Department of Psychology, University of Miami, Coral Gables, Florida.
Department of Neurology, Miller School of Medicine, University of Miami, Coral Gables, Florida.
Behav Sleep Med. 2022 Sep-Oct;20(5):531-542. doi: 10.1080/15402002.2021.1953499. Epub 2021 Jul 24.
Poor sleep and different patterns of marital status among Hispanics/Latinos have been documented, yet the extent to which marital status is associated with sleep health and the moderating role of gender in this association among Hispanics/Latinos is poorly understood.Demographic and sleep data were obtained from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL: = 16,415), an epidemiological cohort study, and the Sueño Study (= 2,252) that is an ancillary to HCHS/SOL. Sleep duration, insomnia symptoms, daytime sleepiness, napping, and snoring were self-reported and drawn from HCHS/SOL. Sleep efficiency, sleep fragmentation, and inter-day stability were objectively assessed in the Sueño Study.Complex sample analyses indicated that being married or cohabiting was associated with better sleep health in general, including having normal sleep duration, fewer insomnia symptoms, and higher sleep efficiency (> 2.804, < .044). These associations were more prominent in objectively measured sleep indices and among females.Findings suggest being in a committed relationship associated with better sleep health in Hispanics/Latinos in the US, a diverse and under-represented population. Findings may have implications for tailoring sleep health interventions to at-risk populations who may less likely to be in a committed relationship.
已有研究记录表明,西班牙裔/拉丁裔人群普遍存在睡眠质量差和婚姻状况多样化的问题,但婚姻状况与睡眠健康之间的关联程度,以及这种关联在西班牙裔/拉丁裔人群中的性别调节作用仍知之甚少。本研究的数据来源于西班牙裔社区健康研究/拉丁裔研究(HCHS/SOL:= 16415)和 Sueño 研究(= 2252)。HCHS/SOL 是一项流行病学队列研究,而 Sueño 研究是 HCHS/SOL 的一个辅助研究。睡眠时长、失眠症状、日间嗜睡、午睡和打鼾等睡眠数据均由 HCHS/SOL 自报,而睡眠效率、睡眠碎片化和日间稳定性等睡眠指标则由 Sueño 研究进行客观评估。采用复杂样本分析发现,与单身或分居人群相比,已婚或同居人群的总体睡眠健康状况更好,具体表现为睡眠时长正常、失眠症状较少和睡眠效率较高(>2.804,<0.044)。这些关联在客观测量的睡眠指标和女性中更为显著。研究结果表明,在美国,西班牙裔/拉丁裔人群中,稳定的亲密关系与更好的睡眠健康有关,而这一人群具有多样性且代表性不足。研究结果可能对为处于睡眠健康风险中的人群(如不太可能处于亲密关系中的人群)定制睡眠健康干预措施具有启示意义。