Alhasan Dana M, Gaston Symielle A, Strassle Paula D, Nápoles Anna María, Jackson Chandra L
Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina.
Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland.
J Clin Sleep Med. 2025 Jun 1;21(6):1053-1063. doi: 10.5664/jcsm.11638.
To estimate overall and racial/ethnic-specific associations between COVID-19 infection status and sleep health.
We analyzed online survey data collected from December 2020 to February 2021 among Asian, Black, Latino (English- and Spanish-speaking), and White adults (n = 1,000 each), along with American Indian/Alaska Native, Native Hawaiian/Pacific Islander, and multiracial adults (n = 500). COVID-19 infection (confirmed, probable, suspected), based on self-reported data on symptoms and infected contacts, was classified using World Health Organization definitions. Sleep disturbances were categorized as "yes" (mild/moderate/severe) vs "no" (normal). Weighted analyses were used to generate nationally representative estimates within each racial/ethnic group. Adjusting for sociodemographic and health behaviors, Poisson regression with robust variance estimated prevalence ratios and confidence intervals for sleep disturbances among individuals with vs without a COVID-19 infection in the overall population and by gender, ability to get health care, and race/ethnicity.
Among 5,359 eligible participants, 24% had a COVID-19 infection. COVID-19 infection was associated with a 32% higher prevalence of sleep disturbances (PR = 1.32 [95% confidence interval: 1.22-1.42]). The higher prevalence of sleep disturbances among women with vs without COVID-19 (PR = 1.32 [1.19-1.45]) was similar to men (PR = 1.34 [1.18-1.53]). COVID-19 infection was associated with an even higher prevalence of sleep disturbances among participants who reported being able vs unable to get needed health care. COVID-sleep associations were higher among American Indian/Alaska Native (PR = 1.64 [1.30-2.09]), Native Hawaiian/Pacific Islander (PR = 1.53 [1.24-1.90]), and English-speaking Latino (PR = 1.49 [1.20-1.86]) adults compared to White adults (PR = 1.14 [0.93-1.41]), although confidence intervals overlapped.
COVID-19 infections may lead to sleep disturbances among US adults.
Alhasan DM, Gaston SA, Strassle PD, Nápoles AM, Jackson CL. COVID-19 infection and sleep health: findings from the nationally representative COVID-19's Unequal Racial Burden survey. 2025;21(6):1053-1063.
评估新冠病毒感染状况与睡眠健康之间的总体关联以及种族/族裔特异性关联。
我们分析了2020年12月至2021年2月期间收集的在线调查数据，调查对象包括亚洲、黑人、拉丁裔（讲英语和西班牙语）及白人成年人（各1000人），以及美国印第安人/阿拉斯加原住民、夏威夷原住民/太平洋岛民和多种族成年人（各500人）。根据关于症状和感染接触者的自我报告数据，按照世界卫生组织的定义对新冠病毒感染（确诊、疑似、可能感染）进行分类。睡眠障碍分为“有”（轻度/中度/重度）和“无”（正常）。采用加权分析得出每个种族/族裔群体具有全国代表性的估计值。在调整社会人口统计学和健康行为因素后，使用稳健方差的泊松回归估计总体人群以及按性别、获得医疗保健的能力和种族/族裔划分的感染新冠病毒与未感染新冠病毒个体的睡眠障碍患病率比值和置信区间。
在5359名符合条件的参与者中，24%感染了新冠病毒。新冠病毒感染与睡眠障碍患病率高32%相关（患病率比值=1.32[95%置信区间：1.22 - 1.42]）。感染新冠病毒与未感染新冠病毒的女性睡眠障碍患病率较高（患病率比值=1.32[1.19 - 1.45]），与男性情况类似（患病率比值=1.34[1.18 - 1.53]）。新冠病毒感染与报告能够或无法获得所需医疗保健的参与者中更高的睡眠障碍患病率相关。与白人成年人（患病率比值=1.14[0.93 - 1.41]）相比，美国印第安人/阿拉斯加原住民（患病率比值=1.64[
