Examining Sleep Duration and Sleep Health Among Sexual Minority and Heterosexual Adults: Findings From NHANES (2005-2014)
Examining Sleep Duration and Sleep Health Among Sexual Minority and Heterosexual Adults: Findings From NHANES (2005-2014)
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DOI：
10.1080/15402002.2019.1591410
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发表时间：
2020-05-03
影响因子：
3.1
通讯作者：
Hickey, Kathleen T.
中科院分区：
文献类型：
--
作者：
Caceres, Billy A.;Hickey, Kathleen T.
目的：这项研究旨在研究美国成年人在睡眠时间和睡眠健康（使用睡眠药物或镇静剂，睡眠问题和睡眠障碍诊断）方面的性别认同差异。方法：使用国家健康和营养调查（2005-2014）的数据。性别分层多元逻辑回归模型用于比较性少数（男/女同性恋，双性恋，不确定）和异性恋参与者之间的睡眠时间和睡眠健康，调整预定的协变量。异性恋参与者是参考组。结果：分析样本包括16，332名参与者。同性恋和双性恋男性与异性恋男性相比，在睡眠时间或睡眠健康方面没有发现差异。不确定性的男性睡眠充足率显著高于异性恋男性（aOR 2.35 [1.16-4.79]）。与异性恋女性相比，双性恋女性报告睡眠时间短的比例更高（aOR 1.29 [95%CI = 1.01-1.65]）。双性恋女性也比异性恋女性更有可能使用睡眠药物或镇静剂（aOR 1.85 [95%CI = 1.19-2.88]），曾告诉健康专业人员他们有睡眠障碍（aOR 1.64 [95%CI = 1.15-2.34），并且被健康专业人员告知他们患有睡眠障碍（aOR 2.38 [95%CI = 1.50-3.80）。与异性恋女性相比，女同性恋和不确定女性在睡眠时间或睡眠健康方面没有差异。结论：研究结果表明，有必要促进睡眠健康，并进一步调查双性恋妇女的睡眠障碍。更多的研究应该包括睡眠健康的客观测量，并检查睡眠健康是否与性少数群体的慢性疾病有关。
Objectives: This study proposed to examine sexual identity differences in sleep duration and sleep health (use of sleep medications or sedatives, trouble sleeping, and diagnosis of sleeping disorders) among American adults. Methods: Data from the National Health and Nutrition Examination Survey (2005-2014) were used. Sex-stratified multiple logistic regression models were used to compare sleep duration and sleep health between sexual minority (gay/lesbian, bisexual, not-sure) and heterosexual participants, adjusted for predetermined covariates. Heterosexual participants were the reference group. Results: The analytic sample included 16,332 participants. No differences in sleep duration or sleep health were detected when gay and bisexual men were compared to heterosexual men. Not-sure men had significantly higher rates of adequate sleep duration than heterosexual men (aOR 2.35 [1.16-4.79]. Compared to heterosexual women, bisexual women reported higher rates of short sleep duration (aOR 1.29 [95% CI = 1.01-1.65]). Bisexual women were also more likely than heterosexual women to use sleep medication or sedatives (aOR 1.85 [95% CI = 1.19-2.88]), to have ever told a health professional they had trouble sleeping (aOR 1.64 [95% CI = 1.15-2.34), and to have been told by a health professional they had a sleeping disorder (aOR 2.38 [95% CI = 1.50-3.80). Lesbian and not-sure women exhibited no differences in sleep duration or sleep health compared to heterosexual women. Conclusions: Findings suggest there is a need to promote sleep health and further investigate sleeping disorders among bisexual women. Additional research should incorporate objective measures of sleep health and examine whether sleep health is associated with chronic disease in sexual minorities.