Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, 111 TW Alexander Drive, Research Triangle Park, Durham, NC, 27709, USA.
Social & Scientific Systems, Inc., Durham, NC, USA.
Int J Behav Med. 2021 Feb;28(1):116-129. doi: 10.1007/s12529-020-09905-5.
Traumatic childhood experiences (TCEs) are associated with poor adulthood sleep, but racial/ethnic disparities have not been well-studied. We investigated the TCE-adulthood sleep relationship among non-Hispanic (NH)-White, NH-Black, and Hispanic/Latina women.
Women enrolled in the Sister Study from 2003 to 2009 reported the following TCEs in a follow-up interview (2008-2012): natural disasters; major accidents; household dysfunction; and sexual, physical, and psychological/emotional abuse. Sleep characteristics included short sleep duration (< 7 h vs. 7-9 h), long sleep onset latency (SOL) (> 30 vs. ≤ 30 min), frequent night awakenings (≥ 3 times/night ≥ 3 times/week [yes vs. no]), and frequent napping (≥ 3 vs. < 3 times/week). Using log-binomial regression to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) for sleep characteristics among women with vs. without TCEs, we investigated racial/ethnic-specific associations and race/ethnicity as a moderator.
Among 40,082 participants (mean age = 55 ± 8.8 years), 55% reported ≥ 1 TCE (NH-White, 54%; NH-Black, 62%; Hispanic/Latina, 57%). NH-White, NH-Black, and Hispanic/Latina women reporting any TCE had a higher prevalence of short sleep compared with their within-race/ethnicity counterparts without TCEs. Associations were strongest among NH-Whites. Compared to NH-Whites with no TCEs, racial/ethnic minorities who reported any TCEs had a higher prevalence of short sleep (PR = 2.13 [95% CI 2.02-2.24], PR = 1.47 [1.35-1.60]) and long SOL. When comparing racial/ethnic minorities with TCEs to NH-Whites with TCEs, PRs for short sleep (PR = 1.98 [1.88-2.08] and PR = 1.36 [1.25-1.48]) and long SOL were weaker.
TCEs were positively associated with poor sleep characteristics among women, and TCEs appear to contribute to short sleep duration and long SOL disparities.
创伤性童年经历（TCEs）与较差的成年期睡眠有关，但种族/民族差异尚未得到充分研究。我们调查了非西班牙裔（NH）-白人、NH-黑人以及西班牙裔/拉丁裔女性的 TCE 与成年期睡眠之间的关系。
2003 年至 2009 年，女性参加了姐妹研究，并在后续访谈（2008-2012 年）中报告了以下 TCEs：自然灾害；重大事故；家庭功能障碍；以及性、身体和心理/情感虐待。睡眠特征包括睡眠时间短（<7 小时与 7-9 小时）、入睡潜伏期长（>30 分钟与 ≤30 分钟）、夜间频繁醒来（≥3 次/夜≥3 次/周[是与否]）和频繁小睡（≥3 次/周与<3 次/周）。使用对数二项式回归来估计有 TCEs 的女性与无 TCEs 的女性的睡眠特征的患病率比（PR）和 95%置信区间（CI），我们研究了种族/民族特异性关联和种族/民族作为调节因素。
在 40082 名参与者中（平均年龄 55±8.8 岁），55%报告了≥1 次 TCE（NH-白人，54%；NH-黑人，62%；西班牙裔/拉丁裔，57%）。报告有任何 TCE 的 NH-白人、NH-黑人以及西班牙裔/拉丁裔女性与无 TCE 的同种族/族裔女性相比，短睡眠的发生率更高。在 NH-白人中，关联最强。与没有 TCE 的 NH-白人相比，报告有任何 TCE 的少数族裔女性短睡眠（PR=2.13[95%CI 2.02-2.24]，PR=1.47[1.35-1.60]）和长 SOL 的发生率更高。当将 TCE 女性与 TCE 的 NH-白人进行比较时，短睡眠的 PR（PR=1.98[1.88-2.08]和 PR=1.36[1.25-1.48]）和长 SOL 的 PR 较弱。
TCEs 与女性较差的睡眠特征呈正相关，TCEs 似乎导致了短睡眠时间和长 SOL 差异。
