Adapting the Health Stigma and Discrimination Framework to understand the association between stigma and sleep deficiency: A systematic review.
Adapting the Health Stigma and Discrimination Framework to understand the association between stigma and sleep deficiency: A systematic review.
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DOI：
10.1016/j.sleh.2022.03.004
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发表时间：
2022-06
期刊：
影响因子：
4.1
通讯作者：
Redeker, Nancy S.
中科院分区：
文献类型：
--
作者：
Nwanaji-Enwerem, Uzoji;Condon, Eileen M.;Conley, Samantha;Wang, Katie;Iheanacho, Theddeus;Redeker, Nancy S.
睡眠不足和睡眠障碍对社会弱势和边缘化个人和群体的影响尤为严重。最近的证据表明，耻辱是一种以标签、刻板印象和偏见为特征的社会过程，与睡眠特征有关。在健康耻辱和歧视框架的指导下，本次系统评价的目的是描述耻辱维度与睡眠不足之间的关联，并确定未来的研究方向。我们检索了 OVIDPsycINFO、OVIDEMASE、OVIDMEDLINE 和 CINAHL 数据库中的实证研究，这些研究报告了耻辱的三个维度（内在的、感知的和预期的）与睡眠不足的特征（持续时间、连续性/效率、时间、警觉性/嗜睡、质量和障碍）之间的关系。在 1,717 篇文章中，有 15 篇符合我们的纳入标准。最常评估的耻辱维度是内化的和感知的耻辱。通过自我报告来测量睡眠不足的特征，包括睡眠质量、持续时间、睡眠困难和失眠症状。我们发现一致的证据表明，耻辱，无论是内化的、感知的还是预期的，都与自我报告的睡眠不足特征有关。通过纳入耻辱的多维测量和睡眠特征的客观测量的前瞻性研究可以进一步加强这一证据基础。我们概述了研究意义，可以澄清潜在机制，更准确地定义耻辱与睡眠之间的关系，并为解决耻辱、改善睡眠和减少对社会弱势和边缘群体个体造成不成比例影响的健康不平等的干预措施提供信息。
Sleep deficiency and sleep disorders disproportionally affect socially disadvantaged and marginalized individuals and groups. Recent evidence suggests that stigma, a social process characterized by labeling, stereotyping, and prejudice, is associated with sleep characteristics. Guided by the Health Stigma and Discrimination Framework, the purpose of this systematic review is to describe associations between dimensions of stigma and sleep deficiency and to identify future directions for research. We searched the OVIDPsycINFO, OVIDEMASE, OVIDMEDLINE, and CINAHL databases for empirical research studies that reported relationships between the three dimensions of stigma—internalized, perceived, and anticipated—and characteristics of sleep deficiency—duration, continuity/efficiency, timing, alertness/sleepiness, quality, and disorders. Of 1,717 articles, 15 met our inclusion criteria. The most frequently assessed dimensions of stigma were internalized and perceived stigma. Characteristics of sleep deficiency were measured by self-report and included sleep quality, duration, trouble sleeping, and insomnia symptoms. We found consistent evidence that stigma, whether internalized, perceived, or anticipated, is associated with self-reported characteristics of sleep deficiency. This evidence base can be further strengthened with prospective studies that incorporate both multidimensional measures of stigma and objective measures of sleep characteristics. We outline research implications that can clarify underlying mechanisms and more precisely define the relationships between stigma and sleep and inform interventions to address stigma, improve sleep, and reduce the health inequities that disproportionately affect individuals from socially disadvantaged and marginalized groups.
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