The sleep justice study - a prospective cohort study assessing sleep as a cardiometabolic risk factor after incarceration: a protocol paper.
The sleep justice study - a prospective cohort study assessing sleep as a cardiometabolic risk factor after incarceration: a protocol paper.
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DOI：
10.1186/s12889-023-16985-x
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发表时间：
2023-10-27
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
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据估计，每年有1100万人从美国监狱和监狱中获释。与一般人群相比，有监禁史的人有更高的心血管疾病（CVD）事件和死亡率，特别是在从监狱设施释放后的几周内。与心血管健康相关的健康睡眠是该人群心血管疾病流行病学中一个未充分研究的因素。被监禁的人可能有独特的个人，环境和制度政策层面的原因导致睡眠不足。监狱设施和释放后住房内的社会和物理环境可能会协同影响睡眠，造成睡眠和心血管健康的差异。由于监狱设施不成比例地容纳贫困和少数群体，影响睡眠的人群特定风险因素也可能导致心血管结局的不公平。 这项研究是一项正在进行的前瞻性队列研究的辅助研究，该研究招募了500名在从监禁中释放后三个月内具有已知心血管危险因素的个体，即正义参与的个体心血管疾病流行病学（JUSTICE）研究。睡眠正义研究将使用三项经过验证的调查来衡量参与者在基线和六个月内的睡眠健康状况：匹兹堡睡眠质量指数（PSQI），STOP-Bang和睡眠控制简要指数。在一个100人的子样本中，我们将使用腕动记录仪评估一周内的睡眠情况，腕动记录仪是一种经过验证的客观睡眠测量方法，收集有关休息-活动模式、睡眠和环境光照水平的数据。使用这些数据，我们将估计和比较最近从监狱设施释放的个人的睡眠健康及其与CVD风险因素控制的关联。 数百万贫困和少数群体的监禁提出了迫切需要了解监禁如何影响心血管疾病流行病学。这项研究将提高我们对从监狱设施释放的人的睡眠健康及其与CVD危险因素控制的潜在关系的理解。使用主观和客观的睡眠测量将使我们能够确定独特的目标，以改善睡眠健康和减轻心血管风险，否则研究不足的人群。
An estimated 11 million individuals are released from U.S. jails and prisons each year. Individuals with a history of incarceration have higher rates of cardiovascular disease (CVD) events and mortality compared to the general population, especially in the weeks following release from carceral facilities. Healthy sleep, associated with cardiovascular health, is an underexplored factor in the epidemiology of CVD in this population. Incarcerated people may have unique individual, environmental, and institutional policy-level reasons for being sleep deficient. The social and physical environment within carceral facilities and post-release housing may synergistically affect sleep, creating disparities in sleep and cardiovascular health. Since carceral facilities disproportionately house poor and minoritized groups, population-specific risk factors that impact sleep may also contribute to inequities in cardiovascular outcomes. This study is ancillary to an ongoing prospective cohort recruiting 500 individuals with known cardiovascular risk factors within three months of release from incarceration, the Justice-Involved Individuals Cardiovascular Disease Epidemiology (JUSTICE) study. The Sleep Justice study will measure sleep health among participants at baseline and six months using three validated surveys: the Pittsburgh Sleep Quality Index (PSQI), the STOP-Bang, and the Brief Index of Sleep Control. In a subsample of 100 individuals, we will assess sleep over the course of one week using wrist actigraphy, a validated objective measure of sleep that collects data on rest-activity patterns, sleep, and ambient light levels. Using this data, we will estimate and compare sleep health and its association with CVD risk factor control in individuals recently released from carceral facilities. The incarceration of millions of poor and minoritized groups presents an urgent need to understand how incarceration affects CVD epidemiology. This study will improve our understanding of sleep health among people released from carceral facilities and its potential relationship to CVD risk factor control. Using subjective and objective measures of sleep will allow us to identify unique targets to improve sleep health and mitigate cardiovascular risk in an otherwise understudied population.
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影响因子：
2.3
作者：
Elger, Bernice S.
通讯作者：
Elger, Bernice S.
影响因子：
1.5
作者：
Elger, Bernice S.
通讯作者：
Elger, Bernice S.
影响因子：
5.6
作者：
de Souza, L;Benedito-Silva, AA;Calil, HM
通讯作者：
Calil, HM
影响因子：
4.8
作者：
Dewa LH;Hassan L;Shaw JJ;Senior J
通讯作者：
Senior J
影响因子：
4.8
作者：
Edmondson D;Kronish IM;Shaffer JA;Falzon L;Burg MM
通讯作者：
Burg MM