Socioeconomic Status, Occupational Characteristics, and Sleep Duration in African/Caribbean Immigrants and US White Health Care Workers
Socioeconomic Status, Occupational Characteristics, and Sleep Duration in African/Caribbean Immigrants and US White Health Care Workers
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DOI：
10.1093/sleep/34.4.509
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发表时间：
2011-04-01
期刊：
影响因子：
5.6
通讯作者：
Buxton, Orfeu M.
中科院分区：
文献类型：
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作者：
Ertel, Karen A.;Berkman, Lisa F.;Buxton, Orfeu M.
研究目的：促进我们对社会经济因素、职业暴露和种族/民族与睡眠时间相关的相互作用的理解。我们假设长期医疗保健中的非西班牙裔非洲/加勒比移民员工的睡眠时间比非西班牙裔白人员工更短，低教育、低收入以及包括夜间工作和工作紧张在内的职业暴露是导致非洲/加勒比移民-白人睡眠时间差异的部分原因。设计：横断面设置：美国马萨诸塞州的四家长期护理机构参与者：340名长期护理机构的员工测量和结果：通过手腕活动评估了平均6.3天的睡眠时间。在控制性别和年龄的多变量回归模型中，非洲/加勒比移民每晚比白人参与者少睡64.4分钟(95%CI：-81.0，-47.9)；额外的教育和收入控制将种族差距缩小到50.9分钟(-69.2，-32.5)；对每周工作时间和夜班工作等职业因素的额外控制将种族差距缩小到37.7分钟(-57.8，-17.6)。结论：这项研究支持了这一假设，即社会经济和职业特征解释了美国非洲/加勒比移民-白人睡眠时间差异的部分原因，特别是在卫生保健工作者中。
Study Objectives: To advance our understanding of the interplay of socioeconomic factors, occupational exposures, and race/ethnicity as they relate to sleep duration. We hypothesize that non-Hispanic African/Caribbean immigrant employees in long-term health care have shorter sleep duration than non-Hispanic white employees, and that low education, low income, and occupational exposures including night work and job strain account for some of the African/Caribbean immigrant-white difference in sleep duration.Design: Cross-sectionalSetting: Four extended care facilities in Massachusetts, United StatesParticipants: 340 employees in extended care facilities Measurements andResults: Sleep duration was assessed with wrist actigraphy for a mean of 6.3 days. In multivariable regression modeling controlling for gender and age, African/Caribbean immigrants slept 64.4 fewer minutes (95% CI: -81.0, -47.9) per night than white participants; additional control for education and income reduced the racial gap to 50.9 minutes (-69.2, -32.5); additional control for the occupational factors of hours worked per week and working the night shift reduced the racial gap to 37.7 minutes (-57.8, -17.6).Conclusions: This study provides support for the hypothesis that socioeconomic and occupational characteristics explain some of the African/Caribbean immigrant-white difference in sleep duration in the United States, especially among health care workers.