Association of financial hardship with poor sleep health outcomes among men who have sex with men.
Association of financial hardship with poor sleep health outcomes among men who have sex with men.
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DOI：
10.1016/j.ssmph.2017.07.006
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发表时间：
2017-12
期刊：
影响因子：
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通讯作者：
Elbel B
中科院分区：
文献类型：
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作者：
Duncan DT;Hyun Park S;Al-Ajlouni YA;Hale L;Jean-Louis G;Goedel WC;Chaix B;Elbel B
之前的研究已经确定了社会经济地位和睡眠健康之间的联系。虽然一些研究研究了性少数群体，包括男男性行为者（MSM）之间的这种联系，但他们只关注美国的人群。这两者在影响睡眠健康方面的相互作用此前尚未在居住在美国以外的人群中进行过研究。这项研究考虑了这两个决定因素，通过调查经济困难是否与法国巴黎的MSM样本中的睡眠健康有关。在一款面向男男性行为者的流行地理社交网络智能手机应用程序上投放了广播广告，引导巴黎的用户进行一项基于网络的调查，以衡量经济困难、睡眠健康的五个方面以及社会人口特征。计算具有稳健误差方差的修正泊松模型，以估计经济困难与以下自我报告结果之间关联的风险比（rr）和95%置信区间（CI）： 1)睡眠质量差，2)睡眠时间短；3)睡眠问题。共有580名受访者完成了调查。在这个样本中，经济困难和睡眠健康状况不佳都很常见——45.5%的人报告说，他们每月支付账单非常、非常或有些困难（被称为“高经济困难”），30.1%的人认为他们的睡眠相当差或非常差（被称为“睡眠质量差”）。多变量模型显示，与报告低经济困难的参与者相比，报告高经济困难的参与者更有可能报告睡眠质量差（aRR: 1.35, 95% CI: 1.04, 1.77），报告入睡问题（aRR: 1.23, 95% CI: 1.02, 1.49），以及报告白天保持清醒的问题（aRR: 3.12, 95% CI: 1.83, 5.31）。未来的研究应该调查这种关系是否存在因果关系，并确定减少经济困难的干预措施是否可以促进男男性行为者的睡眠健康。在我们的男男性行为者（MSM）样本中，睡眠健康状况不佳是很常见的。几乎一半的样本（45.5%）报告了高度的经济困难。在多变量回归模型中，经济困难与男男性行为者睡眠质量差、睡眠时间短和睡眠问题有关。
Previous studies have identified an association between socioeconomic status and sleep health. While some research has studied this association among sexual minority groups, including men who have sex with men (MSM), they exclusively focused on US-based populations. The interplay between the two in shaping sleep health has not been previously examined on populations residing outside the US. This study considers both determinants, by investigating whether financial hardship is associated with sleep health among a sample of MSM in Paris, France. Broadcast advertisements were placed on a popular geosocial-networking smartphone application for MSM to direct users in Paris to a web-based survey measuring financial hardship and five dimensions of sleep health as well as socio-demographic characteristics. Modified Poisson models with robust error variance were computed to estimate risk ratios (RRs) and 95% confidence intervals (CI) for the associations between financial hardship and the following self-reported outcomes: 1) poor sleep quality, 2) short sleep duration; and 3) sleep problems. In total, 580 respondents completed the survey. In this sample, both financial hardship and poor sleep health were common - 45.5% reported that it was extremely, very, or somewhat difficult for them to meet their monthly payments on bills (referred to as “high financial hardship”) and 30.1% rated their sleep as fairly bad or very bad (referred to as “poor sleep quality”). Multivariate models revealed that, compared to participants who reported low financial hardship, those who reported high financial hardship were more likely to report poor sleep quality (aRR: 1.35, 95% CI: 1.04, 1.77), to report problems falling asleep (aRR: 1.23, 95% CI: 1.02, 1.49), and to report problems staying awake in the daytime (aRR: 3.12, 95% CI: 1.83, 5.31). Future research should investigate whether this relationship is causal and determine whether interventions to reduce financial hardships could promote sleep health among MSM. In our sample of men who have sex with men (MSM), poor sleep health was common. Almost half of the sample (45.5%) reported high financial hardship. Financial hardship was associated with poor sleep quality, short sleep duration, and having sleep problems in multivariate regression models among MSM.