An intersectional approach to examine sleep duration in sexual minority adults in the United States: findings from the Behavioral Risk Factor Surveillance System
An intersectional approach to examine sleep duration in sexual minority adults in the United States: findings from the Behavioral Risk Factor Surveillance System
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DOI：
10.1016/j.sleh.2019.06.006
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发表时间：
2019-12-01
期刊：
影响因子：
4.1
通讯作者：
Hughes, Tonda L.
中科院分区：
文献类型：
--
作者：
Caceres, Billy A.;Hickey, Kathleen T.;Hughes, Tonda L.
目的：调查性别认同差异的睡眠时间和倍增效应的性别认同和种族/ethnicationamong US adults.Design：Cross-sectional.Participants：The sample comprised of 267，906 participants from the Behavioral Risk Factor Surveillance System.Measurements：睡眠时间被归类为非常短（= 9小时）。性别分层多项逻辑回归被用来检查性别身份的睡眠时间的差异。然后，我们研究了睡眠持续时间比较性少数（1）同种族/种族异性恋者和（2）白色参与者具有相同的sexualidentity.Results：性少数女性有更高的几率非常短的睡眠相比，异性恋女性，无论种族/种族。黑人男同性恋者有更高的比例非常短的睡眠，但较低的比例长的睡眠相对于黑人异性恋男性。拉丁裔和亚洲/太平洋岛民的双性恋男性比异性恋男性睡眠时间短的比例更高。黑人女同性恋和其他种族的双性恋女性比异性恋同龄人更有可能睡得很短。黑人女同性恋者的睡眠时间也更长。通过性别认同对种族/民族差异的分析发现，黑人和拉丁裔男同性恋者报告的睡眠时间非常短的比例高于白色男同性恋者。黑人双性恋妇女有较高的比率短睡眠时间比白色bisexual women.Conclusions：需要更多的研究，以了解如何促进睡眠健康的性少数群体，特别是种族/少数民族，睡眠时间不足对健康的影响，在这一人群。(C)2019全国睡眠基金会。爱思唯尔公司出版All rights reserved.
Objectives: Investigate sexual identity differences in sleep duration and the multiplicative effect of sexual identity and race/ethnicity among US adults.Design: Cross-sectional.Participants: The sample consisted of 267,906 participants from the Behavioral Risk Factor Surveillance System.Measurements: Sleep duration was categorized as very short (= 9 hours). Sex-stratified multinomial logistic regressions were used to examine sexual identity differences in sleep duration. We then examined sleep duration by comparing sexual minorities to (1) same-race/-ethnicity heterosexuals and (2) White participants with the same sexual identity.Results: Sexual minority women had higher odds of very short sleep compared to heterosexual women, regardless of race/ethnicity. Black gay men had higher rates of very short sleep but lower rates of long sleep relative to Black heterosexual men. Latino and Asian/Pacific Islander bisexual men reported higher rates of short sleep than their heterosexual counterparts. Black lesbian and other-race bisexual women were more likely to have very short sleep than their heterosexual peers. Black lesbian women also had higher rates of long sleep. Analyses examining racial /ethnic differences by sexual identity found that Black and Latino gay men reported higher rates of very short sleep compared to White gay men. Black bisexual women had higher rates of short sleep duration than White bisexual women.Conclusions: More research is needed to understand how to promote sleep health among sexual minorities, particularly racial/ethnic minorities, and the impact of inadequate sleep duration on health outcomes in this population. (C) 2019 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.