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无家可归者的睡眠与身心健康的关联。

The association of sleep with physical and mental health among people experiencing homelessness.

机构信息

Department of Anthropology, University of Toronto, Mississauga, Ontario, Canada.

Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA; TSET Health Promotion Research Center, Stephenson Cancer Center, Oklahoma City, Oklahoma, USA.

出版信息

Sleep Health. 2024 Feb;10(1):48-53. doi: 10.1016/j.sleh.2023.10.004. Epub 2023 Nov 21.

DOI:10.1016/j.sleh.2023.10.004
PMID:37989628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10922033/
Abstract

BACKGROUND

Sleep deprivation is a critical risk factor for physical and mental health problems. The current study examined whether sleep problems were related to housing status and physical and mental health among people experiencing homelessness.

METHODS

Data were collected via an anonymous survey completed by adults accessing services at a day shelter in Oklahoma City, OK. Demographic characteristics, sleep problems, days of poor physical and mental health, and self-rated health were assessed and compared across housing subgroups. Logistic regression analyses were performed to examine potential associations between sleep and health.

RESULTS

Participants (N = 404) were predominantly male (71.0%) and racially minoritized (57.4%) with an average age of 47.0 (SD=11.6) years. Days of unintentional sleep over the past 30days differed significantly by housing status. Logistic regression analyses indicated that short sleep duration of ≤6 hours was associated with poorer self-rated health and more days of poor physical health over the past 30days compared to those who reported an optimal sleep duration of 7-9 hours. Additionally, reporting ≥1 day of unintentional daytime sleep was associated with more days of poor mental and physical health over the past 30-day. Reporting more days of inadequate sleep was associated with poorer self-rated health, and more days of poor physical and mental health over the past 30days.

CONCLUSION

Sleep problems were associated with poorer physical and mental health among people experiencing homelessness. Safe environments where adults experiencing homelessness can sleep comfortably and without interruption may be needed to support good physical and mental health.

摘要

背景

睡眠不足是身心健康问题的一个关键风险因素。本研究考察了睡眠问题是否与无家可归者的住房状况以及身心健康有关。

方法

数据通过俄克拉荷马城 OK 的一个日间收容所接受服务的成年人完成的匿名调查收集。评估了人口统计学特征、睡眠问题、身体和心理健康不佳的天数以及自我评估的健康状况,并比较了住房亚组之间的差异。进行逻辑回归分析以检查睡眠与健康之间的潜在关联。

结果

参与者(N=404)主要是男性(71.0%)和少数族裔(57.4%),平均年龄为 47.0(SD=11.6)岁。过去 30 天内非自愿睡眠时间的天数因住房状况而异。逻辑回归分析表明,与报告的 7-9 小时最佳睡眠时间相比,睡眠时间短于等于 6 小时与自我评估健康状况较差和过去 30 天内身体不适的天数较多有关。此外,报告有≥1 天的非自愿白天睡眠与过去 30 天内身体和心理健康较差的天数较多有关。报告更多睡眠不足的天数与自我评估健康状况较差以及过去 30 天内身体和心理健康较差的天数较多有关。

结论

睡眠问题与无家可归者的身心健康较差有关。需要为无家可归的成年人提供安全的环境,让他们能够舒适且不受干扰地入睡,以支持他们的身心健康。

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