Division of Population Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Division of Population Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Sleep Health. 2020 Oct;6(5):651-656. doi: 10.1016/j.sleh.2020.01.015. Epub 2020 Apr 21.
Caregiving, providing regular care or assistance to family members or friends with health problems or disabilities, may affect caregivers' sleep. This study examined self-reported short sleep duration by caregiving status among US adults.
Data of 114,496 respondents aged ≥18 years in 19 states, the District of Columbia, and Puerto Rico from the 2016 Behavioral Risk Factor Surveillance System were analyzed. Prevalence of short sleep duration (<7 hours per 24-hour period) by caregiving status was calculated, and adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) were derived from a multivariable logistic regression model with adjustment for potential covariates.
Nearly 1 of 5 adults reported caregiving within the past month. A higher prevalence of short sleep duration was reported among caregivers (39.5%) than among non-caregivers (34.2%, adjusted PR [95% CI] = 1.12 [1.06-1.19]). Caregivers who reported prolonged caregiving (≥5 years) reported a higher prevalence of short sleep duration than those with <2 years of caregiving. Similarly, caregivers who provided 20-39 hours of caregiving per week reported a higher prevalence of short sleep duration than those with <20 hours caregiving per week.
Caregivers had a higher prevalence of short sleep duration than noncaregivers. Providing information and community-based resources and supports for caregiving may minimize caregiver stress and improve sleep particularly for those with prolonged or more intense caregiving.
照顾,即定期为有健康问题或残疾的家庭成员或朋友提供照顾或帮助,可能会影响照顾者的睡眠。本研究考察了美国成年人中按照顾状态报告的短睡眠时间。
分析了来自 19 个州、哥伦比亚特区和波多黎各的 114496 名年龄≥18 岁的受访者在 2016 年行为风险因素监测系统中的数据。按照顾状态计算了短睡眠时间(<24 小时内 7 小时)的流行率,并从多变量逻辑回归模型中得出了调整后的比值比(PR)和 95%置信区间(CI),该模型调整了潜在混杂因素的影响。
近五分之一的成年人报告在过去一个月内有照顾他人的经历。与非照顾者(34.2%,调整后的 PR [95%CI] = 1.12 [1.06-1.19])相比,照顾者的短睡眠时间比例更高。报告长期照顾(≥5 年)的照顾者比照顾时间<2 年的照顾者更有可能报告短睡眠时间。同样,每周提供 20-39 小时护理的照顾者比每周护理时间<20 小时的照顾者更有可能报告短睡眠时间。
与非照顾者相比,照顾者的短睡眠时间比例更高。为照顾者提供信息和社区资源及支持,可以减轻照顾者的压力,改善睡眠,尤其是对于那些长期或更频繁照顾他人的照顾者。