Racial/Ethnic Disparities in the Relationship Between Traumatic Childhood Experiences and Suboptimal Sleep Dimensions Among Adult Women: Findings from the Sister Study.
Racial/Ethnic Disparities in the Relationship Between Traumatic Childhood Experiences and Suboptimal Sleep Dimensions Among Adult Women: Findings from the Sister Study.
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DOI：
10.1007/s12529-020-09905-5
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发表时间：
2021-03
影响因子：
2.7
通讯作者：
Jackson CL
中科院分区：
文献类型：
--
作者：
Gaston SA;McWhorter KL;Parks CG;D'Aloisio AA;Rojo-Wissar DM;Sandler DP;Jackson CL
Traumatic childhood experiences (TCEs) are associated with poor adulthood sleep, but racial/ethnic disparities have not been well-studied. We investigated the TCEs-adulthood sleep relationship among non-Hispanic (NH)-White, NH-Black, and Hispanic/Latina women. Women enrolled in the Sister Study from 2003-2009 reported the following TCEs in a follow-up interview (2008-2012): natural disasters, major accidents, household dysfunction, and sexual, physical, and psychological/emotional abuse. Sleep characteristics included short sleep duration (<7 hours vs. 7-9 hours), long sleep onset latency (SOL) (>30 vs. ≤30 minutes), frequent night awakenings (≥3 times/night ≥3 times/week [yes vs. no]), and frequent napping (≥3 vs. <3 times/week). Using log-binomial regression to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) for sleep characteristics among women with vs. without TCEs, we investigated racial/ethnic-specific associations and race/ethnicity as a moderator. Among 40,082 participants (mean age= 55±8.8 years), 55% reported ≥1 TCE (NH-White: 54%, NH-Black: 62%, Hispanic/Latina: 57%). NH-White, NH-Black, and Hispanic/Latina women reporting any TCE had a higher prevalence of short sleep compared to their within-race/ethnicity counterparts without TCEs. Associations were strongest among NH-Whites. Compared to NH-Whites with no TCEs, racial/ethnic minorities who reported any TCEs had a higher prevalence of short sleep (PRBlacks=2.13 [95% CI: 2.02-2.24], PRHispanics/Latinas=1.47 [1.35-1.60]) and long SOL. When comparing racial/ethnic minorities with TCEs to NH-Whites with TCEs, PRs for short sleep (PRBlacks=1.98 [1.88-2.08] and PRHispanics/Latinas=1.36 [1.25-1.48]) and long SOL were weaker. TCEs were positively associated with poor sleep characteristics among women, and TCEs appear to contribute to short sleep duration and long SOL disparities.
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