Short sleep duration across income, education, and Race/Ethnic groups: Population prevalence and growing disparities during 34 years of follow-up
Short sleep duration across income, education, and Race/Ethnic groups: Population prevalence and growing disparities during 34 years of follow-up
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DOI：
10.1016/j.annepidem.2007.07.096
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发表时间：
2007-12-01
影响因子：
5.6
通讯作者：
Roberts, Robert E.
中科院分区：
文献类型：
--
作者：
Stamatakis, Katherine A.;Kaplan, George A.;Roberts, Robert E.
目的：关于短陡持续时间的人口决定因素知之甚少。作者研究了短期陡峭的持续时间和收入，教育和种族/民族之间的关联，并评估了随着时间的推移，在相对disparity.METHODS：问卷调查数据从阿拉米达县健康和生活方式研究（ACS）在5个时间点（1965年，1974年，1983年，1994年和1999年）获得短睡眠时间（< 7小时睡眠每晚）。在基线时评估家庭收入、教育水平和种族/民族（n = 6928）。计算比值比，以检查收入，教育和种族/民族之间的短睡眠时间，调整年龄，性别和随时间变化的协变量，并评估随时间的变化。结果：基线时短睡眠的患病率为15.2%。的在家庭收入最低的五分位数（比值比[OR]，1.62; 95%置信区间[CI]，1.34-1.94）、高中以下教育程度的人（OR，1.51; 95% CI，1.30-1.75）和非裔美国人（OR，1.97; 95% CI，1.68-2.30）中，睡眠时间短的几率增加。随着时间的推移，非洲裔美国人和西班牙裔的相对差距增加，与白色，participator.CONCIUSIONS：社会经济地位是一个强大的决定因素，短睡眠时间，即使调整后的健康相关的特征与短睡眠时间。
PURPOSE: Little is known about population determinants of short steep duration. The authors examined associations between short steep duration and income, education and race/ethnicity, and assessed changes over time in relative disparities.METHODS: Questionnaire data from the Alameda County Health and Ways of Living Study (ACS) was obtained at five time-points (1965, 1974, 1983, 1994, and 1999) for short sleep duration ( < 7 hours sleep per night). Household income, education level, and race/ethnicity were assessed at baseline (n = 6928). Odds ratios were computed to examine short sleep duration across income, education and race/ethnicity, adjusting for age, sex and time-varying covariates, and to assess changes over time. RESULTS: Prevalence of short sleep at baseline was 15.2%. The (age-adjusted) odds of short sleep was increased for the lowest household income quintile (odds ratio [OR], 1.62; 95% confidence interval [CI], 1.34-1.94), those with less than high school education (OR, 1.51; 95% CI, 1.30-1.75), and among African Americans (OR, 1.97; 95% CI, 1.68-2.30). Relative disparities increased over time for African-American and Hispanic, compared with white, participants.CONCIUSIONS: Socioeconomic position is a robust determinant of short sleep duration, even after adjusting for health-related characteristics linked to short sleep duration.