Sleep health
Sleep health
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睡眠健康
DOI：
10.1111/jsr.13586
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发表时间：
2022
影响因子：
4.4
通讯作者：
Dieter Riemann
中科院分区：
文献类型：
--
作者：
Dieter Riemann
目的：在美国，2019冠状病毒病的健康和财务后果对妇女和少数民族群体造成了不成比例的影响。然而，很少有美国研究调查COVID-19大流行期间的经济困难和睡眠健康差异。我们的目标是按性别、种族和民族调查美国COVID-19大流行期间经济困难与睡眠障碍之间的关联。研究方法：我们使用了具有全国代表性的COVID-19不平等种族负担横断面调查数据，从2020年12月至2021年2月收集了5339名男性和女性。参与者报告了自大流行开始以来的经济困难（例如债务、就业/工作损失），并完成了患者报告结局管理信息系统简表4a的睡眠障碍。患病率（PR）和95%置信区间估计使用调整，加权泊松回归稳健方差。结果：大多数（71%）参与者报告经济困难。总体而言，中度至重度睡眠障碍的患病率为20%，女性（23%）较高，美洲印第安人/阿拉斯加原住民（29%）和多种族成年人（28%）最高。经济困难与中度至重度睡眠障碍之间的相关性（PR = 1.52 [95%置信区间：1.18，1.94]）不因性别而异，但因种族和民族而异：黑人/非裔美国人（PR = 3.52 [1.99，6.23]）成人之间的相关性最强。结论：经济困难和睡眠障碍都很普遍，它们的关系在某些少数民族群体中最为强烈，特别是黑人/非裔美国人成年人。减轻经济不安全感的干预措施可能会减少睡眠健康差异。
Objective: In the United States (US), the health and financial consequences of COVID-19 have dis- proportionately impacted women and minoritized racial-ethnic groups. Yet, few US studies have investigated financial hardship during the COVID-19 pandemic and sleep health disparities. Our objective was to investigate associations between financial hardship and sleep disturbances during the COVID-19 pandemic by gender and race and ethnicity in the United States. Methods: We used the nationally representative COVID-19 ′ s Unequal Racial Burden cross-sectional survey data collected among 5339 men and women from 12/2020 to 2/2021. Participants reported financial hardship (eg, debt, employment/work loss) since the pandemic began and completed the Patient-Reported Outcomes Management Information System Short Form 4a for sleep disturbances. Prevalence ratios (PRs) and 95% confidence intervals were estimated using adjusted, weighted Poisson regression with robust variance. Results: Most (71%) participants reported financial hardship. Prevalence of moderate to severe sleep disturbances was 20% overall, higher among women (23%), and highest among American Indian/Alaska Native (29%) and multiracial adults (28%). Associations between financial hardship and moderate to severe sleep disturbances (PR = 1.52 [95% confidence interval: 1.18, 1.94]) did not differ by gender but varied by race and ethnicity: associations were strongest among Black/African American (PR = 3.52 [1.99,6.23]) adults. Conclusions: Both financial hardship and sleep disturbances were prevalent, and their relationships were strongest among certain minoritized racial-ethnic groups, particularly Black/African American adults. Interventions that alleviate financial insecurity may reduce sleep health disparities.
影响因子：
7.2
作者：
Cella, David;Riley, William;Stone, Arthur;Rothrock, Nan;Reeve, Bryce;Yount, Susan;Amtmann, Dagmar;Bode, Rita;Buysse, Daniel;Choi, Seung;Cook, Karon;DeVellis, Robert;DeWalt, Darren;Fries, James F.;Gershon, Richard;Hahn, Elizabeth A.;Lai, Jin-Shei;Pilkonis, Paul;Revicki, Dennis;Rose, Matthias;Weinfurt, Kevin;Hays, Ron
通讯作者：
Hays, Ron