Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC, USA.
Department of Health Science, California State University Long Beach, Long Beach, CA, USA.
Sleep Health. 2020 Aug;6(4):451-462. doi: 10.1016/j.sleh.2020.01.005. Epub 2020 Jul 2.
The objective of this study was to investigate whether the sleep-cardiovascular health (CVH) association varies by Hispanic/Latino heritage group and housing tenure status (i.e., homeownership, unassisted housing, government-assisted housing), which is an important social determinant of health.
Cross-sectional analysis of pooled National Health Interview Survey (2004-2017) data.
United States.
US-born/non-US-born Mexican, Puerto Rican, Cuban, Dominican, Central/South American, and US-born non-Hispanic (NH)-white adults.
Within each housing tenure category, Poisson regressions with robust variance estimated the adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) of (1) habitual sleep duration (<6-hours, 6-<7-hours, and >9-hours vs. 7-9 hours) and sleep quality for Hispanic/Latino heritage groups compared with NH-whites and (2) ideal CVH for Hispanic/Latino heritage groups within each sleep duration category, separately, compared with NH-whites who reported 7-9 hours sleep duration.
Among 283,767 NH-white and Hispanic/Latino adults (mean age=47.0±0.09 years, 50.1% female), 33% rented housing (4% government-assisted; 29% unassisted), and 67% were homeowners. Compared with their NH-white housing tenure counterparts, only Puerto Rican homeowners were more likely to report <6-hours (PR=1.70 [95% CI: 1.44-2.01]) and 6-<7-hours (PR=1.31 [1.19-1.44]) sleep duration. Overall, Hispanic/Latino heritage groups were either less likely or no more likely to report >9-hours sleep duration and poor sleep quality compared with NH-whites. Disparities in CVH were large between Puerto Rican unassisted renters and homeowners who reported >9-hours of habitual sleep compared with their NH-white housing tenure counterparts who reported 7-9 hours.
Hispanic/Latino-white disparities in the sleep-CVH relationship may vary by Hispanic/Latino heritage group and housing tenure.
本研究旨在探讨睡眠-心血管健康（CVH）关联是否因西班牙裔/拉丁裔血统群体和住房保有状况（即自有住房、无资助住房、政府资助住房）而有所不同，而住房保有状况是健康的一个重要社会决定因素。
pooled National Health Interview Survey（2004-2017）数据的横断面分析。
美国。
出生于美国/非出生于美国的墨西哥人、波多黎各人、古巴人、多米尼加人、中/南美洲人以及出生于美国的非西班牙裔白人成年人。
在每个住房保有类别中，采用泊松回归模型，采用稳健方差估计了（1）习惯性睡眠时间（<6 小时、6-<7 小时和>9 小时与 7-9 小时）和睡眠质量与非西班牙裔白人相比，西班牙裔/拉丁裔血统群体的调整后患病率比（PR）和 95%置信区间（CI）；（2）在每个睡眠时间类别中，与报告 7-9 小时睡眠时间的非西班牙裔白人相比，西班牙裔/拉丁裔血统群体的理想 CVH，分别进行了比较。
在 283767 名非西班牙裔白人和西班牙裔/拉丁裔成年人（平均年龄=47.0±0.09 岁，50.1%为女性）中，33%租用住房（4%政府资助；29%无资助），67%为房主。与非西班牙裔白人住房保有情况相比，只有波多黎各房主更有可能报告<6 小时（PR=1.70 [95% CI：1.44-2.01]）和 6-<7 小时（PR=1.31 [1.19-1.44]）睡眠时间。总体而言，与非西班牙裔白人相比，西班牙裔/拉丁裔血统群体报告>9 小时睡眠时间和睡眠质量差的可能性较小或没有差异。与报告 7-9 小时习惯性睡眠时间的非西班牙裔白人相比，波多黎各无资助租房者和自有住房者的 CVH 差异较大。
西班牙裔/拉丁裔与白人间在睡眠-CVH 关系方面的差异可能因西班牙裔/拉丁裔血统群体和住房保有状况而异。
