迈向精准睡眠医学：国家健康访谈调查（2006-2018 年）中亚洲裔美国人细分群体的睡眠结果变化。
Toward precision sleep medicine: variations in sleep outcomes among disaggregated Asian Americans in the National Health Interview Survey (2006-2018).
机构信息
Stanford Center for Asian Health Research and Education, Stanford University School of Medicine, Stanford, California.
Department of BioSciences, Department of Computer Science, Rice University, Houston, Texas.
出版信息
J Clin Sleep Med. 2023 Jul 1;19(7):1259-1270. doi: 10.5664/jcsm.10558.
STUDY OBJECTIVES
Asian Americans report higher rates of insufficient sleep than non-Hispanic Whites (NHWs). It is unclear how sleep outcomes differ among disaggregated Asian subgroups.
METHODS
The National Health Interview Survey (2006-2018) was used to analyze self-reported sleep duration and quality measures for Asian American subgroups (Chinese [n = 11,056], Asian Indian [n = 11,249], Filipino [n = 13,211], and other Asians [n = 21,767]). Outcomes included hours of sleep per day, the number of days reporting trouble falling asleep, staying asleep, waking up rested, and taking sleep medication in the past week. Subsetted multivariate logistic regression was used to assess factors impacting sleep outcomes by ethnicity.
RESULTS
29.2% of NHWs, 26.4% of Chinese, 24.5% of Asian Indians, and 38.4% of Filipinos reported insufficient sleep duration. Filipinos were less likely to report sufficient sleep duration (odds ratio 0.55, [confidence interval 95% 0.50-0.59]) and more likely to report trouble falling asleep (1.16 [1.01-1.33]) than NHWs. Chinese and Asian Indians had less trouble staying asleep (0.67 [0.58-0.77], 0.51 [0.44-0.59]) and falling asleep (0.77 [0.66-0.89], 0.72, [0.62-0.82]) than NHWs, and Asian Indians were more likely to wake feeling well rested (1.66 [1.48-1.87]). All Asian subgroups were less likely to report using sleep medications than NHWs. Foreign-born status had a negative association with sufficient sleep duration in Filipinos but a positive association in Asian Indians and Chinese.
CONCLUSIONS
Filipinos report the highest burden of poor sleep outcomes, and Asian Indians report significantly better sleep outcomes. These findings highlight the importance of disaggregating Asian ethnic subgroups to address their health needs.
CITATION
Wang RZ, Jamal A, Wang Z, et al. Toward precision sleep medicine: variations in sleep outcomes among disaggregated Asian Americans in the National Health Interview Survey (2006-2018). . 2023;19(7):1259-1270.
研究目的
亚洲裔美国人报告的睡眠不足率高于非西班牙裔白人（NHW）。目前尚不清楚在细分的亚裔亚群中，睡眠结果有何不同。
方法
利用 2006 年至 2018 年的全国健康访谈调查（National Health Interview Survey，NHIS）分析亚裔美国人亚群的自我报告睡眠时长和质量测量值（中国裔[11056 人]、印度裔[11249 人]、菲律宾裔[13211 人]和其他亚裔[21767 人]）。结果包括每天的睡眠时间、报告入睡困难、保持睡眠、醒来感到休息和过去一周服用睡眠药物的天数。采用亚集多元逻辑回归分析评估族裔因素对睡眠结果的影响。
结果
29.2%的 NHW、26.4%的中国人、24.5%的印度裔和 38.4%的菲律宾裔报告睡眠不足。与 NHW 相比，菲律宾裔报告充足睡眠时间的可能性较低（比值比 0.55，[95%置信区间 0.50-0.59]），入睡困难的可能性较高（1.16 [1.01-1.33]）。中国人和印度裔入睡困难（0.67 [0.58-0.77]，0.51 [0.44-0.59]）和入睡困难（0.77 [0.66-0.89]，0.72，[0.62-0.82]）的可能性较低，而印度裔醒来感觉休息更好的可能性较高（1.66 [1.48-1.87]）。所有亚裔亚群报告使用睡眠药物的可能性均低于 NHW。出生在国外的身份与菲律宾裔充足的睡眠时长呈负相关，但与印度裔和中国人呈正相关。
结论
菲律宾裔报告的睡眠不良结果负担最高，而印度裔报告的睡眠结果显著更好。这些发现强调了细分亚裔族裔亚群以满足其健康需求的重要性。
引文
Wang RZ，Jamal A，Wang Z，等。迈向精准睡眠医学：国家健康访谈调查（2006-2018 年）中不同亚裔美国人的睡眠结果差异。睡眠医学。2023 年；19（7）：1259-1270。
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