An Investigation of Mental, Physical, and Sleep Health: The Role of Social Determinants

心理、身体和睡眠健康的调查：社会决定因素的作用 摘要 睡眠不足是一个重要的公共卫生问题，众所周知，它会对 心理和身体健康。睡眠不足是一种基本的危险因素和标志 不成比例地影响种族/少数民族人口并进一步促进健康的慢性疾病 差距。健康的社会决定因素被认为是一种系统的方案，提供了对健康如何 是社会模式，研究社会状况与人类健康和疾病之间的因果关系。 值得注意的是，睡眠不足似乎有相似的决定因素和观察到的健康结果的因果路径。 存在着众所周知的健康差距。有限的研究调查了社会-环境机制和 导致心理和身体健康结果的健康差异的途径可以解释睡眠不足。这 研究将调查社会-环境因素对个人的相对贡献(例如，生物 易患高血压)、人际关系(例如，城市压力)、社区(例如，社区 特征)和社会(例如，社会结构、歧视)水平及其对 了解睡眠不足对身心健康的影响，从而使我们能够证实睡眠不足的关键驱动因素 种族/族裔少数群体的健康差距。对睡眠不足在相互作用中的关键作用的理解 上游的社会环境影响和下游的心理和身体健康结果将是有益的 将这一领域推向行为、生物、生理和社会环境的更有用的整合 理解，这可能导致针对文化定制的干预措施，以减少健康差距的社会负担。

An Investigation of Mental, Physical, and Sleep Health: The Role of Social Determinants Summary Sleep deficiency is an important public health concern and is known to significantly impact mental and physical health. Sleep deficiency is an essential risk factor and marker for chronic conditions that disproportionately affect racial/ethnic minority populations and further contribute to health disparities. Social determinants of health are considered a system of schemes providing an understanding of how health is socially patterned, investigating causal pathways between social conditions and human health and disease. Noticeably, sleep deficiencies seem to share similar determinants and causal pathways observed for health outcomes with well-known health disparities. Limited studies have investigated whether social-environmental mechanisms and pathways that result in health disparities for mental and physical health outcomes can explain sleep deficiencies. This study will investigate the relative contribution of social-environmental factors at the individual (e.g., biological vulnerability to elevated blood pressure), interpersonal (e.g., city stress), community (e.g., neighborhood characteristics), and societal (e.g., societal structure, discrimination) levels and their influence as mechanisms to understand sleep deficiencies impact on mental and physical health, thus enabling us to substantiate key drivers of health disparities for racial/ethnic minorities. An understanding of the critical role of sleep deficiencies at the interplay of upstream social-environmental influences and downstream mental and physical health outcomes will be instrumental in moving the field toward a more useful integration of behavioral, biological, physiological, and socio-environmental understanding, which may lead to culturally tailored interventions to reduce the societal burden of health disparities.