TY - JOUR
T1 - Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints
AU - Grandner, Michael A.
AU - Patel, Nirav P.
AU - Gehrman, Philip R.
AU - Xie, Dawei
AU - Sha, Daohang
AU - Weaver, Terri
AU - Gooneratne, Nalaka
N1 - Funding Information:
This work was supported by T32HL007713 as well as funding for Biostatistical Support from the University of Pennsylvania Center for Sleep and Respiratory Neurobiology. We wish to thank Dr. Allan Pack, MB, ChB, PhD for guidance and other support. Also, we wish to thank the Centers for Disease Control and Prevention for collecting this data and making it available.
PY - 2010/5
Y1 - 2010/5
N2 - Objectives: Lower socioeconomic status is associated with short or long sleep duration and sleep disturbance (e.g., sleep apnea), which are all related to increased mortality risk. General sleep complaints, however, which may better approximate symptoms as they are experienced, have not been examined in a large population sample. Methods: Sample consisted of n=159,856 participants from the Behavioral Risk Factor Surveillance System, representing 36 states/regions across the US. Sleep complaints were measured with a telephone survey item that assessed " trouble falling asleep," " staying asleep" or " sleeping too much." Data analysis utilized hierarchical logistic regression and Rao-Schott χ2. Results: Asian respondents reported the least complaints, and Hispanic/Latino and Black/African-American individuals reported fewer complaints than Whites. Lower income and educational attainment was associated with more sleep complaints. Employment was associated with less sleep complaints and unemployment with more. Married individuals reported the least sleep complaints. Significant interactions with race/ethnicity indicate that the relationship between sleep complaints and marital status, income and employment differs among groups for men, and the relationship with education differs among groups for women. Conclusions: Rates of sleep complaints in African-American, Hispanic/Latino and Asian/Other groups were similar to Whites. Lower socioeconomic status was associated with higher rates of sleep complaint.
AB - Objectives: Lower socioeconomic status is associated with short or long sleep duration and sleep disturbance (e.g., sleep apnea), which are all related to increased mortality risk. General sleep complaints, however, which may better approximate symptoms as they are experienced, have not been examined in a large population sample. Methods: Sample consisted of n=159,856 participants from the Behavioral Risk Factor Surveillance System, representing 36 states/regions across the US. Sleep complaints were measured with a telephone survey item that assessed " trouble falling asleep," " staying asleep" or " sleeping too much." Data analysis utilized hierarchical logistic regression and Rao-Schott χ2. Results: Asian respondents reported the least complaints, and Hispanic/Latino and Black/African-American individuals reported fewer complaints than Whites. Lower income and educational attainment was associated with more sleep complaints. Employment was associated with less sleep complaints and unemployment with more. Married individuals reported the least sleep complaints. Significant interactions with race/ethnicity indicate that the relationship between sleep complaints and marital status, income and employment differs among groups for men, and the relationship with education differs among groups for women. Conclusions: Rates of sleep complaints in African-American, Hispanic/Latino and Asian/Other groups were similar to Whites. Lower socioeconomic status was associated with higher rates of sleep complaint.
KW - Ethnicity
KW - Population
KW - Sleep
KW - Sleep quality
KW - Socioeconomic factors
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U2 - 10.1016/j.sleep.2009.10.006
DO - 10.1016/j.sleep.2009.10.006
M3 - Article
C2 - 20388566
AN - SCOPUS:77951633066
VL - 11
SP - 470
EP - 478
JO - Sleep Medicine
JF - Sleep Medicine
SN - 1389-9457
IS - 5
ER -