Department of Public Health, Health Sciences Center, State University of Londrina, Londrina, PR, Brazil; Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Sleep Health. 2020 Feb;6(1):110-116. doi: 10.1016/j.sleh.2019.08.013. Epub 2019 Nov 16.
To examine whether individuals' perceptions of social support (SS) from partners, other family members, and friends are associated with risk of sleep complaints and short sleep duration.
A cross-sectional and prospective study with 1,688 community dwelling adults from the Retirement and Sleep Trajectories study. Four annual, self-administered questionnaires were mailed to participants in the year 2010-2014. Self-reports of individuals' perceptions of SS were obtained at the baseline survey. Sleep quality and duration were self-reported on each of the four surveys over the follow-up. Associations were examined with mixed-effect models, controlling for confounders.
In fully adjusted analyses, compared with those reporting low SS from their partner, the risk of reporting more than 1 sleep symptom was significantly lower among those with intermediate (relative risk, RR = 0.68; 95% confidence interval, CI = 0.53-0.87) and high SS (RR = 0.61; 95% CI=0.48-0.77). Similarly, relative to those with low SS, those reporting high SS from family (RR = 0.74; 95% CI = 0.57-0.94) and friends (RR = 0.73; 95% CI = 0.58-0.92) had lower risk of having more than 1 sleep symptom. Compared with those with low, intermediate (RR = 0.70; 95% CI = 0.52-0.96), and high SS (RR = 0.63; 95% CI = 0.48-0.84) from partners, intermediate (RR = 0.76; 95% CI = 0.59-0.97) and high SS (RR = 0.69; 95% CI = 0.51-0.92) from family and high SS (RR = 0.74; 95% CI = 0.56-0.99) from friends were associated with lower risk of short sleep (≤6 h).
The perception of higher SS from relatives and friends is independently associated with lower risk of poor sleep quality and short sleep duration. Future research and intervention studies should test whether strengthening social relationships can positively effect sleep health.
研究个体从伴侣、其他家庭成员和朋友处感知到的社会支持(SS)与睡眠问题和睡眠持续时间短的风险是否相关。
这是一项横断面和前瞻性研究,对象为退休和睡眠轨迹研究中的 1688 名社区居住成年人。在 2010 年至 2014 年的一年中,向参与者邮寄了四份年度自我管理问卷。基线调查中获得了个体感知到的 SS 的自我报告。在随访过程中,每份问卷都对睡眠质量和持续时间进行了自我报告。通过混合效应模型,在控制混杂因素后,对关联进行了检验。
在完全调整的分析中,与报告伴侣处 SS 较低的个体相比,报告存在 1 种以上睡眠症状的风险,在报告 SS 处于中等水平(相对风险 RR=0.68;95%置信区间 CI=0.53-0.87)和高水平(RR=0.61;95%CI=0.48-0.77)的个体中显著降低。同样,与报告 SS 较低的个体相比,报告家庭(RR=0.74;95%CI=0.57-0.94)和朋友(RR=0.73;95%CI=0.58-0.92)处 SS 较高的个体,出现 1 种以上睡眠症状的风险较低。与报告 SS 较低(RR=0.70;95%CI=0.52-0.96)、中等水平(RR=0.70;95%CI=0.52-0.96)和高水平(RR=0.63;95%CI=0.48-0.84)的个体相比,报告 SS 中等水平(RR=0.76;95%CI=0.59-0.97)和高水平(RR=0.69;95%CI=0.51-0.92)的个体来自家庭,以及 SS 较高(RR=0.74;95%CI=0.56-0.99)的个体来自朋友,与短睡眠(≤6 h)的风险降低有关。
个体从亲属和朋友处感知到的 SS 水平较高与较差的睡眠质量和短睡眠持续时间的风险降低独立相关。未来的研究和干预研究应检验增强社会关系是否能对睡眠健康产生积极影响。