睡眠时间长短与种族/民族、社会人口统计学以及社会经济地位相关。
Short and long sleep duration associated with race/ethnicity, sociodemographics, and socioeconomic position.
作者信息
Whinnery Julia, Jackson Nicholas, Rattanaumpawan Pinyo, Grandner Michael A
机构信息
Behavioral Sleep Medicine Program, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Quantitative Psychology Program, University of Southern California, Los Angeles, CA.
出版信息
Sleep. 2014 Mar 1;37(3):601-11. doi: 10.5665/sleep.3508.
STUDY OBJECTIVES
Short and/or long sleep duration are associated with cardiometabolic disease risk and may be differentially experienced among minorities and the socioeconomically disadvantaged. The present study examined nationally representative data along multiple dimensions of race/ ethnicity and socioeconomic status.
DESIGN
Cross-sectional.
SETTING
Survey.
PATIENTS OR PARTICIPANTS
2007-2008 NHANES (N = 4,850).
INTERVENTIONS
None.
MEASUREMENTS AND RESULTS
Self-reported sleep duration was classified as very short (< 5 h), short (5-6 h), normative (7-8 h) and long (≥ 9 h). Population-weighted multinomial logistic regression analyses examined race/ ethnicity, country of origin, language, income, education, health insurance, and food security, controlling for all others as well as age, sex, marital-status, and overall self-rated health. Outcome was self-reported sleep duration, relative to normative sleep duration. Blacks/African Americans were more likely than whites to report very short (OR = 2.34, P < 0.001) and short (OR = 1.85, P < 0.001) sleep. Mexican Americans reported less long sleep (OR = 0.36, P = 0.032). Other Hispanics/ Latinos reported more very short sleep (OR = 2.69, P = 0.025). Asians/ Others reported more very short (OR = 3.99, P = 0.002) and short (OR = 2.08, P = 0.002) sleep. Mexico-born adults reported less short sleep (OR = 0.63, P = 0.042). Spanish-only speakers reported less very short sleep (OR = 0.32, P = 0.030). Lower income groups reported more very short sleep versus > $75,000. Compared to college graduates, increased very short sleep was seen among all lower education levels. Those with public insurance reported more very short (OR = 1.67, P = 0.31) and long (OR = 1.83, P = 0.011) sleep versus uninsured. Very low food security was associated with very short (OR = 1.86, P = 0.036) and short (OR = 1.44, P = 0.047) sleep.
CONCLUSIONS
Minority status and lower socioeconomic position were associated with shorter self-reported sleep durations.
研究目的
睡眠时间过短和/或过长与心血管代谢疾病风险相关，少数族裔和社会经济弱势群体可能对此有不同体验。本研究从种族/族裔和社会经济地位的多个维度对具有全国代表性的数据进行了考察。
设计
横断面研究。
设置
调查。
患者或参与者
2007 - 2008年美国国家健康与营养检查调查（NHANES）（N = 4,850）。
干预措施
无。
测量与结果
自我报告的睡眠时间被分类为极短（< 5小时）、短（5 - 6小时）、正常（7 - 8小时）和长（≥ 9小时）。采用人口加权多项逻辑回归分析，考察种族/族裔、原籍国、语言、收入、教育、医疗保险和粮食安全状况，并对其他因素以及年龄、性别、婚姻状况和总体自我健康评价进行控制。结果变量为自我报告的睡眠时间，相对于正常睡眠时间。黑人/非裔美国人比白人更有可能报告极短（比值比[OR] = 2.34，P < 0.001）和短（OR = 1.85，P < 0.001）的睡眠时间。墨西哥裔美国人报告的长睡眠时间较少（OR = 0.36，P = 0.032）。其他西班牙裔/拉丁裔报告的极短睡眠时间较多（OR = 2.69，P = 0.025）。亚裔/其他人报告的极短（OR = 3.99，P = 0.002）和短（OR = 2.08，P = 0.002）睡眠时间较多。出生于墨西哥的成年人报告的短睡眠时间较少（OR = 0.63，P = 0.042）。仅说西班牙语的人报告的极短睡眠时间较少（OR = 0.32，P = 0.030）。与收入超过75,000美元的人群相比，低收入群体报告的极短睡眠时间更多。与大学毕业生相比，所有较低教育水平的人群中极短睡眠时间均有所增加。与未参保者相比，参加公共保险的人报告的极短（OR = 1.67，P = 0.31）和长（OR = 1.83，P = 0.011）睡眠时间更多。粮食安全水平极低与极短（OR = 1.86，P = 0.036）和短（OR = 1.44，P = 0.047）睡眠时间相关。
结论
少数族裔身份和较低的社会经济地位与自我报告的较短睡眠时间相关。
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