The REST Study: A Longitudinal, Bidirectional Examination of Retirement And Sleep

描述（由申请人提供）：由于包括婴儿潮一代的老龄化，戏剧性的经济转变和影响退休福利的多部门政策变化在内的因素的融合，退休对美国老龄化人口来说是一种高度的不安全感。与此同时，睡眠问题和障碍的高患病率-其中最常见的公共卫生后果是睡眠呼吸障碍，失眠和自愿睡眠缩短-可能是一系列健康结果的基础，包括心血管疾病，代谢失调，认知减退，抑郁症，日间功能不良，最终导致死亡。然而，退休很少被调查为睡眠质量或睡眠障碍的保护因素，原因或后果。通过拟议的研究，“休息研究：退休和睡眠的纵向，双向检查”，我们的目标是前瞻性地调查睡眠障碍是否是退休的预测因子（具体目标1）以及退休后睡眠如何变化（更好或更坏）（目标2）。我们还试图了解社会资源在两个方向上的调节影响（目标3）。 为了实现我们的目标，我们将REST研究嵌套在威斯康星州睡眠队列研究抽样框架和威斯康星州睡眠队列（WSC）研究的正在进行的检查中。WSC研究的主题提供了独特和宝贵的背景，因为：1）WSC提供了>20年的纵向实验室内睡眠研究，以表征退休前和退休后睡眠行为和问题的轨迹; 2）WSC具有大致相等数量的退休和就业的45-82岁社区居住成年人;以及，3）大约一半的目前在职的WSC参与者预计将在拟议的REST研究期间退休。因此，现在是调查唯一存在的人口的理想时机，这些人口的特点是在20年的中年生活中通过高峰退休过渡期的睡眠习惯和问题。WSC的研究已经确定了睡眠呼吸障碍和其他疾病的高患病率，以及它们的相关性和结果。然而，妇女地位委员会收集数据的频率不足以监测退休前后的直接变化，也没有收集关于就业特征的足够具体的信息。拟议的REST研究将招募正在进行的WSC的成员以及WSC抽样框架中的人员，这些人员先前曾在1988年，1994年和2000年提供有关睡眠习惯和问题的调查数据。将对2838名参与者（预期最终答复，N=2221）的总目标样本进行5次年度调查。这些REST调查将询问有关就业，睡眠特征，社会人口统计学，幸福感，社会环境，健康行为以及主要健康和其他生活事件的详细问题。结合来自WSC的数据，我们的数据收集工作将提供细节和力量来解决我们的具体目标，填补有关睡眠和退休关系的知识空白。

DESCRIPTION (provided by applicant: Due to a convergence of factors including the aging of the baby-boomer generation, dramatic economic shifts, and multi-sectorial policy changes influencing retirement benefits, retirement presents heightened insecurity for the aging US population. Concurrently, the high prevalence of sleep problems and disorders -- the most public health-consequential of which are sleep disordered breathing, insomnia, and voluntary sleep curtailment -- is likely to underlie a wide range of health outcomes including cardiovascular disease, metabolic dysregulation, cognitive decrements, depression, poor daytime functioning, and, ultimately, mortality. However, retirement is rarely investigated as a protective factor, cause or consequence of sleep quality or disorders. With the proposed study, "The REST study: A longitudinal, bidirectional examination of retirement and sleep," we aim to prospectively investigate whether sleep disorders are a predictor of retirement (Specific Aim 1) and how sleep changes (for better or worse) as a result of retirement (Aim 2). We also seek to understand the moderating influences of social resources in both directions (Aim 3). To accomplish our aims we will nest the REST study within the ongoing examinations of the Wisconsin Sleep Cohort Study sampling frame and the Wisconsin Sleep Cohort (WSC) study. The subjects of the WSC study provide a unique and invaluable context because: 1) the WSC provides >20 years of longitudinal in- laboratory sleep studies with which to characterize pre- and post-retirement trajectories of sleep behaviors and problems; 2) the WSC has roughly equal numbers of retired and employed 45-82 year-old community-dwelling adults; and, 3) about half of currently employed WSC participants are expected to retire in the proposed REST study period. Thus, now is the ideal time to investigate the only existing population that has been characterized for sleep habits and problems over two decades of mid-life through a period of peak retirement transition. The WSC study has established a high prevalence of sleep-disordered breathing and other disorders, as well as their correlates and outcomes. However, the WSC does not collect data frequently enough to monitor changes directly before and after retirement, nor does it collect sufficiently specific information on employment characteristics. The proposed REST study will recruit members of the ongoing WSC as well as persons from the WSC sampling frame who have previously provided survey data regarding sleep habits and problems in 1988, 1994 and 2000. A total target sample of 2838 participants (expected final response, N=2221) will be administered five annual surveys. These REST surveys will ask detailed questions about employment, sleep characteristics, socio-demographics, well-being, social environment, health behaviors, and major health and other life events. Combined with the data from the WSC, our data collection effort will provide detail and power to address our specific aims, filling a wide gap in knowledge regarding the relation of sleep and retirement.