Asian-White disparities in short sleep duration by industry of employment and occupation in the US: a cross-sectional study.

Asian-White disparities in short sleep duration by industry of employment and occupation in the US: a cross-sectional study.
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DOI:
10.1186/1471-2458-14-552
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发表时间:
2014-06-03
期刊:
影响因子:
4.5
通讯作者:
Hu FB
Hu FB
中科院分区:
医学2区
文献类型:
--
作者:
Jackson CL;Kawachi I;Redline S;Juon HS;Hu FB

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尽管睡眠不足与发病率和死亡率的增加有关,而且已被证明因就业和职业的行业而异,但人们对亚裔美国人的工作和睡眠之间的关系知之甚少。使用2004年至2011年全国健康访谈调查中具有全国代表性的美国成年人样本(n = 125,610),我们使用具有稳健方差的调整泊松回归模型估计了亚洲人自我报告的短睡眠时间(<7小时)与按就业和职业划分的白人的患病率。亚裔比白人更有可能睡眠时间较短(33%比28%,p<0.001),而且亚裔与白人在金融/信息和医疗保健行业的差距最大。与调整后的白人相比,在公共行政(PR=1.35[95%CI:1.17,1.56])、教育(PR=1.29[95%CI:1.08,1.53])和专业/管理(PR=1.18[95%CI:1.03,1.36])工作的亚洲人中睡眠不足的比例也更高。然而,在亚洲人中,睡眠不足在住宿/食物方面较低(PR=0.81[95%CI:0.66,0.99]),而在零售方面没有差异。在专业和支持服务职业中,亚洲人睡眠时间短的比例更高,但在劳动者中并没有什么不同。美国亚裔白人在睡眠不足方面的差异因行业而异,这表明需要同时考虑种族和职业特征来识别高危个体。
Although short sleep is associated with an increased risk of morbidity as well as mortality and has been shown to vary by industry of employment and occupation, little is known about the relationship between work and sleep among Asian Americans. Using a nationally representative sample of US adults (n = 125,610) in the National Health Interview Survey from 2004–2011, we estimated prevalence ratios for self-reported short sleep duration (<7 hours) in Asians compared to Whites by industry of employment and occupation using adjusted Poisson regression models with robust variance. Asians were more likely to report short sleep duration than Whites (33 vs. 28%, p < 0.001), and the Asian-White disparity was widest in finance/information and healthcare industries. Compared to Whites after adjustments, short sleep was also more prevalent among Asians employed in Public administration (PR = 1.35 [95% CI: 1.17,1.56]), Education (PR = 1.29 [95% CI: 1.08,1.53]), and Professional/Management (PR = 1.18 [95% CI: 1.03,1.36]). Short sleep, however, was lower among Asians in Accommodation/Food (PR = 0.81 [95% CI: 0.66, 0.99]) with no difference in Retail. In professional and support-service occupations, short sleep was higher among Asians, but was not different among laborers. U.S. Asian-White disparities in short sleep varied by industries, suggesting a need to consider both race and occupational characteristics to identify high-risk individuals.
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