Department of Public Health Education, School of Health Promotion and Human Performance, College of Health and Human Services, Eastern Michigan University, Ypsilanti, MI 48197, USA.
Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA.
Int J Environ Res Public Health. 2019 Oct 18;16(20):3976. doi: 10.3390/ijerph16203976.
While sleep research has focused primarily on aspects of the immediate physical environment and behavioral factors, a growing body of evidence suggests that broader social determinants may play an important role in sleep insufficiency. Yet public health education efforts for sleep largely address "sleep hygiene", with an emphasis on information for getting a good night's rest. The Flint Sleep Project employed community-based-participatory research methods to try to understand more about the sleep experiences of residents of an urban community reporting sleep insufficiency. The academic and community partner developed recruitment materials with community residents. The focus group protocol also utilized community input. Seven focus groups, with a total of 70 participants, were conducted. When asked about their view of causes for poor sleep, participants identified a range of stressors reflective of social determinants. Economic, safety, and future insecurity were the dominant themes emerging across all seven discussions. Participants also expressed feeling a lack of control over important aspects of their lives. Interventions to improve sleep are more likely to be effective if they include the perspectives of the community. A community-based approach offers opportunities for community empowerment and engagement that can improve efforts at sleep health promotion.
虽然睡眠研究主要集中在即时的物理环境和行为因素方面，但越来越多的证据表明，更广泛的社会决定因素可能在睡眠不足方面发挥重要作用。然而，针对睡眠的公共卫生教育工作主要涉及“睡眠卫生”，重点是提供有关获得良好夜间休息的信息。弗林特睡眠项目采用基于社区的参与式研究方法，试图了解报告睡眠不足的城市社区居民的睡眠体验。学术和社区合作伙伴与社区居民一起开发了招募材料。焦点小组协议也利用了社区的意见。进行了七次焦点小组讨论，共有 70 名参与者。当被问及他们对睡眠不佳原因的看法时，参与者确定了一系列反映社会决定因素的压力源。经济、安全和未来的不安全感是所有七次讨论中出现的主要主题。参与者还表示，他们感到对生活中重要方面缺乏控制。如果改善睡眠的干预措施包含社区的观点，那么它们更有可能有效。基于社区的方法为社区赋权和参与提供了机会，这可以改善睡眠健康促进工作。
