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Sleep Health Times NSF 睡眠健康时报》NSF
IF 3.4 2区 医学
Sleep Health Pub Date : 2024-08-01 DOI: 10.1016/S2352-7218(24)00155-4
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引用次数: 0
Cover 2: Editorial Board 封面 2:编辑委员会
IF 3.4 2区 医学
Sleep Health Pub Date : 2024-08-01 DOI: 10.1016/S2352-7218(24)00137-2
{"title":"Cover 2: Editorial Board","authors":"","doi":"10.1016/S2352-7218(24)00137-2","DOIUrl":"10.1016/S2352-7218(24)00137-2","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 4","pages":"Page A4"},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352721824001372/pdfft?md5=f17272b281899e428e3809b75742687d&pid=1-s2.0-S2352721824001372-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sleep duration, napping behaviors and restless legs syndrome during pregnancy and the trajectories of ultrasonographic measures of fetal growth: Findings from the NICHD Fetal Growth Studies–Singletons 孕期睡眠时间、午睡行为和不安腿综合征与胎儿生长的超声波测量轨迹:NICHD胎儿生长研究-Singletons的发现。
IF 3.4 2区 医学
Sleep Health Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.04.004
{"title":"Sleep duration, napping behaviors and restless legs syndrome during pregnancy and the trajectories of ultrasonographic measures of fetal growth: Findings from the NICHD Fetal Growth Studies–Singletons","authors":"","doi":"10.1016/j.sleh.2024.04.004","DOIUrl":"10.1016/j.sleh.2024.04.004","url":null,"abstract":"<div><h3>Objectives</h3><p><span>Given the plausible mechanisms and the lacking of empirical evidence, the study aims to investigate how gestational sleep behaviors and the development of sleep disorders, such as restless legs syndrome, influence ultrasonographic measures of </span>fetal growth.</p></div><div><h3>Methods</h3><p><span>The study included 2457 pregnant women from the NICHD Fetal Growth Studies - Singletons (2009-2013), who were recruited between 8-13 gestational weeks and followed up to five times during pregnancy. Women were categorized into six groups based on their total sleep hours and napping frequency. The trajectory of estimated fetal weight from 10-40</span> <span><span><span>weeks was derived from three ultrasonographic measures. Linear mixed effect models were applied to model the estimated fetal weight in relation to self-reported sleep-napping behaviors and </span>restless legs syndrome status, adjusting for age, race and ethnicity, education, parity, prepregnancy </span>body mass index category, infant sex, and prepregnancy sleep-napping behavior.</span></p></div><div><h3>Results</h3><p><span>From enrollment to near delivery, pregnant women’s total sleep duration and nap frequency declined and restless legs syndrome symptoms frequency increased generally. No significant differences in estimated fetal weight were observed by sleep-napping group or by restless legs syndrome status. Results remained similar in sensitivity analyses and stratified analyses by women’s prepregnancy </span>body mass index category (normal vs. overweight/obese) or by infant sex.</p></div><div><h3>Conclusions</h3><p>Our data indicate that there is no association between sleep during pregnancy—assessed as total sleep duration and napping frequency, nor restless legs syndrome symptoms—and fetal growth from weeks 10 to 40 in healthy pregnant women.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 4","pages":"Pages 462-469"},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Irregular sleep is linked to poorer mental health: A pooled analysis of eight studies 睡眠不规律与精神健康状况较差有关:对八项研究的汇总分析。
IF 3.4 2区 医学
Sleep Health Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.03.004
{"title":"Irregular sleep is linked to poorer mental health: A pooled analysis of eight studies","authors":"","doi":"10.1016/j.sleh.2024.03.004","DOIUrl":"10.1016/j.sleh.2024.03.004","url":null,"abstract":"<div><h3>Objectives</h3><p>Greater sleep disturbances on average are a risk factor for impaired mental health. Recent research has shown that more intraindividual variability (i.e., inconsistency) in sleep (hereafter called “sleep intraindividual variability”) may also be uniquely related to mental health, even above the influence of mean sleep patterns averaged across days. The current study examined associations between sleep intraindividual variability and symptoms of anxiety, depression, and insomnia across different facets of sleep intraindividual variability (sleep duration, efficiency, and timing) and sleep measurement types (sleep diary and actigraphy).</p></div><div><h3>Methods</h3><p>We pooled eight datasets (<em>N</em><span> = 3053 participants) that assessed repeated measures of sleep diary- and/or actigraphy-determined sleep across multiple days, as well as one-time measures of mental health or sleep disorder symptoms (i.e., anxiety, depression, and insomnia). Multilevel regression analyses were conducted to examine associations between sleep intraindividual variability and mental health or sleep disorder symptoms.</span></p></div><div><h3>Results</h3><p><span>Greater diary- and actigraphy-determined sleep duration intraindividual variability was associated with more depression symptoms (diary: </span><em>b</em> <!-->=<!--> <!-->0.02, <em>p</em><span> &lt; .001; actigraphy: </span><em>b</em> <!-->=<!--> <!-->0.03, <em>p</em> = .006) and more insomnia symptoms (diary: <em>b</em> <!-->=<!--> <!-->0.02, <em>p</em><span> &lt; .001; actigraphy: </span><em>b</em> <!-->=<!--> <!-->0.02, <em>p</em> &lt; .001). Greater diary-determined sleep efficiency intraindividual variability was associated with fewer anxiety symptoms (<em>b</em> <!-->=<!--> <!-->−<!--> <!-->0.23, <em>p</em> = .019) and fewer insomnia symptoms (<em>b</em> <!-->=<!--> <!-->−<!--> <!-->0.15, <em>p</em> &lt; .001). Greater diary- and actigraphy-determined sleep midpoint intraindividual variability was associated with more insomnia symptoms (diary: <em>b</em> <!-->=<!--> <!-->0.41, <em>p</em> = .044; actigraphy: <em>b</em> <!-->=<!--> <!-->0.66, <em>p</em> = .021).</p></div><div><h3>Conclusions</h3><p>More inconsistent sleep duration and sleep timing may be a correlate of poorer mental health. Future experimental work should examine whether stabilizing sleep patterns can improve mental health outcomes.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 4","pages":"Pages 493-499"},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing patients treated with CBT for insomnia with healthy sleepers and sleepers with past insomnia on dimensions of sleep health 比较接受 CBT 治疗的失眠患者与健康睡眠者和既往失眠者在睡眠健康方面的表现。
IF 3.4 2区 医学
Sleep Health Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.03.005
{"title":"Comparing patients treated with CBT for insomnia with healthy sleepers and sleepers with past insomnia on dimensions of sleep health","authors":"","doi":"10.1016/j.sleh.2024.03.005","DOIUrl":"10.1016/j.sleh.2024.03.005","url":null,"abstract":"<div><h3>Objectives</h3><p>To compare patients treated with cognitive behavioral therapy for insomnia (CBT-I) with healthy sleepers and individuals with past but not current insomnia on multidimensional sleep health.</p></div><div><h3>Methods</h3><p>The study evaluates CBT-I on six dimensions of sleep health (regularity, satisfaction, alertness, timing, efficiency, duration) in a sample of individuals with insomnia compared to two other unique sleep samples. Participants were in one of three groups: insomnia (CUR, n = 299), healthy sleeper (HS, n = 122), or past insomnia (PAST, n = 35). Daily diaries and validated measures were employed to capture six dimensions of sleep health. The CUR group received four 60-minute sessions of CBT-I every 2<!--> <!-->weeks, and sleep health indices were measured at baseline and post-treatment. The HS and PAST groups were measured only at baseline.</p></div><div><h3>Results</h3><p>Results of the pairwise <em>t</em> tests indicated improvements in sleep satisfaction, alertness (fatigue but not sleepiness), timing, efficiency, and duration (Cohen’s <em>d</em> <!-->=<!--> <!-->0.22 to 1.55). ANCOVA models revealed significant differences in sleep health scores between treated insomnia patients and the other two sleep groups. Treated patients demonstrated less bedtime and risetime variability, in addition to lower napping duration. Overall, the study observed significant changes in various domains of sleep health after four sessions of cognitive behavioral therapy for insomnia; however, differences remain when compared to the other groups in the study.</p></div><div><h3>Conclusion</h3><p>There may be ongoing sleep vulnerability in patients treated with cognitive behavioral therapy for insomnia though future inclusion of a control group would increase internal validity. Borrowing from transdiagnostic sleep modules may be helpful to support remaining deficits after cognitive behavioral therapy for insomnia.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 4","pages":"Pages 515-522"},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352721824000615/pdfft?md5=b6746eedc9348b22e1df20c95de96f8a&pid=1-s2.0-S2352721824000615-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Commuting time, working time, and their link to insomnia symptoms among Korean employees: A cross-sectional study 韩国雇员的通勤时间、工作时间及其与失眠症状的关系:一项横断面研究。
IF 3.4 2区 医学
Sleep Health Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.05.004
{"title":"Commuting time, working time, and their link to insomnia symptoms among Korean employees: A cross-sectional study","authors":"","doi":"10.1016/j.sleh.2024.05.004","DOIUrl":"10.1016/j.sleh.2024.05.004","url":null,"abstract":"<div><h3>Objective</h3><p>Although commuting time is an extension of working hours, few studies have examined the relationship between commuting time and insomnia symptoms in relation to working time. Thus, this study investigated the relationship between commuting time and working time and their link to sleep disturbance.</p></div><div><h3>Methods</h3><p>This study included employees with ≥35 weekly working hours (n = 30,458) using data from the Sixth Korean Working Conditions Survey conducted in Korea between October 2020 and April 2021. The association between commuting time (≤60, 61-120, and &gt;120 minutes) and insomnia symptoms based on working hours (35-40, 41-52, and &gt;52 h/wk) or shift work was investigated using survey-weighted logistic regression analysis.</p></div><div><h3>Results</h3><p>Long commuting time (&gt;120 min/d) combined with &gt;52 working hours/week (OR: 7.88, 95% CI: 2.51-24.71) or combined with 41-52 h/wk (OR: 3.64, 95% CI: 2.15-6.14) was associated with a higher risk of insomnia symptoms compared with the reference group (working hours: 35-40 h/wk; daily commuting time: ≤60 minutes), after controlling for sex, age, socioeconomic factors, and work-related factors. Among shift workers, those with daily commuting time ≤60 minutes (OR: 1.71, 95% CI: 1.39-2.09), 61-120 minutes (OR: 2.63, 95% CI: 1.21-5.74), and &gt;120 minutes (OR: 5.16, 95% CI: 2.14-12.44) had higher odds of insomnia symptoms than nonshift workers with ≤60 minutes daily commuting time.</p></div><div><h3>Conclusion</h3><p>Long working hours and shift work are associated with greater risk of insomnia symptoms.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 4","pages":"Pages 434-440"},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352721824001116/pdfft?md5=7be30b578167720203ecf496b3a643e9&pid=1-s2.0-S2352721824001116-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal associations between biopsychosocial stress indicators and sleep in older Puerto Rican adults 波多黎各老年人的生物心理社会压力指标与睡眠之间的纵向联系。
IF 3.4 2区 医学
Sleep Health Pub Date : 2024-08-01 DOI: 10.1016/j.sleh.2024.04.001
{"title":"Longitudinal associations between biopsychosocial stress indicators and sleep in older Puerto Rican adults","authors":"","doi":"10.1016/j.sleh.2024.04.001","DOIUrl":"10.1016/j.sleh.2024.04.001","url":null,"abstract":"<div><h3>Objectives</h3><p><span>To examine the association of biopsychosocial stress indicators (perceived stress, perceived discrimination, stressful life events, and allostatic load) with sleep outcomes (sleep duration and insomnia symptoms) and to examine sex and age interactions for associations between stress and sleep in older </span>Puerto Rican adults.</p></div><div><h3>Methods</h3><p><span>Secondary analyses were performed with 830 participants (72% female) from wave 2 (2006-2011) of the Boston Puerto Rican Health Study (BPRHS), a prospective population-based cohort study (45-75</span> <span>years at baseline) and Boston Puerto Rican Osteoporosis Study (BPROS) (2007-2012), an ancillary study of the BPRHS. Recruitment occurred in randomly selected census blocks using door-to-door and community-based activities. In-home data collection visits included a baseline assessment and follow-up interviews. Questionnaires assessed perceived stress, discrimination, stressful life events, and sleep. Allostatic load indicators were measured objectively. Regression models controlled for sociodemographic, behavioral, and health factors, with interaction analyses, followed by sex- and sex-by-age-stratified analyses.</span></p></div><div><h3>Results</h3><p>In the prior 2<!--> <span>years, participants with chronic stress had 50% greater odds of reporting nonoptimal sleep duration (&lt;7 or &gt;9 hours). Life events trajectories were significantly related to insomnia symptoms. Men ≥65</span> <span>years who experienced chronic stress had greater insomnia symptoms than women, or than men with low stress or acute stress.</span></p></div><div><h3>Conclusions</h3><p>Stressful life events may affect sleep duration and insomnia symptoms among older Puerto Rican adults, particularly men 65 years and older who experienced chronic stress. Given the differences in sleep patterns experienced by older adults and their relationships with health outcomes, identifying methods to support sleep health among those with chronic stress is important.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 4","pages":"Pages 418-424"},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The gendered effect of status-striving in sleep deprivation disclosure 睡眠不足信息披露中的地位争夺的性别效应。
IF 3.4 2区 医学
Sleep Health Pub Date : 2024-07-31 DOI: 10.1016/j.sleh.2024.06.001
Elijah X.M. Wee PhD , Giselle E. Antoine PhD , Christopher M. Barnes PhD
{"title":"The gendered effect of status-striving in sleep deprivation disclosure","authors":"Elijah X.M. Wee PhD ,&nbsp;Giselle E. Antoine PhD ,&nbsp;Christopher M. Barnes PhD","doi":"10.1016/j.sleh.2024.06.001","DOIUrl":"10.1016/j.sleh.2024.06.001","url":null,"abstract":"<div><h3>Objectives</h3><p>In this research, we conceptualize status-striving sleep deprivation disclosure as talking about one’s lack of sleep with the intention of enhancing one’s image. We propose that workers may disclose discretionary information about their sleep deprivation to highlight their potential contributions to the group because of the personal costs of sleep deprivation (e.g., physiological and psychological impediments), which in turn, predicts higher status conferral. We further propose that perceptions of status-striving sleep deprivation disclosure are influenced by gender stereotypes.</p></div><div><h3>Methods</h3><p>To test our theory, we designed three studies: an experimental study (study 1), a two-wave panel multisource field study (study 2), and another experimental study (study 3).</p></div><div><h3>Results</h3><p>The results showed that status-striving sleep deprivation disclosure predicted status conferral, and this indirect effect was explained by perceptions of strength for men. We also found support that when team performance ambiguity is lower, which meant that members’ contributions are more well-known within the group, the indirect effect was explained by perceptions of self-sacrifice for women.</p></div><div><h3>Conclusion</h3><p>People talk about sleep deprivation in their workplaces and can gain status for having done so. For men, status-striving sleep deprivation disclosure enhances their status by enhancing others’ perception of their strength. For women, status-striving sleep deprivation disclosure enhances their status by enhancing others’ perception of their self-sacrifice, but only under conditions of low team performance ambiguity.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 5","pages":"Pages 540-549"},"PeriodicalIF":3.4,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sleep duration, overweight status, and the modifying role of food insecurity in a sample of 10- to 14-year-old Mexican early adolescents 10 至 14 岁墨西哥青少年样本中的睡眠时间、超重状况以及食物不安全的调节作用。
IF 3.4 2区 医学
Sleep Health Pub Date : 2024-07-26 DOI: 10.1016/j.sleh.2024.06.005
Dania Orta-Aleman PhD, MPH , Barbara A. Laraia PhD, MPH, RD
{"title":"Sleep duration, overweight status, and the modifying role of food insecurity in a sample of 10- to 14-year-old Mexican early adolescents","authors":"Dania Orta-Aleman PhD, MPH ,&nbsp;Barbara A. Laraia PhD, MPH, RD","doi":"10.1016/j.sleh.2024.06.005","DOIUrl":"10.1016/j.sleh.2024.06.005","url":null,"abstract":"<div><h3>Objectives</h3><p>Short sleep duration has been associated with an increased risk of childhood overweight and obesity in high-income countries, but data from low- and middle-income countries are scarce. Independently, short sleep and food insecurity may increase the risk of overweight/obesity, but it is unknown whether they concurrently affect it.</p></div><div><h3>Methods</h3><p>We included 3350 adolescents aged 10-14 from the 2012 and 2016 Mexican National Health and Nutrition Survey. Short sleep was categorized as less than 9 hours for ages 10-12 and less than 8 hours for ages 13-14. Overweight/obesity was assessed via anthropometry. Modified Poisson regression models assessed prevalence ratios between short sleep and overweight, examining effect modification by food security status.</p></div><div><h3>Results</h3><p>86% met sleep duration recommendations. Short sleep was associated with an increased prevalence of overweight/obesity (prevalence ratio, 1.16; 95% CI, 1.05, 1.31). Multiplicative interaction was found between low and very low food security status and short sleep: adolescents in low food secure households with short sleep had 1.38 (95% CI: 1.10, 1.75) times the prevalence of overweight/obesity compared to adequate sleepers. Very low food secure households had 1.16 (95% CI: 1.14, 1.31) times the prevalence compared to adequate sleepers. This association was not significant in fully or marginally food secure households.</p></div><div><h3>Conclusions</h3><p>Short sleep is associated with an increased obesity risk among Mexican adolescents 10-14<!--> <!-->years, particularly in the context of low and very low food security. These findings highlight the importance of addressing both sleep hygiene and food security in strategies to reduce obesity risk.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 5","pages":"Pages 583-589"},"PeriodicalIF":3.4,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sleep-related impairment among people who use opioids: The critical role of structural vulnerability 阿片类药物使用者的睡眠障碍:结构脆弱性的关键作用。
IF 3.4 2区 医学
Sleep Health Pub Date : 2024-07-26 DOI: 10.1016/j.sleh.2024.07.003
Kristin E. Schneider PhD , Emily M. Martin MHS , Glenna J. Urquhart MPH , Laura N. Sisson PhD, MPH, MSSW , Saba Rouhani PhD , Miles Morris MPH , Adam P. Spira PhD, MA , Susan G. Sherman PhD, MPH
{"title":"Sleep-related impairment among people who use opioids: The critical role of structural vulnerability","authors":"Kristin E. Schneider PhD ,&nbsp;Emily M. Martin MHS ,&nbsp;Glenna J. Urquhart MPH ,&nbsp;Laura N. Sisson PhD, MPH, MSSW ,&nbsp;Saba Rouhani PhD ,&nbsp;Miles Morris MPH ,&nbsp;Adam P. Spira PhD, MA ,&nbsp;Susan G. Sherman PhD, MPH","doi":"10.1016/j.sleh.2024.07.003","DOIUrl":"10.1016/j.sleh.2024.07.003","url":null,"abstract":"<div><h3>Objective</h3><p>People who use opioids are vulnerable to sleep disturbances due to a range of factors, including the substances they use and the various structural vulnerabilities they face. We aimed to understand the burden of sleep-related impairment and problems pertaining to sleep context and schedule among people who use opioids.</p></div><div><h3>Methods</h3><p>We explored sleep quality and problems among a suburban sample of people who use opioids experiencing extensive structural vulnerabilities (N = 170). Participants reported their most urgent concern in the past week (e.g., sleep, drug use, housing), their sleep context, sleep problems, sleep schedules, and scores on the PROMIS Sleep-Related Impairment measure. We then quantified associations between Sleep-Related Impairment scores and sociodemographics and substance use.</p></div><div><h3>Results</h3><p>Participants were primarily men (66%) and non-Hispanic Black (67%) with a mean age of 42 (SD: 12.1). Many experienced hunger (44%) and literal homelessness (40%). One-quarter (28%) reported that sleep was their most urgent concern in the past week. The most common problems when falling or staying asleep were mental health-related symptoms (81%) and pain/discomfort (32%). Literal homelessness (β = 2.2, 95% CI: 0.6, 3.7), hunger (β = 2.3, 95% CI: 1.0, 3.6), and frequent alcohol use (β = 1.5, 95% CI: 0.2, 2.7) were significantly associated with Sleep-Related Impairment scores.</p></div><div><h3>Conclusions</h3><p>Homelessness and hunger are associated with sleep-related impairment in people who use opioids. Poor sleep quality, substance use, structural vulnerability, and mental health problems are all interrelated sources of functional impairment in this population. Interventions that address poverty as an underlying cause of sleep-related impairment and provide safe sleeping environments are needed.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 5","pages":"Pages 533-539"},"PeriodicalIF":3.4,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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