Incarceration, Sleep Health, and Cardiovascular Disease Risk

监禁、睡眠健康和心血管疾病风险

• 批准号: 10724036
• 负责人: Johanna Elizabeth Elumn
• 金额: $ 13.59万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-23 至 2028-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10724036
• 关键词: Address; Administrator; Affect; Air; Arizona; Behavioral; Cardiovascular Diseases; Cardiovascular system; Data; Deficiency Diseases; Development; Disparity; Disparity population; Environment; Environmental Health; Environmental Policy; Environmental Risk Factor; Event; Exposure to; Foundations; Future; General Population; Goals; Halfway Houses; Health; Housing; Hypertension; Imprisonment; Individual; Infrastructure; Institution; Institutional Policy; Intervention; Interview; Jail; Justice; Knowledge; Light; Maps; Measures; Medicine; Methodology; Methods; Minority Groups; Mission; Mood Disorders; Morbidity - disease rate; National Heart, Lung, and Blood Institute; Nightmare; Noise; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Persons; Physical environment; Pittsburgh Sleep Quality Index; Policies; Population; Positioning Attribute; Post-Traumatic Stress Disorders; Prisons; Psychosocial Stress; Public Health; Recording of previous events; Reporting; Research; Research Personnel; Risk Factors; Role; Security; Sleep; Sleep Deprivation; Sleep Disorders; Sleep disturbances; Sleeplessness; Social Environment; Social Sciences; Temperature; Training; United States National Institutes of Health; Universities; Work; actigraphy; cardiometabolism; cardiovascular disorder epidemiology; cardiovascular disorder risk; cardiovascular health; cardiovascular risk factor; career; chronic pain; circadian; design; environmental disparity; ethnic minority population; extreme temperature; health determinants; health disparity; improvement on sleep; innovation; instrument; mortality; poor sleep; programs; public health intervention; racial minority population; sleep health; sleep quality; therapy development; violence exposure

PROJECT SUMMARY An estimated eleven million individuals are released from U.S. jails and prisons each year. Individuals with a history of incarceration have higher rates of cardiovascular events and mortality compared to the general population, especially in the weeks following release. An especially underexplored factor in the epidemiology of cardiovascular disease in this population is sleep health. Incarcerated people may have unique reasons for being sleep deficient at the individual, environmental, and institutional policy levels. They have higher rates of mood disorders and chronic pain, which amplify sleep deficiency. Exposure to extreme temperatures, noise, and light within correctional facilities and halfway houses may impact sleep. Exposure to violence and the conditions of confinement are associated with increased rates of psychosocial stress or post-traumatic stress disorder, contributing to sleep-disrupting nightmares and insomnia. The overarching aim of this study is to understand how incarceration, especially correctional and post-release social and physical environments, contribute to sleep deficiency and cardiovascular disease risk. The central hypothesis of this study is that sleep deficiency is associated with the factors in the social and physical environment during incarceration and after release. I propose a mixed methods study with the following aims: 1) Identify population-specific risk factors in the social and physical environment that contribute to sleep deficiency during and after incarceration and potential opportunities to improve sleep health; 2) Characterize using geospatial analysis the environmental factors during incarceration and post-release that may contribute to sleep deficiencies; 3) Develop and pilot instruments to assess sleep deficiency and sleep environment among people with a history of incarceration. To achieve these aims, I will leverage the existing infrastructure of an ongoing NHLBI R01 study (JUSTICE, 1R01HL137696-01A1) and the expertise of the SEICHE Center for Health and Justice, the Yale Program in Sleep Medicine, the Sleep and Health Research Program and Behavioral Sleep Medicine Program at the University of Arizona, and the National Environmental Institute of Environmental Health Sciences (NIEHS) Social and Determinants of Health Group.The proposed research and training in sleep medicine and cardiometabolic outcomes, environmental factors in sleep health, and intervention development will facilitate my transition to a career as an independent researcher in sleep health disparities among people with a history of incarceration and position my research to impact public health interventions and policies.

项目总结 据估计，每年有1100万人从美国监狱获释。个人拥有 与一般情况相比，监禁史的心血管事件和死亡率更高。 人口，特别是在获释后的几周内。流行性感冒流行病学中一个特别未被研究的因素 这一人群中的心血管疾病是睡眠健康。被监禁的人可能有独特的原因 在个人、环境和机构政策层面上睡眠不足。他们有更高的 情绪障碍和慢性疼痛，这会放大睡眠不足。暴露在极端的温度，噪音， 教养所和中途宿舍内的光线可能会影响睡眠。暴露于暴力和 禁闭条件与心理社会压力或创伤后压力的增加有关。 失眠会导致睡眠障碍、噩梦和失眠。这项研究的主要目的是 了解监禁，特别是惩教和释放后的社会和物质环境， 会导致睡眠不足和心血管疾病风险。这项研究的中心假设是睡眠 缺陷与监禁期间和监禁后社会和物理环境中的因素有关 放手。我提出了一项混合方法研究，目的如下：1)确定人群特有的危险因素 在监禁期间和之后导致睡眠不足的社会和物理环境以及 改善睡眠健康的潜在机会；2)使用地理空间分析来表征环境 监禁和释放期间可能导致睡眠不足的因素；3)发展和试点 评估有监禁史的人的睡眠不足和睡眠环境的工具。至 为了实现这些目标，我将利用正在进行的NHLBI R01研究的现有基础设施(正义， 1R01HL137696-01A1)和塞切健康与司法中心的专业知识，耶鲁计划在 睡眠医学、睡眠与健康研究计划和行为睡眠医学计划 亚利桑那大学和国立大学 环境 环境健康科学研究所(NIEHS) 健康组的决定因素。拟议的睡眠医学研究和培训 心脏代谢结果、睡眠健康中的环境因素和干预措施的发展将促进 我作为一名独立研究员的职业转变，研究有病史的人的睡眠健康差异 并将我的研究定位为影响公共卫生干预和政策。