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通勤与睡眠:西班牙裔社区健康研究/拉丁裔睡眠辅助研究的结果。

Commuting and Sleep: Results From the Hispanic Community Health Study/Study of Latinos Sueño Ancillary Study.

机构信息

College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona.

Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts.

出版信息

Am J Prev Med. 2018 Mar;54(3):e49-e57. doi: 10.1016/j.amepre.2017.11.006. Epub 2018 Jan 12.

Abstract

INTRODUCTION

Commute time is associated with reduced sleep time, but previous studies have relied on self-reported sleep assessment. The present study investigated the relationships between commute time for employment and objective sleep patterns among non-shift working U.S. Hispanic/Latino adults.

METHODS

From 2010 to 2013, Hispanic/Latino employed, non-shift-working adults (n=760, aged 18-64 years) from the Sueño study, ancillary to the Hispanic Community Health Study/Study of Latinos, reported their total daily commute time to and from work, completed questionnaires on sleep and other health behaviors, and wore wrist actigraphs to record sleep duration, continuity, and variability for 1 week. Survey linear regression models of the actigraphic and self-reported sleep measures regressed on categorized commute time (short: 1-44 minutes; moderate: 45-89 minutes; long: ≥90 minutes) were built adjusting for relevant covariates. For associations that suggested a linear relationship, continuous commute time was modeled as the exposure. Moderation effects by age, sex, income, and depressive symptoms also were explored.

RESULTS

Commute time was linearly related to sleep duration on work days such that each additional hour of commute time conferred 15 minutes of sleep loss (p=0.01). Compared with short commutes, individuals with moderate commutes had greater sleep duration variability (p=0.04) and lower interdaily stability (p=0.046, a measure of sleep/wake schedule regularity). No significant associations were detected for self-reported sleep measures.

CONCLUSIONS

Commute time is significantly associated with actigraphy-measured sleep duration and regularity among Hispanic/Latino adults. Interventions to shorten commute times should be evaluated to help improve sleep habits in this minority population.

摘要

简介

通勤时间与睡眠时间减少有关,但以前的研究依赖于自我报告的睡眠评估。本研究调查了美国西班牙裔/拉丁裔非轮班工作成年人的就业通勤时间与客观睡眠模式之间的关系。

方法

来自 Sueño 研究(西班牙裔社区健康研究/拉丁裔研究的辅助研究)的 2010 年至 2013 年期间,760 名西班牙裔/拉丁裔在职、非轮班工作的成年人(年龄在 18-64 岁之间)报告了他们每天上下班的总通勤时间,完成了关于睡眠和其他健康行为的问卷,并佩戴腕部活动记录仪记录了一周的睡眠持续时间、连续性和可变性。对活动记录仪和自我报告的睡眠测量值进行的调查线性回归模型,根据分类的通勤时间(短:1-44 分钟;中:45-89 分钟;长:≥90 分钟)进行回归,同时调整了相关协变量。对于提示线性关系的关联,将连续通勤时间建模为暴露因素。还探讨了年龄、性别、收入和抑郁症状的调节作用。

结果

通勤时间与工作日的睡眠时间呈线性关系,即每增加 1 小时的通勤时间,就会损失 15 分钟的睡眠时间(p=0.01)。与短通勤相比,中通勤的个体睡眠持续时间变化更大(p=0.04),日间稳定性较低(p=0.046,衡量睡眠/觉醒时间表规律的指标)。对于自我报告的睡眠测量值,没有发现显著的关联。

结论

通勤时间与西班牙裔/拉丁裔成年人的活动记录仪测量的睡眠时间和规律性显著相关。应该评估缩短通勤时间的干预措施,以帮助改善这一少数族裔人群的睡眠习惯。

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