Generalized stress and sleep hygiene explain the relationship between sexual/gender identity and sleep quality
Generalized stress and sleep hygiene explain the relationship between sexual/gender identity and sleep quality
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DOI：
10.1080/19359705.2023.2204825
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发表时间：
2023-05
影响因子：
1.6
通讯作者：
Jess Campbell;Emily Hokett;Audrey Duarte
中科院分区：
文献类型：
--
作者：
Jess Campbell;Emily Hokett;Audrey Duarte
摘要简介通常情况下，LGBTQ +的人比他们的cisgender异性恋（cishet）同行睡眠更差。然而，缺乏文献调查不同的生活方式/心理社会因素的影响，少数民族的压力之外，作为一个性/性别认同少数和睡眠质量之间的负面关系。目前的研究旨在通过研究广义压力、COVID-19相关压力、社会支持和睡眠卫生对这种关系的影响，帮助填补文献中的关键空白。方法273名参与者（74名LGBTQ+; 199名Cishet）在网上招募，完成了一系列问卷调查，评估睡眠质量，睡眠卫生，广义压力，少数民族压力，COVID-19相关压力和社会支持。结果分析显示，LGBTQ +参与者的睡眠质量更差，普遍压力和COVID-19压力水平更高，社交网络比他们的同龄人更小。广义压力完全介导性/性别认同和睡眠之间的关系，而睡眠卫生部分介导广义压力和睡眠质量之间的关系。社会支持和COVID-19相关的压力并没有缓和广义压力和睡眠之间的关系。结论LGBTQ +人群的睡眠质量差于健康人群是由于LGBTQ +人群的一般压力和睡眠卫生状况不同所致。压力管理和睡眠卫生干预可能有助于防止LGBTQ +和睡眠质量差之间的负面联系。
Abstract Introduction Typically, LGBTQ + people sleep more poorly than their cisgender heterosexual (cishet) counterparts. However, there is a lack of literature investigating the impact of different lifestyle/psychosocial factors, outside of minority stress, on the negative relationship between being a sexual/gender identity minority and sleep quality. The current study aims to help fill critical gaps in the literature by looking at the effects generalized stress, COVID-19-related stress, social support, and sleep hygiene have on this relationship. Methods Two hundred and seventy-three participants (74 LGBTQ+; 199 cishet), recruited online, completed a series of questionnaires assessing sleep quality, sleep hygiene, generalized stress, minority stress, COVID-19-related stress, and social support. Results Analyses showed that LGBTQ + participants reported worse sleep quality, higher levels of generalized stress and COVID-19 stress, and smaller social networks than their cishet peers. Generalized stress fully mediated the relationship between sexual/gender identity and sleep while sleep hygiene partially mediated the relationship between generalized stress and sleep quality. Social support and COVID-19-related stress did not moderate the relationship between generalized stress and sleep. Conclusion Worse sleep quality in LGBTQ + than cishet adults is explained by differences in generalized stress and sleep hygiene. Stress management and sleep hygiene interventions may help prevent the negative associations between being LGBTQ + and poor sleep quality.