Racial/Ethnic Differences in Sleep Disturbances: The Multi-Ethnic Study of Atherosclerosis (MESA)
Racial/Ethnic Differences in Sleep Disturbances: The Multi-Ethnic Study of Atherosclerosis (MESA)
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DOI：
10.5665/sleep.4732
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发表时间：
2015-06-01
期刊：
影响因子：
5.6
通讯作者：
Redline, Susan
中科院分区：
文献类型：
--
作者：
Chen, Xiaoli;Wang, Rui;Redline, Susan
目的：关于睡眠障碍的种族/民族差异的研究有限。本研究旨在量化客观测量的睡眠呼吸障碍（SDB）、睡眠时间短、睡眠质量差和自我报告的睡眠障碍（例如，设计：横断面研究，设置：六个美国社区，参与者：动脉粥样硬化睡眠队列多种族研究中年龄在54-93岁的不同种族的男性和女性（n = 2，230）.干预措施：N/A.测量和结果：来自多导睡眠描记仪测量的SDB、活动描记仪测量的睡眠持续时间和质量的信息，和自我报告的白天嗜睡的数据是在2010年至2013年之间获得的。总体而言，15.0%的人患有严重睡眠障碍（呼吸暂停低通气指数[AHI] >= 30）; 30.9%的人睡眠时间短（< 6小时）; 6.5%的人睡眠质量差（睡眠效率< 85%）; 13.9%的人白天嗜睡。与白人相比，黑人患睡眠呼吸暂停综合征的几率更高（AHI >= 5+嗜睡）（性别、年龄和研究中心调整的比值比[OR] = 1.78，95%置信区间[CI]：1.20，2.63），睡眠时间短（OR = 4.95，95% CI：3.56，6.90）、睡眠质量差（OR = 1.57，95% CI：1.00，2.48）和白天嗜睡（OR = 1.89，95% CI：1.38，2.60）。西班牙裔和中国人比白人有更高的SDB和短睡眠的几率。在非肥胖人群中，中国人患SDB的几率最高。只有7.4%至16.2%的人与AHI >= 15报告了先前诊断为sleep apnea.Conclusions：睡眠障碍是普遍存在于中年和老年人，并因种族/民族，性别和肥胖状态而异。睡眠障碍和未确诊的睡眠呼吸暂停在少数种族/民族中的高患病率可能会导致健康差异。
Objectives: There is limited research on racial/ethnic variation in sleep disturbances. This study aimed to quantify the distributions of objectively measured sleep disordered breathing (SDB), short sleep duration, poor sleep quality, and self-reported sleep disturbances (e.g., insomnia) across racial/ethnic groups.Design: Cross-sectional study.Setting: Six US communities.Participants: Racially/ethnically diverse men and women aged 54-93 y in the Multi-Ethnic Study of Atherosclerosis Sleep Cohort (n = 2,230).Interventions: N/A.Measurements and Results: Information from polysomnography-measured SDB, actigraphy-measured sleep duration and quality, and self-reported daytime sleepiness were obtained between 2010 and 2013. Overall, 15.0% of individuals had severe SDB (apnea-hypopnea index [AHI] >= 30); 30.9% short sleep duration (< 6 h); 6.5% poor sleep quality (sleep efficiency < 85%); and 13.9% had daytime sleepiness. Compared with Whites, Blacks had higher odds of sleep apnea syndrome (AHI >= 5 plus sleepiness) (sex-, age-, and study site- adjusted odds ratio [OR] = 1.78, 95% confidence interval [CI]: 1.20, 2.63), short sleep (OR = 4.95, 95% CI: 3.56, 6.90), poor sleep quality (OR = 1.57, 95% CI: 1.00, 2.48), and daytime sleepiness (OR = 1.89, 95% CI: 1.38, 2.60). Hispanics and Chinese had higher odds of SDB and short sleep than Whites. Among non-obese individuals, Chinese had the highest odds of SDB compared to Whites. Only 7.4% to 16.2% of individuals with an AHI >= 15 reported a prior diagnosis of sleep apnea.Conclusions: Sleep disturbances are prevalent among middle-aged and older adults, and vary by race/ethnicity, sex, and obesity status. The high prevalence of sleep disturbances and undiagnosed sleep apnea among racial/ethnic minorities may contribute to health disparities.