新冠疫情居家令后人际暴力对睡眠的影响。

The Effects of Interpersonal Violence on Sleep Following the COVID-19 Stay-at-Home Order.

机构信息

Master of Public Health Program, DePaul University, Chicago, IL, USA.

Department of Health Sciences, DePaul University, Chicago, IL, USA.

出版信息

Am J Health Promot. 2024 Mar;38(3):375-383. doi: 10.1177/08901171231204144. Epub 2023 Sep 27.

Abstract

PURPOSE

Lack of sleep is a harm that can lead to chronic diseases ranging from diabetes to heart disease. We examined the exposure to interpersonal violence and its association with sleep, following the COVID-19 stay-at-home order.

DESIGN

Cross-sectional.

SETTING

Surveys were completed online and via paper-and-pencil in English and Spanish (N = 2049; RR = 68.4%).

SUBJECTS

Respondents were 18+ and residing in Chicago.

MEASURES

The Chicago Department of Public Health's "2022 Healthy Chicago Survey COVID-19 Social Impact Survey".

ANALYSIS

We developed two weighted models. Model 1 examined the effects of neighborhood violence on meeting the national sleep recommendation. Model 2 examined the effects of violence in the home among friends or family on meeting the sleep recommendation, incorporating additional predictors: victimization, stress, gender, race/ethnicity, household income, and general health. Odds ratios were estimated using multivariate logistic regression.

RESULTS

Exposure to neighborhood violence and sleep was not significant, but knowing a friend or family member who experienced violence or mistreatment in their home affected the odds of meeting the sleep recommendation (OR = .61, 95% CI = .44-.84). Non-Hispanic Blacks had 52% lower odds of meeting sleep recommendations (OR = .48, 95% CI = .37-.63).

CONCLUSION

Addressing the harms to sleep that followed COVID-19 should engage diverse stakeholders in implementing culturally responsive interventions to promote adequate sleep and prevent chronic disease.

摘要

目的

睡眠不足是一种危害,可导致从糖尿病到心脏病等慢性疾病。我们研究了 COVID-19 居家令期间人际暴力的暴露情况及其与睡眠的关系。

设计

横断面研究。

地点

在英语和西班牙语中通过在线和纸质问卷(N=2049;RR=68.4%)进行调查。

研究对象

受访者年龄在 18 岁及以上,居住在芝加哥。

测量方法

芝加哥公共卫生部的“2022 年健康芝加哥调查 COVID-19 社会影响调查”。

分析

我们开发了两个加权模型。模型 1 检验了邻里暴力对达到国家睡眠建议的影响。模型 2 检验了家庭内外朋友或家人遭受暴力的影响,纳入了其他预测因素:受害、压力、性别、种族/民族、家庭收入和总体健康。使用多变量逻辑回归估计比值比。

结果

接触邻里暴力与睡眠没有显著关系,但了解在家庭中经历过暴力或虐待的朋友或家人会影响达到睡眠建议的可能性(OR=0.61,95%CI=0.44-0.84)。非西班牙裔黑人达到睡眠建议的可能性低 52%(OR=0.48,95%CI=0.37-0.63)。

结论

为了解决 COVID-19 之后对睡眠的影响,应该让不同的利益相关者参与实施文化响应性干预措施,以促进充足的睡眠和预防慢性疾病。

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