Socioeconomic Deprivation, Sleep Duration, and Mental Health during the First Year of the COVID-19 Pandemic.
Socioeconomic Deprivation, Sleep Duration, and Mental Health during the First Year of the COVID-19 Pandemic.
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DOI：
10.3390/ijerph192114367
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发表时间：
2022-11-03
影响因子：
--
通讯作者：
Duwadi, Deepesh
中科院分区：
文献类型：
--
作者：
Griggs, Stephanie;Horvat Davey, Christine;Howard, Quiana;Pignatiello, Grant;Duwadi, Deepesh
关键词：
2019年冠状病毒病(新冠肺炎)对美国的睡眠和心理健康产生了迅速和持续的负面影响，社会经济贫困人口的发病率和死亡率不成比例。我们使用多变量和Logistic回归来评估2020年行为风险因素监测系统(BRFSS)调查中来自1101个邮政编码列表地区的14,676名俄亥俄州居民的睡眠时间、心理健康和社会经济剥夺(社会剥夺指数)之间的关系。在多变量线性回归模型中，在调整了协变量(年龄、性别、种族、教育程度、收入和体重指数)后，社会经济贫困程度越高，睡眠时间越短，心理健康状况越差。在Logistic回归模型中，社会经济贫困程度最高的地区发生睡眠不足(持续6小时)和精神健康状况差(14天)的几率分别高出1.6倍和1.5倍。以前的研究人员关注的是有限的社会环境因素，如拥挤和收入。在新冠肺炎研究的第一年，我们考察了基于复合区域的社会经济剥夺测量在睡眠时间和心理健康中的作用。我们的结果表明，需要一个更广泛的框架来理解灾难性事件中社会经济剥夺、睡眠时间和心理健康之间的联系。
The coronavirus disease 2019 (COVID-19) has had a rapid and sustained negative impact on sleep and mental health in the United States with disproportionate morbidity and mortality among socioeconomically deprived populations. We used multivariable and logistic regression to evaluate the associations among sleep duration, mental health, and socioeconomic deprivation (social deprivation index) in 14,676 Ohio residents from 1101 zip code tabulation areas from the 2020 Behavioral Risk Factor Surveillance System (BRFSS) survey. Higher socioeconomic deprivation was associated with shorter sleep and poorer mental health after adjusting for covariates (age, sex, race, education, income, and body mass index) in the multivariable linear regression models. Those in the highest socioeconomically deprived areas had 1.6 and 1.5 times higher odds of short sleep (duration < 6 h) and poor mental health (>14 poor mental health days), respectively, in the logistic regression models. Previous researchers have focused on limited socio-environmental factors such as crowding and income. We examined the role of a composite area based measure of socioeconomic deprivation in sleep duration and mental health during the first year of COVID-19. Our results suggest the need for a broader framework to understand the associations among socioeconomic deprivation, sleep duration, and mental health during a catastrophic event.
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