（日记：b=0.02，p）：睡眠时间和睡眠时间不一致可能与较差的心理健康有关。未来的实验工作应研究稳定睡眠模式是否能改善精神健康状况。

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引用次数: 0

Comparing patients treated with CBT for insomnia with healthy sleepers and sleepers with past insomnia on dimensions of sleep health 比较接受 CBT 治疗的失眠患者与健康睡眠者和既往失眠者在睡眠健康方面的表现。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.03.005

Objectives

To compare patients treated with cognitive behavioral therapy for insomnia (CBT-I) with healthy sleepers and individuals with past but not current insomnia on multidimensional sleep health.

Methods

The study evaluates CBT-I on six dimensions of sleep health (regularity, satisfaction, alertness, timing, efficiency, duration) in a sample of individuals with insomnia compared to two other unique sleep samples. Participants were in one of three groups: insomnia (CUR, n = 299), healthy sleeper (HS, n = 122), or past insomnia (PAST, n = 35). Daily diaries and validated measures were employed to capture six dimensions of sleep health. The CUR group received four 60-minute sessions of CBT-I every 2 weeks, and sleep health indices were measured at baseline and post-treatment. The HS and PAST groups were measured only at baseline.

Results

Results of the pairwise t tests indicated improvements in sleep satisfaction, alertness (fatigue but not sleepiness), timing, efficiency, and duration (Cohen’s d = 0.22 to 1.55). ANCOVA models revealed significant differences in sleep health scores between treated insomnia patients and the other two sleep groups. Treated patients demonstrated less bedtime and risetime variability, in addition to lower napping duration. Overall, the study observed significant changes in various domains of sleep health after four sessions of cognitive behavioral therapy for insomnia; however, differences remain when compared to the other groups in the study.

Conclusion

There may be ongoing sleep vulnerability in patients treated with cognitive behavioral therapy for insomnia though future inclusion of a control group would increase internal validity. Borrowing from transdiagnostic sleep modules may be helpful to support remaining deficits after cognitive behavioral therapy for insomnia.

目的：比较接受失眠认知行为疗法（CBT-I）治疗的患者与健康睡眠者以及过去有但现在没有失眠症的人的多维睡眠健康状况：比较接受失眠认知行为疗法（CBT-I）治疗的患者与健康睡眠者以及曾经失眠但目前未失眠的患者在多维睡眠健康方面的表现：该研究评估了 CBT-I 在失眠症患者样本中与其他两个独特的睡眠样本相比，在睡眠健康的六个维度（规律性、满意度、警觉性、时间性、效率、持续时间）上的效果。参与者分为三组：失眠组（CUR，n = 299）、健康睡眠组（HS，n = 122）或既往失眠组（PAST，n = 35）。采用每日日记和有效的测量方法来记录睡眠健康的六个方面。CUR组每两周接受四次60分钟的CBT-I治疗，并在基线和治疗后测量睡眠健康指数。HS组和PAST组仅在基线时进行测量：成对 t 检验结果表明，患者的睡眠满意度、警觉性（疲劳但不困倦）、时间、效率和持续时间均有所改善（Cohen's d=0.22-1.55）。方差分析模型显示，接受治疗的失眠症患者与其他两个睡眠组的睡眠健康评分存在明显差异。接受治疗的患者就寝时间和起床时间的可变性较小，午睡持续时间也较短。总体而言，经过四个疗程的失眠认知行为疗法治疗后，该研究观察到睡眠健康的各个领域都发生了显著变化；然而，与研究中的其他组别相比，差异依然存在：结论：接受认知行为疗法治疗的失眠症患者可能存在持续的睡眠脆弱性，但未来纳入对照组将提高内部有效性。借用跨诊断睡眠模块可能有助于支持认知行为疗法治疗失眠后的剩余缺陷。

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引用次数: 0

Commuting time, working time, and their link to insomnia symptoms among Korean employees: A cross-sectional study 韩国雇员的通勤时间、工作时间及其与失眠症状的关系：一项横断面研究。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.05.004

Objective

Although commuting time is an extension of working hours, few studies have examined the relationship between commuting time and insomnia symptoms in relation to working time. Thus, this study investigated the relationship between commuting time and working time and their link to sleep disturbance.

Methods

This study included employees with ≥35 weekly working hours (n = 30,458) using data from the Sixth Korean Working Conditions Survey conducted in Korea between October 2020 and April 2021. The association between commuting time (≤60, 61-120, and >120 minutes) and insomnia symptoms based on working hours (35-40, 41-52, and >52 h/wk) or shift work was investigated using survey-weighted logistic regression analysis.

Results

Long commuting time (>120 min/d) combined with >52 working hours/week (OR: 7.88, 95% CI: 2.51-24.71) or combined with 41-52 h/wk (OR: 3.64, 95% CI: 2.15-6.14) was associated with a higher risk of insomnia symptoms compared with the reference group (working hours: 35-40 h/wk; daily commuting time: ≤60 minutes), after controlling for sex, age, socioeconomic factors, and work-related factors. Among shift workers, those with daily commuting time ≤60 minutes (OR: 1.71, 95% CI: 1.39-2.09), 61-120 minutes (OR: 2.63, 95% CI: 1.21-5.74), and >120 minutes (OR: 5.16, 95% CI: 2.14-12.44) had higher odds of insomnia symptoms than nonshift workers with ≤60 minutes daily commuting time.

Conclusion

Long working hours and shift work are associated with greater risk of insomnia symptoms.

研究目的虽然通勤时间是工作时间的延伸，但很少有研究探讨通勤时间与失眠症状之间的关系。因此，本研究调查了通勤时间和工作时间之间的关系及其与睡眠障碍的联系：本研究利用 2020 年 10 月至 2021 年 4 月期间在韩国进行的第六次韩国工作条件调查的数据，纳入了每周工作时间≥35 小时的员工（n = 30,458 人）。采用调查加权逻辑回归分析法研究了通勤时间（≤60分钟、61-120分钟和>120分钟）与基于工作时间（35-40小时/周、41-52小时/周和>52小时/周）或轮班工作的失眠症状之间的关联：结果：在控制了性别、年龄、社会经济因素和工作相关因素后，与参照组（工作时间：35-40 小时/周；每日通勤时间：≤60 分钟）相比，通勤时间长（>120 分钟/天）且每周工作时间>52 小时（OR：7.88，95% CI：2.51-24.71）或每周工作时间为 41-52 小时（OR：3.64，95% CI：2.15-6.14）的人出现失眠症状的风险更高。在轮班工人中，与每天通勤时间≤60分钟的非轮班工人相比，每天通勤时间≤60分钟的轮班工人出现失眠症状的几率更高（OR：1.71，95% CI：1.39-2.09），61-120分钟的轮班工人出现失眠症状的几率更高（OR：2.63，95% CI：1.21-5.74），大于120分钟的轮班工人出现失眠症状的几率更高（OR：5.16，95% CI：2.14-12.44）：结论：长时间工作和轮班工作与更高的失眠症状风险有关。

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引用次数: 0

Longitudinal associations between biopsychosocial stress indicators and sleep in older Puerto Rican adults 波多黎各老年人的生物心理社会压力指标与睡眠之间的纵向联系。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.04.001

Objectives

To examine the association of biopsychosocial stress indicators (perceived stress, perceived discrimination, stressful life events, and allostatic load) with sleep outcomes (sleep duration and insomnia symptoms) and to examine sex and age interactions for associations between stress and sleep in older Puerto Rican adults.

Methods

Secondary analyses were performed with 830 participants (72% female) from wave 2 (2006-2011) of the Boston Puerto Rican Health Study (BPRHS), a prospective population-based cohort study (45-75 years at baseline) and Boston Puerto Rican Osteoporosis Study (BPROS) (2007-2012), an ancillary study of the BPRHS. Recruitment occurred in randomly selected census blocks using door-to-door and community-based activities. In-home data collection visits included a baseline assessment and follow-up interviews. Questionnaires assessed perceived stress, discrimination, stressful life events, and sleep. Allostatic load indicators were measured objectively. Regression models controlled for sociodemographic, behavioral, and health factors, with interaction analyses, followed by sex- and sex-by-age-stratified analyses.

Results

In the prior 2 years, participants with chronic stress had 50% greater odds of reporting nonoptimal sleep duration (<7 or >9 hours). Life events trajectories were significantly related to insomnia symptoms. Men ≥65 years who experienced chronic stress had greater insomnia symptoms than women, or than men with low stress or acute stress.

Conclusions

Stressful life events may affect sleep duration and insomnia symptoms among older Puerto Rican adults, particularly men 65 years and older who experienced chronic stress. Given the differences in sleep patterns experienced by older adults and their relationships with health outcomes, identifying methods to support sleep health among those with chronic stress is important.

研究目的研究波多黎各老年人的生物心理社会压力指标（感知压力、感知歧视、生活压力事件和异质负荷）与睡眠结果（睡眠时间和失眠症状）之间的关联，并研究压力与睡眠之间的性别和年龄交互作用：对波士顿波多黎各人健康研究（BPRHS）第 2 波（2006-2011 年）和波士顿波多黎各人骨质疏松症研究（BPROS）（波士顿波多黎各人健康研究的辅助研究，基线年龄为 45-75 岁）的 830 名参与者（72% 为女性）进行了二次分析。研究人员在随机选取的人口普查区进行招募，并开展了上门和社区活动。上门数据收集访问包括基线评估和后续访谈。调查问卷评估了感知压力、歧视、生活压力事件和睡眠情况。代谢负荷指标是通过客观测量得出的。回归模型控制了社会人口、行为和健康因素，并进行了交互分析，随后进行了性别和性别-年龄分层分析：结果：在过去两年中，长期处于压力下的参与者报告睡眠时间不理想（9 小时）的几率比常人高出 50%。生活事件轨迹与失眠症状密切相关。与女性、低压力男性或急性压力男性相比，≥65 岁的慢性压力男性的失眠症状更严重：结论：生活压力事件可能会影响波多黎各老年人的睡眠时间和失眠症状，尤其是 65 岁及以上经历过慢性压力的男性。鉴于老年人在睡眠模式上的差异及其与健康结果的关系，确定支持慢性压力人群睡眠健康的方法非常重要。

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引用次数: 0