Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults.
Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults.
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DOI：
10.2147/nss.s268087
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发表时间：
2020
影响因子：
3.4
通讯作者：
Jackson CL
中科院分区：
文献类型：
--
作者：
Goldstein SJ;Gaston SA;McGrath JA;Jackson CL
以前的研究调查睡眠和严重心理困扰（SPD）之间的关系缺乏种族/民族的多样性和普遍性。我们调查了一个大的，全国代表性的，种族/民族多样化的美国成年人样本之间的睡眠和SPD之间的关联。我们汇总了2004年至2017年全国健康访谈调查的横断面数据。参与者自我报告睡眠持续时间和睡眠障碍（例如，难以入睡和保持睡眠）。SPD定义为Kessler心理困扰量表（K6）评分≥13。调整社会人口统计学、健康行为和临床特征后，我们使用具有稳健方差的Poisson回归来估计总体和种族/民族的每种睡眠特征的SPD患病率（PR）和95%置信区间（CI）。在316，840名参与者中，平均年龄±标准误差为46.9 ± 0.1岁，52%为女性，75%为非西班牙裔（NH）-白色，16%为NH-黑人，9%为西班牙裔/拉丁裔。新罕布什尔州白人的SPD患病率为3.4%，新罕布什尔州黑人为4.1%，西班牙裔/拉丁裔为4.5%。睡眠时间<7小时的参与者与睡眠时间7-9小时的参与者更有可能患有SPD，并且这种关联的程度在NH黑人参与者中最强（PRNH黑人=3.50 [95% CI：2.97-4.13]，PR西班牙裔/拉丁裔=2.95 [2.42-3.61]，PRNH白人=2.66 [2.44-2.89]）。与新罕布什尔州白人成年人相比，新罕布什尔州黑人和西班牙裔/拉丁裔之间的睡眠障碍和SPD之间的正相关性通常更强。睡眠健康状况不佳与SPD呈正相关，并且这种关联的程度在种族/少数民族中通常更强。未来的研究应前瞻性地关注SPD的决定因素和健康后果，这些因素可归因于客观测量的不同种族/民族的睡眠。
Prior studies investigating the relationship between sleep and serious psychological distress (SPD) have lacked racial/ethnic diversity and generalizability. We investigated associations between sleep and SPD among a large, nationally representative, and racially/ethnically diverse sample of US adults. We pooled cross-sectional data from the 2004 to 2017 National Health Interview Survey. Participants self-reported sleep duration and sleep disturbances (eg, trouble falling and staying asleep). SPD was defined as a Kessler Psychological Distress Scale (K6) score ≥13. Adjusting for sociodemographic, health behavior, and clinical characteristics, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) of SPD for each sleep characteristic, overall and by race/ethnicity. Among 316,840 participants, the mean age ± standard error was 46.9 ± 0.1 years, 52% were women, 75% were non-Hispanic (NH)-White, 16% NH-Black, and 9% Hispanic/Latinx. The prevalence of SPD was 3.4% for NH-Whites, 4.1% for NH-Blacks, and 4.5% for Hispanics/Latinxs. Participants with <7 hours versus 7–9 hours of sleep duration were more likely to have SPD, and the magnitude of the association was strongest among NH-Black participants (PRNH-Blacks=3.50 [95% CI: 2.97–4.13], PR Hispanics/Latinx=2.95 [2.42–3.61], and PRNH-Whites=2.66 [2.44–2.89]). Positive associations between sleep disturbances and SPD were generally stronger among NH-Black and Hispanic/Latinx compared to NH-White adults. Poor sleep health was positively associated with SPD, and the magnitude of the association was generally stronger among racial/ethnic minorities. Future investigations should prospectively focus on the determinants and health consequences of SPD attributable to objectively measured sleep across racial/ethnic groups.