Everyday and major experiences of racial/ethnic discrimination and sleep health in a multiethnic population of US women: findings from the Sister Study *
Everyday and major experiences of racial/ethnic discrimination and sleep health in a multiethnic population of US women: findings from the Sister Study *
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DOI：
10.1016/j.sleep.2020.03.010
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发表时间：
2020-07-01
期刊：
影响因子：
4.8
通讯作者：
Jackson, Chandra L.
中科院分区：
文献类型：
--
作者：
Gaston, Symielle A.;Feinstein, Lydia;Jackson, Chandra L.
背景在美国，所有种族/民族都存在明显的种族歧视和睡眠不佳，尽管这两种现象在种族/少数民族中最为常见。我们分析了40,038名符合条件的SISTER研究参与者(注册人数：2003-2009年)的横断面相关性，他们报告在2008-2012年的跟踪调查中曾经/从未经历过特定类型的日常生活(例如，在商店或餐馆受到不公平对待)或主要歧视(例如，不公平地阻止、威胁或搜查)。参与者还报告了睡眠时间短(<；7小时)、睡眠欠债(≥2小时最长睡眠时间与最短睡眠时间之差)、频繁午睡(≥3次/周)和失眠。结果我的平均年龄为55岁±88.9岁，89%为非西班牙裔白人，8%为非西班牙裔黑人，3%为西班牙裔/拉丁裔。非裔黑人参与者最有可能每天报告(76%对4%[非裔白人]和36%[西班牙裔/拉丁裔])和主要种族/民族歧视(52%对2%[非裔白人]和18%[拉美裔/拉丁裔])。同时经历两种类型的参与者比不经历这两种类型的参与者更有可能报告睡眠时间短(PR=1.17[95%CI：1.09-1.25])和失眠症状(PR=1.10[1.01-1.20])，但其他睡眠质量不佳。结论种族/少数民族女性最有可能经历种族/民族歧视，这与所有种族/民族的女性睡眠质量差的某些维度有关。
BackgroundPerceived racial/ethnic discrimination and poor sleep occur across all races/ethnicities in the U.S., although both are most common among racial/ethnic minorities. Few studies have investigated associations between perceived racial/ethnic discrimination and various sleep dimensions in a multiethnic population.MethodsWe analyzed cross-sectional associations among 40,038 eligible Sister Study participants (enrollment: 2003–2009) who reported ever/never experiencing specific types of everyday (eg, treated unfairly at a store or restaurant) or major (eg, unfairly stopped, threatened, or searched by police) discrimination attributed to their race/ethnicity during a follow-up survey in 2008–2012. Participants also reported short sleep duration (<7 h), sleep debt (≥2-h difference between longest and shortest sleep duration), frequent napping (≥3 times/week), and insomnia. Poisson regression with robust variance estimation, adjusted for sociodemographic and health characteristics, estimated prevalence ratios (PRs) and 95% confidence intervals (CIs) for the association between each type of racial/ethnic discrimination and each sleep dimension, overall and by race/ethnicity.ResultsMean age was 55 ± 8.9 years, 89% were Non-Hispanic (NH)-white, 8% NH-black, and 3% Hispanic/Latina. NH-black participants were the most likely to report everyday (76% vs. 4% [NH-whites] and 36% [Hispanics/Latinas]) and major racial/ethnic discrimination (52% vs. 2% [NH-whites] and 18% [Hispanics/Latinas]). Participants who experienced both types versus neither were more likely to report short sleep duration (PR = 1.17 [95% CI: 1.09–1.25]) and insomnia symptoms (PR = 1.10 [1.01–1.20]) but not other poor sleep dimensions.ConclusionsRacial/ethnic minority women were most likely to experience racial/ethnic discrimination, which was associated with certain poor sleep dimensions among women of all races/ethnicities.