社会支持对睡眠时间的有益影响在不同种族/民族之间的差异。
Racial/ethnic differences in the beneficial effect of social support on sleep duration.
机构信息
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Environmental and Health Sciences, Spelman College, Atlanta, Georgia.
出版信息
J Clin Sleep Med. 2023 Jul 1;19(7):1231-1238. doi: 10.5664/jcsm.10542.
STUDY OBJECTIVES
Social support (SS) is associated with better health outcomes, including sleep health. However, the specific sources of SS that benefit sleep are unclear, and whether these associations vary by race/ethnicity or age is unknown. The aim of this study was to examine cross-sectional associations between sources of SS (number of friends, financial, church attendance, and emotional support) and self-reported short sleep duration (< 7 hours) overall and by race/ethnic groups and age among a representative sample.
METHODS
Using National Health and Nutrition Examination Survey (NHANES) data, logistic regression (marginal standardization) and linear regression models were fit accounting for survey design and weights to test associations between sources of SS (number of friends, financial, church attendance, emotional support) and self-reported short sleep duration (< 7 hours) overall and by race/ethnic groups (Black, Hispanic, and White) and age (< 65 vs ≥ 65 years).
RESULTS
Among 3,711 participants, the mean (standard error) age was 57 (0.3) years and 37% slept < 7 hours. Black adults had the highest prevalence of short sleep (55%). Overall, participants with financial support compared with those without financial support had a lower prevalence of short sleep: 23% (confidence interval [CI]: 0.68, 0.87). As the number of SS sources increased, the prevalence of short sleep duration decreased and the racial disparity in sleep duration narrowed. Associations between financial support and sleep were most pronounced among Hispanic and White adults and adults < 65 years.
CONCLUSIONS
In general, financial support was associated with a healthier sleep duration, particularly among those < 65 years of age. Individuals with numerous sources of SS were less likely to be short sleepers. The benefits of SS on sleep duration varied by race. Targeting specific sources of SS may help to improve sleep duration among those most at risk.
CITATION
Johnson DA, Prakash-Asrani R, Lewis BD, Bliwise DL, Lewis TT. Racial/ethnic differences in the beneficial effect of social support on sleep duration. . 2023;19(7):1231-1238.
研究目的
社会支持（SS）与更好的健康结果相关，包括睡眠健康。然而，有益于睡眠的 SS 的具体来源尚不清楚，并且这些关联是否因种族/民族或年龄而异也不得而知。本研究旨在检查 SS 来源（朋友数量、经济、参加教堂活动和情感支持）与代表性样本中总体及按种族/民族群体和年龄划分的自我报告短睡眠时间（<7 小时）之间的横断面关联。
方法
使用国家健康和营养检查调查（NHANES）数据，采用逻辑回归（边缘标准化）和线性回归模型，考虑到调查设计和权重进行拟合，以测试 SS 来源（朋友数量、经济、参加教堂活动、情感支持）与自我报告的短睡眠时间（<7 小时）之间的关联，总体以及按种族/民族群体（黑人、西班牙裔和白人）和年龄（<65 岁与≥65 岁）进行划分。
结果
在 3711 名参与者中，平均（标准误差）年龄为 57（0.3）岁，37%的人睡眠时间<7 小时。黑人成年人短睡眠时间的比例最高（55%）。总体而言，与没有经济支持的参与者相比，有经济支持的参与者短睡眠时间的比例较低：23%（置信区间[CI]：0.68，0.87）。随着 SS 来源数量的增加，短睡眠时间的比例下降，睡眠时间的种族差异缩小。经济支持与睡眠之间的关联在西班牙裔和白人成年人以及<65 岁的成年人中最为明显。
结论
一般来说，经济支持与更健康的睡眠时间相关，尤其是在<65 岁的人群中。有多种 SS 来源的个体不太可能是短睡眠者。SS 对睡眠时间的影响因种族而异。针对特定的 SS 来源可能有助于改善高危人群的睡眠时间。
引文
Johnson DA、Prakash-Asrani R、Lewis BD、Bliwise DL、Lewis TT。社会支持对睡眠持续时间的有益影响存在种族差异。睡眠。2023 年；19（7）：1231-1238。
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