Epidemiologic Methods to Estimate Insufficient Sleep in the US Population.

Epidemiologic Methods to Estimate Insufficient Sleep in the US Population.
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DOI:
10.3390/ijerph17249337
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发表时间:
2020-12-14
影响因子:
--
通讯作者:
Avirappattu G
Avirappattu G
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Jean-Louis G;Turner AD;Seixas A;Jin P;Rosenthal DM;Liu M;Avirappattu G

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本研究通过检查人种/种族的解释作用以及来自logistic和Poisson回归建模技术的对比值,探讨了人群水平睡眠不足(<6小时)估计值的差异。我们利用国家健康和营养调查数据来检验我们的假设在20-85岁的非西班牙裔黑人和非西班牙裔白色成年人。我们使用转换的logistic回归和Poisson回归估计了睡眠不足的优势比,具有稳健的方差相对风险和95%置信区间(CI)。比较非西班牙裔白色(10176)和非西班牙裔黑人(4888)成年人(平均年龄:50.61 ± 18.03岁,女性:50.8%),我们观察到,在所有年龄组中,非西班牙裔黑人睡眠不足的比例(19.2-26.1%)高于非西班牙裔白人(8.9-13.7%)。转换后的估计相对风险范围为2.12(95% CI:1.59,2.84)至2.59(95% CI:1.92,3.50),而直接从Poisson回归分析得出的估计相对风险范围为1.84(95% CI:1.49,2.26)至2.12(95% CI:1.64,2.73)。所有分析都表明,非西班牙裔黑人睡眠不足的风险更高。然而,从逻辑回归模型得出的估计值要高得多,这表明从泊松回归模型确定的相对风险的直接估计值可能是估计睡眠不足人群水平风险的首选方法。
This study explored the divergence in population-level estimates of insufficient sleep (<6 h) by examining the explanatory role of race/ethnicity and contrasting values derived from logistic and Poisson regression modeling techniques. We utilized National Health and Nutrition Examination Survey data to test our hypotheses among 20–85 year-old non-Hispanic Black and non-Hispanic White adults. We estimated the odds ratios using the transformed logistic regression and Poisson regression with robust variance relative risk and 95% confidence intervals (CI) of insufficient sleep. Comparing non-Hispanic White (10176) with non-Hispanic Black (4888) adults (mean age: 50.61 ± 18.03 years, female: 50.8%), we observed that the proportion of insufficient sleepers among non-Hispanic Blacks (19.2–26.1%) was higher than among non-Hispanic Whites (8.9–13.7%) across all age groupings. The converted estimated relative risk ranged from 2.12 (95% CI: 1.59, 2.84) to 2.59 (95% CI: 1.92, 3.50), while the estimated relative risks derived directly from Poisson regression analysis ranged from 1.84 (95% CI: 1.49, 2.26) to 2.12 (95% CI: 1.64, 2.73). All analyses indicated a higher risk of insufficient sleep among non-Hispanic Blacks. However, the estimates derived from logistic regression modeling were considerably higher, suggesting the direct estimates of relative risk ascertained from Poisson regression modeling may be a preferred method for estimating population-level risk of insufficient sleep.
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