Addressing sleep health disparities from within: A community-engaged study to understanding sleep and cardiometabolic disease risk among women of color

从内部解决睡眠健康差异：一项社区参与的研究，旨在了解有色人种女性的睡眠和心脏代谢疾病风险

• 批准号: 10815470
• 负责人: Kelly Glazer Baron
• 金额: $ 75.97万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-23 至 2028-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10815470
• 关键词: Acculturation; Address; Affect; African; African American; Age; American; Behavior; Belief; Black race; Blood Pressure; Body fat; Body mass index; Cardiometabolic Disease; Cardiovascular Diseases; Cities; Collaborations; Color; Communities; Community Health Aides; Community Participation; Commuting; Data; Diabetes Mellitus; Diet; Dietary Practices; Disparity; Employment; Environmental Risk Factor; Equilibrium; Evaluation; Face; Focus Groups; Glycosylated hemoglobin A; Goals; Health; Health behavior; Hispanic; Hour; Housing; Hypertension; Immigrant; Intervention; Knowledge; Language; Latina; Latinx; Leisure Activities; Leisures; Link; Measures; Methods; Modeling; Morbidity - disease rate; Native Hawaiian; Native Hawaiian or Other Pacific Islander; Not Hispanic or Latino; Pacific Islander; Participant; Perception; Physical activity; Population; Positioning Attribute; Poverty; Prevalence; Process; Public Health; Qualitative Methods; Refugees; Reporting; Research; Research Personnel; Risk; Risk Factors; Sleep; Sleep Disorders; Sodium Chloride; Statistical Models; Structure; Surveys; Techniques; Testing; Time; Translating; Trust; Underserved Population; Universities; Utah; Woman; Women' s Health; Work; aged; black women; cardiometabolic risk; cardiometabolism; community engagement; disorder risk; epidemiology study; ethnic diversity; experience; field study; fitbit; health disparity; health goals; improved; improvement on sleep; innovation; interest; intervention mapping; meetings; member; mortality; multi-ethnic; novel; poor sleep; promote resilience; racial diversity; recruit; resilience; resilience factor; sleep health; sleep quality; stressor; structural determinants; time use; women of color

Abstract Women of color have increased rates of cardiometabolic disorders (e.g., cardiovascular disease, diabetes, hypertension). Although epidemiologic studies demonstrate short sleep duration and poor sleep quality increase cardiometabolic disease risk, few studies have examined mechanisms of short sleep duration and poor sleep quality from the perspectives of women of color. This project builds on our team’s collaboration with Community Faces of Utah, an organization that links the University of Utah and Utah Department of Health with four local communities of color (Black/African American, Hispanic/Latinx, Native Hawaiian/Pacific Islander and African Immigrant/Refugee). Our team previously completed a 12-month community health worker (CHW) delivered wellness intervention in 485 women that improved diet and physical activity; however, results indicated sleep was an unmet need (41% reported sleep duration <7 hours but only 12% were interested in sleep improvement). Our results and others suggest that more research is needed to understand how sleep is traded off for other responsibilities and demands in the lives of women of color. To address this gap, we are proposing a community engaged mixed-methods study to advance the understanding of how time use affects sleep and cardiometabolic disease risk among women of color. Our study will utilize a 3-step process: In Aim 1, we will begin by collecting qualitative data (focus groups) among CHWs for an in-depth understanding of how women balance sleep and other demands, both from their perspectives as community members and as trusted front-line public-health workers; In Aim 2, we will utilize results from the focus groups to conduct a field study among 400 women of color from the four participating communities to examine the relationships between time use, sleep, diet, physical activity, and cardiometabolic health and use innovative statistical modeling techniques to understand the impact of time trade-offs on sleep and cardiometabolic health; and in Aim 3, we will use an intervention mapping framework to integrate the results of the focus groups and field study, and plan the next step interventions with our community advisory board. This study is innovative in exploration of an understudied mechanism in sleep, evaluation of sleep health in populations often not included in sleep research (Native Hawaiians/Pacific Islanders, African Immigrant/ Refugees), and in our collaboration with CHWs, front-line public health workers who are underutilized in sleep research. Our long-standing partnerships support feasibility, usefulness to the community and our ability to rapidly translate results into interventions to improve sleep and cardiometabolic disease risk among women of color.

抽象的 有色女性的心脏代谢疾病率增加（例如心血管疾病，糖尿病， 尽管流行病学研究表明睡眠持续时间短，睡眠质量差 增加心脏代谢疾病的风险，很少有研究检查睡眠持续时间短的机制 从有色女性的角度来看，睡眠质量差。这个项目建立在我们团队与 犹他州的社区面孔，该组织与犹他大学和犹他州卫生系联系 有四个当地的彩色社区（黑人/非裔美国人，西班牙裔/拉丁裔，夏威夷人/太平洋岛民 和非洲移民/难民）。我们的团队以前完成了12个月的社区卫生工作者（CHW） 对485名妇女进行了健康干预，这些妇女改善了饮食和体育锻炼；但是，结果 表明睡眠是未满足的需求（报告睡眠时间<7小时，但只有12％对此感兴趣 改善睡眠）。我们的结果和其他结果表明，需要更多的研究来了解睡眠的方式 以有色妇女的生活中的其他责任和要求进行交易。为了解决这个差距，我们是 提出一个社区参与的混合方法研究，以促进对时间使用方式的理解 影响有色女性的睡眠和心脏代谢疾病风险。我们的研究将使用三步 过程：在AIM 1中，我们将首先收集CHW之间的定性数据（焦点小组）以深入 了解妇女如何平衡睡眠和其他需求，从她们作为社区的角度来看 成员和值得信赖的一线公共卫生工作者；在AIM 2中，我们将利用焦点小组的结果 在四个参与社区的400名有色女性中进行现场研究，以检查 时间使用，睡眠，饮食，体育锻炼与心脏代谢健康之间的关系与使用创新 统计建模技术以了解时间权衡对睡眠和心脏代谢的影响 健康;在AIM 3中，我们将使用一个干预映射框架来整合焦点小组的结果 和现场研究，并与我们的社区顾问委员会计划下一步干预措施。这项研究是 在探索睡眠机制的探索中的创新性，人群中睡眠健康的评估 通常不包括睡眠研究（夏威夷原住民/太平洋岛民，非洲移民/难民），以及 我们与CHW，一线公共卫生工作者的合作，他们在睡眠研究中未被充分利用。我们的 长期的伙伴关系支持可行性，对社区的有用性以及我们快速翻译的能力 导致干预措施改善有色女性的睡眠和心脏代谢疾病风险。