Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults

Samuel J Goldstein,1 Symielle A Gaston,2 John A McGrath,3 Chandra L Jackson2,4 1The University of North Carolina at Chapel Hill, Department of Environmental Sciences and Engineering, Chapel Hill, NC, USA; 2 Department of Health and Human Services, Epidemiology Branch, National Institute of Environme...

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Autores principales:	Goldstein SJ, Gaston SA, McGrath JA, Jackson CL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	sleep initiation and maintenance disorders sleep psychological stress health status disparities continental population groups race factors Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/1e5daca107c349d2b701297e0c8e979f
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spelling	oai:doaj.org-article:1e5daca107c349d2b701297e0c8e979f2021-12-02T11:52:52ZSleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults1179-1608https://doaj.org/article/1e5daca107c349d2b701297e0c8e979f2020-12-01T00:00:00Zhttps://www.dovepress.com/sleep-health-and-serious-psychological-distress-a-nationally-represent-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Samuel J Goldstein,1 Symielle A Gaston,2 John A McGrath,3 Chandra L Jackson2,4 1The University of North Carolina at Chapel Hill, Department of Environmental Sciences and Engineering, Chapel Hill, NC, USA; 2 Department of Health and Human Services, Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC, USA; 3Social & Scientific Systems, Inc, Durham, NC, USA; 4Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USACorrespondence: Chandra L Jackson 111 T.W. Alexander Drive, MD A3-05, Research Triangle Park, NC 27709 Tel +984-287-3701Fax +301-480-3290Email Chandra.Jackson@nih.govPurpose: Prior studies investigating the relationship between sleep and serious psychological distress (SPD) have lacked racial/ethnic diversity and generalizability. We investigated associations between sleep and SPD among a large, nationally representative, and racially/ethnically diverse sample of US adults.Methods: We pooled cross-sectional data from the 2004 to 2017 National Health Interview Survey. Participants self-reported sleep duration and sleep disturbances (eg, trouble falling and staying asleep). SPD was defined as a Kessler Psychological Distress Scale (K6) score ≥ 13. Adjusting for sociodemographic, health behavior, and clinical characteristics, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) of SPD for each sleep characteristic, overall and by race/ethnicity.Results: Among 316,840 participants, the mean age ± standard error was 46.9 ± 0.1 years, 52% were women, 75% were non-Hispanic (NH)-White, 16% NH-Black, and 9% Hispanic/Latinx. The prevalence of SPD was 3.4% for NH-Whites, 4.1% for NH-Blacks, and 4.5% for Hispanics/Latinxs. Participants with < 7 hours versus 7– 9 hours of sleep duration were more likely to have SPD, and the magnitude of the association was strongest among NH-Black participants (PRNH-Blacks=3.50 [95% CI: 2.97– 4.13], PR Hispanics/Latinx=2.95 [2.42– 3.61], and PRNH-Whites=2.66 [2.44– 2.89]). Positive associations between sleep disturbances and SPD were generally stronger among NH-Black and Hispanic/Latinx compared to NH-White adults.Conclusion: Poor sleep health was positively associated with SPD, and the magnitude of the association was generally stronger among racial/ethnic minorities. Future investigations should prospectively focus on the determinants and health consequences of SPD attributable to objectively measured sleep across racial/ethnic groups.Keywords: sleep initiation and maintenance disorders, sleep, psychological stress, health status disparities, continental population groups, race factorsGoldstein SJGaston SAMcGrath JAJackson CLDove Medical Pressarticlesleep initiation and maintenance disorderssleeppsychological stresshealth status disparitiescontinental population groupsrace factorsPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 12, Pp 1091-1104 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep initiation and maintenance disorders sleep psychological stress health status disparities continental population groups race factors Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	sleep initiation and maintenance disorders sleep psychological stress health status disparities continental population groups race factors Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Goldstein SJ Gaston SA McGrath JA Jackson CL Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults
description	Samuel J Goldstein,1 Symielle A Gaston,2 John A McGrath,3 Chandra L Jackson2,4 1The University of North Carolina at Chapel Hill, Department of Environmental Sciences and Engineering, Chapel Hill, NC, USA; 2 Department of Health and Human Services, Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC, USA; 3Social & Scientific Systems, Inc, Durham, NC, USA; 4Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USACorrespondence: Chandra L Jackson 111 T.W. Alexander Drive, MD A3-05, Research Triangle Park, NC 27709 Tel +984-287-3701Fax +301-480-3290Email Chandra.Jackson@nih.govPurpose: Prior studies investigating the relationship between sleep and serious psychological distress (SPD) have lacked racial/ethnic diversity and generalizability. We investigated associations between sleep and SPD among a large, nationally representative, and racially/ethnically diverse sample of US adults.Methods: We pooled cross-sectional data from the 2004 to 2017 National Health Interview Survey. Participants self-reported sleep duration and sleep disturbances (eg, trouble falling and staying asleep). SPD was defined as a Kessler Psychological Distress Scale (K6) score ≥ 13. Adjusting for sociodemographic, health behavior, and clinical characteristics, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) of SPD for each sleep characteristic, overall and by race/ethnicity.Results: Among 316,840 participants, the mean age ± standard error was 46.9 ± 0.1 years, 52% were women, 75% were non-Hispanic (NH)-White, 16% NH-Black, and 9% Hispanic/Latinx. The prevalence of SPD was 3.4% for NH-Whites, 4.1% for NH-Blacks, and 4.5% for Hispanics/Latinxs. Participants with < 7 hours versus 7– 9 hours of sleep duration were more likely to have SPD, and the magnitude of the association was strongest among NH-Black participants (PRNH-Blacks=3.50 [95% CI: 2.97– 4.13], PR Hispanics/Latinx=2.95 [2.42– 3.61], and PRNH-Whites=2.66 [2.44– 2.89]). Positive associations between sleep disturbances and SPD were generally stronger among NH-Black and Hispanic/Latinx compared to NH-White adults.Conclusion: Poor sleep health was positively associated with SPD, and the magnitude of the association was generally stronger among racial/ethnic minorities. Future investigations should prospectively focus on the determinants and health consequences of SPD attributable to objectively measured sleep across racial/ethnic groups.Keywords: sleep initiation and maintenance disorders, sleep, psychological stress, health status disparities, continental population groups, race factors
format	article
author	Goldstein SJ Gaston SA McGrath JA Jackson CL
author_facet	Goldstein SJ Gaston SA McGrath JA Jackson CL
author_sort	Goldstein SJ
title	Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults
title_short	Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults
title_full	Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults
title_fullStr	Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults
title_full_unstemmed	Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults
title_sort	sleep health and serious psychological distress: a nationally representative study of the united states among white, black, and hispanic/latinx adults
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/1e5daca107c349d2b701297e0c8e979f
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Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults

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