Sleeping well in a changing climate: The effects of rising temperatures and extreme weather events on sleep and other aspects of health in rural Appalachia

在不断变化的气候中睡个好觉：气温上升和极端天气事件对阿巴拉契亚农村地区睡眠和其他健康方面的影响

• 批准号: 10837427
• 负责人: Christal L. Badour
• 金额: $ 52.24万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-26 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10837427
• 关键词: Address; Adult; Age; Alcohols; Anxiety; Appalachian Region; Attitude; Automobile Driving; Behavioral; Belief; Birds; C-reactive protein; Cardiovascular Diseases; Cardiovascular system; Caring; Child Sexual Abuse; Cirrhosis; Climate; Cognitive; Communities; County; Data; Diabetes Mellitus; Diet; Disasters; Disease; Disparity; Disparity population; Distress; Economics; Emotional; Equity; Ethnic Origin; Event; Exercise; Eye; Face; Family; Financial Hardship; Floods; Glycosylated Hemoglobin; Glycosylated hemoglobin A; Health; Health Disparities Research; Health Status Indicators; Health behavior; Heart Diseases; Heart Rate; Hour; Humidity; Immunologics; Individual; Interview; Kentucky; Lead; Link; Malignant Neoplasms; Measurement; Measures; Mediating; Memory; Mental Depression; Mental disorders; Metabolic; Methods; Morbidity - disease rate; Neurocognitive Deficit; Obesity; Outcome; Overdose; Parents; Participant; Perception; Physical activity; Population; Predictive Factor; Premature Mortality; Process; Productivity; Public Health; Race; Recording of previous events; Recovery; Reporting; Research; Resources; Risk; Rural; Rural Appalachia; Rural Community; Rural Population; Scientist; Series; Sleep; Sleep Deprivation; Sleep disturbances; Smoking; Social support; Societal Factors; Southeastern United States; Stress; Substance Use Disorder; Substance abuse problem; Suicide; Surveys; Survivors; System; Task Performances; Temperature; Testing; Time; Training; Trauma; United States; United States National Institutes of Health; Violence; Well in self; Work; barometric pressure; climate change; climate disaster; climate-related health; cognitive task; cohort; cost; demographics; design; economic impact; ethnic minority; extreme weather; health determinants; health disparity; health disparity populations; health equity; health inequalities; innovation; insight; interest; long term recovery; longitudinal design; low socioeconomic status; mortality; protective factors; racial minority; recruit; rural dwellers; rural health disparities; rurality; self reliance; sex; sleep health; social; social determinants; social factors; stressor; substance use

Insufficient sleep (habitual sleep duration of ≤6 hours) is a costly public health problem that is more prevalent among health disparity populations (e.g., racial minorities, adults of low socioeconomic status). Climate change and climate-sensitive disasters demonstrate a detrimental impact on sleep and associated downstream health outcomes. Increasing temperatures are linked to diminished sleep time and quality, and negative impacts are heightened among populations with fewer economic resources. Extreme weather events due to climate change often result in displacement, trauma, and economic instability; these stressors directly impair sleep. The fast- growing burden of climate-related disaster recovery disproportionately disadvantages populations with existing health disparities. These data hold direct relevance to our parent R01: Researching Equitable Sleep Time in Appalachia (REST-KY; MD016236). REST-KY focuses on rural Appalachian adults, whose serious health inequities include multiple health morbidities, premature mortality, and high rates of insufficient sleep. While our project was designed to evaluate mechanisms contributing to pre-existing regional sleep and health deficiencies over a two-year period, Appalachian Kentucky’s July 2022 climate-change-related catastrophic flood event has led us to broaden the scope of our research. We will recruit a cohort of 400 adults from 6 insufficient sleep “hotspot” counties (n=200) in Appalachian KY (where 25-58% of adults report insufficient sleep 15+ nights/month), and 6 similarly rural and economically distressed non-“hotspot” counties. Five of the 12 counties suffered widespread flood damage. The use of a mixed method, longitudinal burst design in the parent R01 will allow us to evaluate mechanisms contributing to both sleep deficiencies and health over two years in this rural community. The present supplement is responsive to the NOT-HD-23-006 NOSI and addresses three of the four core pillars of the NIH Climate Change and Health Initiative (Health Effects Research, Health Equity, and Training and Capacity Building) by expanding our trans-disciplinary team to bring together climate and health scientists. The proposed activities are fully within the scope of the aims of the parent R01: a) collect objective measurements of outdoor and indoor temperature, humidity, and barometric pressure as additional predictors of objective sleep health; b) add quantitative measures of beliefs about climate change and health to examine associations with sleep and other health outcomes; and c) add quantitative measures and conduct supplemental qualitative interviews with flood survivors in the parent R01 cohort to evaluate perceptions of factors contributing to the flood disaster (including climate change), how the flood impacted their sleep and health, and long-term recovery resources and needs. Our findings will offer unprecedented insight into the intersections of climate change, sleep and health in an understudied rural health disparity population. Results will inform strategies to increase health equity in the face of a rapidly changing climate, and thus will have strong potential for public health impact.

睡眠不足（习惯性睡眠时间≤6小时）是一个代价高昂且更为普遍的公共卫生问题 健康差异人群（例如少数族裔、社会经济地位较低的成年人）。气候变化 气候敏感灾害对睡眠和相关下游健康产生不利影响 结果。气温升高与睡眠时间和质量减少有关，负面影响 经济资源较少的人群中这一现象更为严重。气候变化导致的极端天气事件 常常导致流离失所、创伤和经济不稳定；这些压力源直接损害睡眠。快- 与气候相关的灾后恢复负担日益加重，使现有人口处于不成比例的不利地位 健康差异。这些数据与我们的母公司 R01 直接相关：研究公平睡眠时间 阿巴拉契亚（REST-KY；MD016236）。 REST-KY 重点关注阿巴拉契亚农村成年人，他们的健康状况严重 不平等现象包括多种健康疾病、过早死亡和睡眠不足率高。尽管 我们的项目旨在评估有助于现有区域睡眠和健康的机制 两年期间的缺陷，阿巴拉契亚肯塔基州 2022 年 7 月与气候变化相关的灾难性 洪水事件使我们扩大了研究范围。我们将从 6 个国家招募 400 名成年人 肯塔基州阿巴拉契亚山脉的睡眠不足“热点”县 (n=200)（其中 25-58% 的成年人报告睡眠不足 每月睡眠 15 晚以上），以及 6 个类似的农村和经济困难的非“热点”县。其中五个 12个县遭受大面积洪水破坏。采用混合方法、纵向爆破设计 父 R01 将使我们能够评估导致睡眠不足和健康的机制超过两个 在这个农村社区生活了几年。本补充响应 NOT-HD-23-006 NOSI 和 解决了 NIH 气候变化与健康倡议的四个核心支柱中的三个（健康影响 研究、健康公平、培训和能力建设）通过扩大我们的跨学科团队来带来 气候和健康科学家一起。拟议的活动完全在该组织的目标范围之内 父 R01：a) 收集室外和室内温度、湿度和气压的客观测量值 压力作为客观睡眠健康的额外预测因素； b) 添加关于信念的定量测量 气候变化和健康，以检查与睡眠和其他健康结果的关联； c) 添加 定量测量并对父级 R01 中的洪水幸存者进行补充定性访谈 队列来评估对造成洪水灾害的因素（包括气候变化）的看法， 洪水影响了他们的睡眠和健康，以及长期恢复资源和需求。我们的研究结果将提供 在未充分研究的农村健康中对气候变化、睡眠和健康的交叉点进行前所未有的洞察 人口差距。结果将为在快速变化的情况下提高健康公平性的策略提供参考 气候，因此将对公共卫生产生巨大影响。