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.

摘要 有色人种女性心脏代谢紊乱的发病率增加（例如，心血管疾病，糖尿病， 高血压）。虽然流行病学研究表明睡眠时间短和睡眠质量差 增加心脏代谢疾病的风险，很少有研究检查睡眠时间短的机制， 从有色人种女性的角度来看，睡眠质量差。该项目建立在我们团队与 犹他州的社区面孔，一个连接犹他州大学和犹他州卫生部的组织 与四个当地社区的颜色（黑人/非裔美国人，西班牙裔/拉丁美洲人，夏威夷土著/太平洋岛民 非洲移民/难民）。我们的团队之前完成了为期12个月的社区卫生工作者（CHW） 在485名妇女中进行健康干预，改善饮食和身体活动;然而，结果 研究表明，睡眠是一个未满足的需求（41%的人报告睡眠时间<7小时，但只有12%的人感兴趣， 睡眠改善）。我们和其他人的研究结果表明，需要更多的研究来了解睡眠是如何 在有色人种妇女的生活中，用其他责任和要求来交换。为了弥补这一差距，我们 建议进行一项社区参与的混合方法研究，以促进对时间使用方式的理解 影响有色人种女性的睡眠和心脏代谢疾病风险。我们的研究将采用三步 过程：在目标1中，我们将开始在社区卫生工作者中收集定性数据（焦点小组）， 了解女性如何平衡睡眠和其他需求，无论是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;在目标2中，我们将利用焦点小组的结果 在来自四个参与社区的400名有色人种妇女中进行实地研究， 时间利用、睡眠、饮食、体力活动与心脏代谢健康之间的关系，以及创新的 统计建模技术，以了解时间权衡对睡眠和心脏代谢的影响 在目标3中，我们将使用干预规划框架，整合重点小组的成果 和实地研究，并与我们的社区咨询委员会一起计划下一步的干预措施。本研究 创新性地探索睡眠机制，评估人群的睡眠健康 通常不包括在睡眠研究中（夏威夷原住民/太平洋岛民，非洲移民/难民）， 我们与社区卫生工作者的合作，他们是在睡眠研究中未得到充分利用的一线公共卫生工作者。我们 长期的合作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 结果转化为干预措施，以改善有色人种女性的睡眠和心脏代谢疾病风险。