Racial/Ethnic Differences in Sleep Disorders and Reporting of Trouble Sleeping Among Women of Childbearing Age in the United States
Racial/Ethnic Differences in Sleep Disorders and Reporting of Trouble Sleeping Among Women of Childbearing Age in the United States
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DOI：
10.1007/s10995-016-2115-9
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发表时间：
2017-02-01
影响因子：
2.3
通讯作者：
Buekens, Pierre
中科院分区：
文献类型：
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作者：
Amyx, Melissa;Xiong, Xu;Buekens, Pierre
目的尚不清楚孕妇/育龄妇女睡眠障碍的患病率/报告率是否存在种族/民族差异。研究目的是估计睡眠障碍的患病率，并检查美国育龄妇女（15-44岁）在睡眠障碍、睡眠问题报告和睡眠量方面的种族/民族差异。方法通过对2005-2010年国家健康和营养检查调查（主要分析中有3175名非妊娠妇女，432名妊娠妇女）的二次分析，按妊娠状态和按妊娠状态分层的种族/民族总体估计睡眠障碍的患病率、向医生/卫生专业人员报告睡眠障碍和睡眠量。使用单变量和多变量logistic回归分析了妊娠状态下睡眠障碍报告的种族/民族差异。结果育龄期妇女睡眠障碍患病率为4.9%[妊娠期3.9%，非妊娠期5.1%（P < 0.01）]。与非西班牙裔白色（白色）女性相比，报告睡眠充足（7-8小时）的妊娠和非妊娠少数民族女性明显较少（p < 0.05）。在非妊娠女性中，与黑人（aOR 0.47 [95% CI 0.36，0.61]）或墨西哥裔美国女性（aOR 0.29 [95% CI 0.21，0.41]）相比，白色女性报告睡眠问题的几率显著更高;在控制睡眠量时，非妊娠少数民族女性报告睡眠问题的可能性也显著低于白色女性。讨论与白色妇女相比，少数民族妇女尽管报告睡眠不足，但不太可能报告睡眠问题，这提供了一个重要的健康差距的证据。
Objectives Whether racial/ethnic differences in prevalence/reporting of sleep disorders exist in pregnant women/women of child-bearing age is unknown. Study objectives were to estimate prevalence of sleep disorders and to examine racial/ethnic differences in sleep disorders, reporting of sleep issues, and amount of sleep among women of child-bearing age (15-44 years) in the US. Methods Through a secondary analysis of the National Health and Nutrition Examination Survey 2005-2010 (3175 non-pregnant, 432 pregnant women in main analysis), prevalence of sleep disorders, reporting of sleep disorders to a physician/health professional, and amount of sleep were estimated overall, by pregnancy status, and by race/ethnicity stratified by pregnancy status. Racial/ethnic differences in reporting of trouble sleeping by pregnancy status were examined using univariate and multivariate logistic regression. Results Prevalence of diagnosed sleep disorders among women of childbearing age was 4.9 % [3.9 % pregnant; 5.1 % non-pregnant (p < 0.01)]. Significantly fewer pregnant and non-pregnant minority women reported adequate sleep (7-8 h) than non-Hispanic white (white) women (p < 0.05). Among non-pregnant women, odds of report of trouble sleeping were significantly higher for white compared to black (aOR 0.47 [95 % CI 0.36, 0.61]) or Mexican-American women (aOR 0.29 [95 % CI 0.21, 0.41]); non-pregnant minority women were also significantly less likely to report trouble sleeping than white women when controlling for amount of sleep. Among pregnant women, these same trends were found. Discussion Compared to white women, minority women, despite reporting less adequate sleep, are less likely to report trouble sleeping, providing evidence of an important health disparity.