Racial disparities in sleep health between Black and White young adults: The role of neighborhood safety in childhood.

Racial disparities in sleep health between Black and White young adults: The role of neighborhood safety in childhood.
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DOI:
10.1016/j.sleep.2021.03.007
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发表时间:
2021-05
期刊:
影响因子:
4.8
通讯作者:
El-Sheikh M
El-Sheikh M
中科院分区:
医学2区
文献类型:
--
作者:
Fuller-Rowell TE;Nichols OI;Robinson AT;Boylan JM;Chae DH;El-Sheikh M

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在美国,黑人成年人的睡眠时间较短,睡眠效率也比白色成年人差,但造成这种差异的原因还没有很好的解释。本研究的目的是探讨儿童时期的邻里安全作为随后的睡眠种族差异的中介。数据来自就读于美国东南部一所大型白色大学的黑人和白色年轻人(N = 263; 52%黑人,53%女性;平均年龄= 19.21岁,SD = 1.01)。通过8个晚上的腕部活动记录(床上时间、睡眠持续时间和效率)和一个既定的日间嗜睡自我报告测量来评估睡眠参数。记录了从出生到18岁的居住史,并对儿童时期邻里安全的回顾性自我报告进行了评估。与白色受试者相比,黑人受试者卧床时间更短(p <0.001),睡眠时间更短(p <0.001),睡眠效率更差(p < 0.001),白天嗜睡更多(p = 0.009)。邻里安全介导的种族差异在床上的时间(p = 0.028),睡眠时间(p = 0.033),和白天嗜睡(p = 0.048),但不是睡眠效率。在调整家庭社会经济地位,BMI和物质使用后,结果基本不变。研究结果支持了这一假设,即儿童时期的邻里安全可能部分解释了随后的睡眠时间和白天嗜睡的种族差异。解决儿童邻里安全方面的种族不平等问题可能是减少睡眠健康方面种族差异的重要一步。
Black adults in the United States have shorter sleep durations and poorer sleep efficiency relative to White adults, yet reasons for these disparities are not well explicated. The objective of this study was to examine neighborhood safety in childhood as a mediator of subsequent racial disparities in sleep. Data were from Black and White young adults attending a large, predominantly White university in the Southeastern United States (N = 263; 52% Black, 53% female; Mean age = 19.21 years, SD = 1.01). Sleep parameters were assessed from 8 nights of wrist actigraphy (time in bed, sleep duration, and efficiency) and an established self-report measure of daytime sleepiness. Residential histories from birth through age 18 were documented, and retrospective self-reports of neighborhood safety in childhood were assessed. Black participants had less time in bed (p < 0.001), shorter sleep duration (p < 0.001), poorer sleep efficiency (p < 0.001), and more daytime sleepiness (p = 0.009) than White participants. Neighborhood safety mediated race differences in time in bed (p = 0.028), sleep duration (p = 0.033), and daytime sleepiness (p = 0.048), but not sleep efficiency. Findings were substantively unchanged after adjustment for family socioeconomic status, BMI, and substance use. Findings support the hypothesis that neighborhood safety in childhood may partially account for race differences in subsequent sleep duration and daytime sleepiness. Addressing racial inequities in childhood neighborhood safety may be an important step toward reducing racial disparities in sleep health.
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影响因子: 2.6
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DOI: 10.1037/cdp0000104
发表时间: 2017-04
影响因子: 3.3
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