Low socioeconomic status negatively affects sleep in pregnant women.
Low socioeconomic status negatively affects sleep in pregnant women.
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DOI：
10.1111/1552-6909.12295
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发表时间：
2014-03
期刊：
影响因子：
--
通讯作者：
Hall M
中科院分区：
文献类型：
--
作者：
Okun ML;Tolge M;Hall M
评估社会经济地位对一个大的孕妇队列的睡眠质量，连续性和数量的措施的影响。前瞻性、纵向研究。170例妊娠10-20周的孕妇。睡眠质量采用匹兹堡睡眠质量指数进行评估。在妊娠10-12周、14-16周和18-20周时，用体动记录仪评估睡眠持续时间和连续性（睡眠碎片指数[SFI]）。由于睡眠在不同时间没有显著差异，因此在分析中使用了所有三个时间点的平均值。社会经济地位（SES）由自我报告的家庭年收入定义。在调整年龄、种族、产次、婚姻状况、身体质量指数（BMI）、感知压力、抑郁症状和经济压力后，使用线性回归分析对SES与睡眠的独立关联进行建模。平均而言，女性报告睡眠质量中等差（M = 5.4，SD= 2.7），睡眠时间短（391（55.6）分钟）和睡眠片段（SFI M = 33.9，SD= 10.4）。在协变量调整后，家庭年收入<50，000美元与睡眠质量较差（β =-0.18，p <0.05）和睡眠碎片较大（β=-0.18，p <0.05）相关。即使经过统计调整，低SES也与较差的睡眠质量和碎片化睡眠相关。感知压力和财务压力减弱SES睡眠协会表明，怀孕前的心理社会情况也很重要的考虑。
To evaluate the effect of socioeconomic status on measures of sleep quality, continuity, and quantity in a large cohort of pregnant women. Prospective, longitudinal study. One hundred seventy (170) pregnant women at 10-20 weeks gestation. Sleep quality was assessed with the Pittsburgh Sleep Quality Index. Sleep duration and continuity (sleep fragmentation index [SFI]) were assessed with actigraphy at 10-12, 14-16, and 18-20 weeks gestation. Since sleep did not significantly differ across time, averages across all three time points were used in analyses. Socioeconomic status (SES) was defined by self-reported annual household income. Linear regression analyses were used to model the independent associations of SES on sleep after adjusting for age, race, parity, marital status, body mass index (BMI), perceived stress, depressive symptoms, and financial strain. On average, women reported modestly poor sleep quality (M = 5.4, SD= 2.7), short sleep duration (391 (55.6) min) and fragmented sleep (SFI M = 33.9, SD= 10.4. A household income < $50,000/year was associated with poorer sleep quality (β = -.18, p < .05) and greater sleep fragmentation (β= -.18, p < .05) following covariate adjustment. Low SES was associated with poorer sleep quality and fragmented sleep, even after statistical adjustments. Perceived stress and financial strain attenuated SES-sleep associations indicating that psychosocial situations preceding pregnancy are also important to consider.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
4.8
作者：
Grandner, Michael A.;Patel, Nirav P.;Gehrman, Philip R.;Xie, Dawei;Sha, Daohang;Weaver, Terri;Gooneratne, Nalaka
通讯作者：
Gooneratne, Nalaka
影响因子：
5.6
作者：
Ertel, Karen A.;Berkman, Lisa F.;Buxton, Orfeu M.
通讯作者：
Buxton, Orfeu M.
影响因子：
2.5
作者：
Greenough, Anne
通讯作者：
Greenough, Anne
影响因子：
3.1
作者：
Greenwood, Kenneth M;Hazendonk, Kim M
通讯作者：
Hazendonk, Kim M