Sleep Health最新文献

{"title":"The impact of idiopathic hypersomnia on the social lives of young adults","authors":"Ryan D. Davidson PhD ,&nbsp;Margaret Blattner MD, PhD ,&nbsp;Thomas E. Scammell MD ,&nbsp;Eric S. Zhou PhD","doi":"10.1016/j.sleh.2024.10.006","DOIUrl":"10.1016/j.sleh.2024.10.006","url":null,"abstract":"<div><h3>Objectives</h3><div>People with idiopathic hypersomnia report significant impairment in their lives due to idiopathic hypersomnia symptoms, and this likely includes an impact on social relationship health. This study investigated the effects of idiopathic hypersomnia on social relationships (friends, romantic, and sexual) during the key developmental period of young adulthood.</div></div><div><h3>Methods</h3><div>Young adults (N = 106; 18-39<!--> <!-->years) with idiopathic hypersomnia were recruited through national hypersomnia patient organizations. Participants completed an online survey assessing the impact of symptoms on overall social functioning, as well as assessing friendships, romantic relationships, and sexual relationships.</div></div><div><h3>Results</h3><div>Nearly all participants (98%) reported that idiopathic hypersomnia made their social life more challenging. Over half (56%) felt they had too few close friends. While 69% were currently in a romantic relationship, the majority (92%) reported that idiopathic hypersomnia made it more challenging to enter a romantic relationship, with 89% stating that it impacted their sex life. Symptoms with the greatest perceived impact on social relationships were excessive sleepiness, brain fog, and long sleep. Most participants expressed that they would like their clinicians to ask about their social lives.</div></div><div><h3>Conclusions</h3><div>Idiopathic hypersomnia substantially impacts the social lives of young adults, including friendships, romantic partnerships, and sex lives. Despite the importance of social relationships, clinicians seldom address this topic during clinic visits. When considering whole person health for people with idiopathic hypersomnia, clinical care would benefit from more attention to social health.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 113-119"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916028","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}

{"title":"Association between infant sleep and neurodevelopment in a prospective birth cohort study","authors":"Xianxian Zhu MPH ,&nbsp;Yingying Zhang MM ,&nbsp;Bo Yang MPH ,&nbsp;Ming Gan MPH ,&nbsp;Weiting Wang MPH ,&nbsp;Yiqun Xu PhD ,&nbsp;Jinghan Wang PhD ,&nbsp;Yanjie Zhang PhD ,&nbsp;Yuting Peng MPH ,&nbsp;Huixin Xue MPH ,&nbsp;Shuxin Xiao MPH ,&nbsp;Hong Lv PhD ,&nbsp;Lei Huang PhD ,&nbsp;Xin Xu PhD ,&nbsp;Shuifang Lei PhD ,&nbsp;Tao Jiang PhD ,&nbsp;Yangqian Jiang PhD ,&nbsp;Hongxia Ma MD, PhD ,&nbsp;Chunjian Shan MM ,&nbsp;Jiangbo Du PhD ,&nbsp;Yuan Lin MD, PhD","doi":"10.1016/j.sleh.2024.09.011","DOIUrl":"10.1016/j.sleh.2024.09.011","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the association of infant sleep and sleep trajectories through the first year of life with infant neurodevelopment.</div></div><div><h3>Methods</h3><div>This study was conducted with 3251 infants in China. Sleep parameters were evaluated by the Brief Infant Sleep Questionnaire at 42<!--> <!-->days, 6<!--> <!-->months, and 1<!--> <!-->year of age. Neurodevelopment was evaluated at 1<!--> <!-->year of age using the Bayley Scales of Infant and Toddler Development, Third Edition. The latent variable growth curve model was used to evaluate the developmental trajectories of infant sleep, including total sleep duration trajectories, night awakening trajectories and sleep onset latency trajectories. Poisson regression was applied to assess the association between sleep parameters and sleep trajectories and infant neurodevelopment.</div></div><div><h3>Results</h3><div>Infants with frequent night awakenings at 6<!--> <!-->months had a higher risk of nonoptimal gross motor development. Additionally, infants with prolonged sleep onset latency at 1<!--> <!-->year had an increased risk of nonoptimal fine and gross motor development. A consistent frequent night-awakening trajectory increased the risk of nonoptimal gross motor development (adjusted relative risk, 1.52; 95% confidence interval, 1.09 to 2.10). Furthermore, an increasing trajectory in sleep onset latency was associated with an increased risk of nonoptimal fine (adjusted relative risk, 2.70; 95% confidence interval, 1.12 to 6.51) and gross motor development (adjusted relative risk, 2.76; 95% confidence interval, 1.70 to 4.48). However, no significant association was observed between total sleep duration, or its trajectory, and infant neurodevelopment.</div></div><div><h3>Conclusions</h3><div>Sleep problems or specific sleep trajectories during the initial year of life may increase risk of compromised neurodevelopment.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 48-56"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630696","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}

{"title":"Drowsy driving prevalence and beliefs among a nationally representative US sample: A report from the National Sleep Foundation","authors":"Joseph M. Dzierzewski PhD ,&nbsp;Spencer A. Nielson MS","doi":"10.1016/j.sleh.2024.10.008","DOIUrl":"10.1016/j.sleh.2024.10.008","url":null,"abstract":"<div><h3>Objectives</h3><div>Drowsy driving is a preventable form of impaired driving, represents a large public health concern, and accounts for a significant proportion of motor vehicle crashes, injuries, and deaths. There is a limited body of research documenting the prevalence and frequency of drowsy driving, alongside the public’s perceptions and attitudes surrounding drowsy driving. The overarching goal of the present study was to document the prevalence, frequency, perceptions, attitudes, and associated sleep behaviors and beliefs related to drowsy driving.</div></div><div><h3>Methods</h3><div>The National Sleep Foundation conducted a national online survey of 1012 adults via the probability-based Ipsos Public Affairs KnowledgePanel. The survey was conducted in either English or Spanish, depending on participant preferred language. Respondents answered questions about the occurrence of drowsy driving, attitudes and beliefs about drowsy driving, and habitual sleep duration.</div></div><div><h3>Results</h3><div>Results indicated that the majority of US adults (95%) perceived drowsy driving as a risk; however, the lifetime prevalence of drowsy driving was high—62% of all drivers reported driving while so tired that they had a hard time keeping their eyes open. Individuals who obtained the NSF recommended sleep duration drove while drowsy less frequently.</div></div><div><h3>Conclusions</h3><div>Drowsy driving is a preventable and common behavior at the intersection of sleep health and public safety. Drivers who get adequate nighttime sleep are less likely to drive while they are so tired that they have a hard time keeping their eyes open. Public health campaigns encouraging adequate sleep to drive alert are needed.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 7-13"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630700","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}

{"title":"Associations of sleep duration and weekend catch up sleep with cancer risk among US adults in the Cancer Prevention Study-3 cohort","authors":"Sidney M. Donzella MPH ,&nbsp;Trang VoPham PhD ,&nbsp;Alpa V. Patel PhD ,&nbsp;Marjorie L. McCullough ScD ,&nbsp;Amanda I. Phipps PhD ,&nbsp;Charlie Zhong PhD","doi":"10.1016/j.sleh.2024.10.011","DOIUrl":"10.1016/j.sleh.2024.10.011","url":null,"abstract":"<div><h3>Objective</h3><div>Our objective was to investigate the associations of sleep duration and weekend catch-up sleep with cancer risk among US adults in the Cancer Prevention Study-3.</div></div><div><h3>Methods</h3><div>Cancer Prevention Study-3 is a prospective cohort of approximately 250,000 US adults aged 30-65<!--> <!-->years. At baseline (2006-2013), participants were asked to report their average daily sleep duration over the past year for weekdays and weekends separately. Using the midpoint of each sleep duration category, a 5:2 weekday:weekend weighted average was created. Weekend catch-up sleep was calculated using the difference of weekend and weekday sleep duration category midpoints and categorized as −4 or −2, 0, 2, and 4 hours. Cancer incidence (overall and female breast) was determined via linkage to state registries; follow-up time ended at the time of cancer diagnosis, time of death, or end of follow-up (12/31/2018). We used multivariable Cox proportional hazards models to estimate adjusted hazard ratios and 95% confidence intervals for the associations of sleep duration and weekend catch-up sleep with cancer risk adjusted for sociodemographics, socioeconomic status, comorbidities, and lifestyle behaviors.</div></div><div><h3>Results</h3><div>A total of 10,256 incident cancer cases were reported among the 248,086 participants included in the study. We found no statistically significant associations between the examined sleep characteristics with overall or breast cancer-specific risk.</div></div><div><h3>Conclusion</h3><div>Our research strengthens the existing null findings of the association between sleep duration and cancer risk. This was the first study to investigate the relationship of weekend catch-up sleep with cancer risk and more research is necessary to further elucidate this relationship.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 105-112"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878267","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}

{"title":"Prevalence of social jetlag and associated factors in Brazilian adolescents: Results from a country-wide cross-sectional study","authors":"Nina Nayara Ferreira Martins MSc ,&nbsp;Arnaldo Luis Mortatti PhD ,&nbsp;Beatriz D Schaan MD, PhD ,&nbsp;Felipe Vogt Cureau PhD","doi":"10.1016/j.sleh.2024.10.001","DOIUrl":"10.1016/j.sleh.2024.10.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Social jetlag is a disturbance in the circadian rhythm caused by a desynchronization between an individual's biological rhythm and social commitments and responsibilities. It leads to sleep debt during the week and compensation on weekends. Social jetlag is associated with an increased risk of chronic diseases and cognitive dysfunction in adolescents. This study aims to assess the prevalence of social jetlag and associated factors in Brazilian adolescents.</div></div><div><h3>Methods</h3><div>Adolescents of both sexes, aged between 12 and 17<!--> <!-->years, participating in the Study of Cardiovascular Risks in Adolescents (ERICA), were included. The sleep duration on a typical weekday and weekend day was collected through a self-reported questionnaire. The occurrence of social jetlag was defined as the difference between the midpoint of sleep on weekends and weekdays, with differences equal to or higher than 1<!--> <!-->hour considered as an indicator of positive social jetlag. Factors associated with the prevalence of social jetlag were investigated using Poisson regression models.</div></div><div><h3>Results</h3><div>The sample included a total of 64,029 adolescents. Social jetlag affects more than 80% of Brazilian adolescents, with higher prevalence among girls in the age group of 16-17<!--> <!-->years, with white skin color, attending private schools, and those having morning classes. Additionally, unhealthy risk behaviors such as skipping breakfast, alcohol consumption, and increased screen time are associated with a higher prevalence of social jetlag.</div></div><div><h3>Conclusion</h3><div>The prevalence of social jetlag was high in Brazilian adolescents, and, among its associated factors, studying in the morning shift and engaging in unhealthy risk behaviors stand out.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Pages 65-72"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630706","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}

{"title":"Cover 2: Editorial Board","authors":"","doi":"10.1016/S2352-7218(25)00003-8","DOIUrl":"10.1016/S2352-7218(25)00003-8","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 1","pages":"Page IFC"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143228073","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}

{"title":"Longitudinal assessment of objective sleep and power output in Division I collegiate baseball athletes.","authors":"Jeremy A Bigalke, Katherine M Lee, Jennifer R Bigalke, Michael K Scullin, Andrew R Gallucci, Jason R Carter","doi":"10.1016/j.sleh.2024.12.009","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.12.009","url":null,"abstract":"<p><strong>Objectives: </strong>Many college athletes experience insufficient sleep due to athletic, academic, and social constraints. While prior studies have observed cross-sectional associations between poor sleep and performance in athletes, few studies have longitudinally assessed performance variations in relation to sleep measures. We investigated whether objectively measured sleep assessments were associated with peak power output improvements during a fall season of Division I collegiate baseball players.</p><p><strong>Methods: </strong>Peak power output was assessed weekly for 12weeks in 24 male collegiate baseball players (age: 21±1years). Objective sleep (Oura ring) was assessed over the final 6weeks to determine total sleep time, sleep efficiency, and other assessments of sleep quality, including the proportion of nights in which athletes maintained total sleep time ≥7 hours or sleep efficiency ≥90%. Bivariate correlations between sleep measures and peak power output were performed.</p><p><strong>Results: </strong>Greater improvements in peak power output throughout the fall season were associated with higher total sleep time (r=0.429, p=.036), higher sleep efficiency (r=0.411, p=.046), and fewer nighttime awakenings (r=-0.495, p=.014). Furthermore, the rate of change in peak power output was associated with the proportion of nights in which athletes maintained total sleep time ≥7 hours (r=0.557, p=.005) or sleep efficiency ≥90% (r=0.509, p=.011).</p><p><strong>Conclusions: </strong>These findings support an association between adequate sleep duration, quality, and consistency in training season performance trajectories in college athletes.</p><p><strong>Data availability: </strong>Data will be made available upon reasonable request by the corresponding author.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075972","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}

{"title":"Sleep health epidemiology and associations with menstrual health, mental health, and educational performance among in-school female adolescents in Uganda: A longitudinal study.","authors":"Beatrice Nanyonga, Katherine A Thomas, Titus Ssesanga, Apophia Kaihangwe, Kate A Nelson, Denis Ssenyondwa, Noeline Nassimbwa, Jonathan Reuben Enomut, Aggrey Tumuhimbise, Prossy Namirembe, Ratifah Batuusa, Nambusi Kyegombe, Fiona C Baker, Helen A Weiss","doi":"10.1016/j.sleh.2024.12.007","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.12.007","url":null,"abstract":"<p><strong>Objectives: </strong>Few studies have assessed sleep among African adolescents. We aim to understand factors associated with subjective sleep quality among female Ugandan adolescents and the association of poor sleep quality with subsequent menstrual- and mental health, and educational performance.</p><p><strong>Methods: </strong>We analyzed data from a cluster-randomized controlled trial that evaluated a menstrual health intervention in 60 Ugandan secondary schools. Data were collected through cross-sectional surveys at baseline (March-June 2022) and endline (July-August 2023), and prospective daily diaries (April-August 2023). We used logistic regression to analyze associations with poor sleep at baseline, and linear regression to analyze associations of poor sleep with subsequent menstrual and mental health, and education performance, adjusting for clustering.</p><p><strong>Results: </strong>Of 3841 female participants (mean age=15.6years), 580 (15.1%) reported poor sleep quality and 829 (21.6%) reported feeling tired at baseline. Poor sleep was associated with socio-economic factors including smaller household size, lower socioeconomic status, and fewer meals consumed the previous day. There was strong evidence that poor sleep at baseline was associated with multiple dimensions of poor menstrual health including menstrual pain (adjusted odds ratio=1.74, 95%CI 1.29-2.33), more unmet menstrual practice needs (adjusted odds ratio=2.68, 95%CI 1.99-3.60), and with mental health problems (adjusted odds ratio=2.40, 95%CI 1.80-3.19). Results were similar for baseline tiredness. Prospectively reported poor sleep quality was associated with subsequent poor menstrual and mental health, and subsequent poor educational performance.</p><p><strong>Conclusions: </strong>Poor sleep is prevalent among in-school female Ugandan adolescents and is associated with subsequent poorer menstrual health, mental health, and educational performance. Improving sleep in this population could benefit menstrual health, mental health and education outcomes.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075989","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}

{"title":"A community-engaged qualitative study of factors affecting sleep among Hispanic/Latinos with short sleep duration.","authors":"Sofia Vallejo-Riveros, Maria Jose Velasco-Burgos, Laura E C Flores Hernandez, Ricardo Quintana, Jason Wiese, Ana Sanchez-Birkhead, Jennifer Duffecy, Kelly G Baron","doi":"10.1016/j.sleh.2024.12.002","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.12.002","url":null,"abstract":"<p><strong>Background: </strong>Despite having high prevalence of short sleep duration, poor sleep quality, and sleep disorders in adult Hispanics living in the US, there is limited understanding of the underlying barriers to sleep and effective interventions in these groups. This study aimed to increase understanding of sleep duration and attitudes toward sleep interventions among Hispanic adults.</p><p><strong>Methods: </strong>We conducted 5 online focus group discussions with male and female participants aged 18-65 recruited from the Hispanic community who reported sleeping <7 hours per night. Interviewers utilized a semistructured interview guide to assess attitudes and beliefs about sleep and sleep interventions. Focus groups were conducted in Spanish, recorded, transcribed, and coded to elicit common themes.</p><p><strong>Results: </strong>Focus groups included 31 participants (19=women) from 12 Hispanic nationalities. Coders identified three main topics: (1) Sleep perceptions, (2) External and internal factors that affect sleep, and (3) Feedback about sleep interventions. Participants discussed the importance of sleep and factors related to stress, family, environment, and acculturation. Sleep interventions were viewed as desirable, and the group discussed a variety of topics of interest. The use of consumer sleep technology was considered a favorable intervention despite few participants having experience with consumer sleep-tracking devices.</p><p><strong>Conclusion: </strong>Results demonstrated that participants were aware of the importance of sleep and sleep duration recommendations. The discussion identified unique issues affecting sleep health in Hispanics as well as enthusiasm for sleep interventions, including interventions using consumer sleep trackers.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042464","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}

{"title":"Perceived financial hardship and sleep in an adult population-based cohort: The mediating role of psychosocial and lifestyle-related factors.","authors":"Ambra Chessa, Stephanie Schrempft, Viviane Richard, Hélène Baysson, Nick Pullen, María-Eugenia Zaballa, Elsa Lorthe, Mayssam Nehme, Idris Guessous, Silvia Stringhini","doi":"10.1016/j.sleh.2024.12.006","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.12.006","url":null,"abstract":"<p><strong>Background: </strong>Social inequalities in sleep have been reported, but there is less research on the mechanisms underlying this association. This study investigates the relationship between financial hardship and sleep within the general adult population, focusing on the mediating effects of psychosocial and lifestyle-related factors.</p><p><strong>Methods: </strong>We used data from the Specchio cohort, a population-based study in Geneva, Switzerland, initiated in December 2020. Perceived financial hardship and sleep outcomes (insomnia, sleep quality, and sleep duration) were assessed by questionnaire in 2020 to 2021. Counterfactual mediation analysis was conducted to examine the extent to which perceived financial hardship impacts sleep through psychosocial (psychological distress and loneliness) and lifestyle-related (weight, smoking, and physical inactivity) pathways. Models were adjusted for age, sex, education, living alone, and chronic disease.</p><p><strong>Results: </strong>Among 4388 participants, those experiencing financial hardship had a greater risk of insomnia (odds ratio: 2.11; 95% confidence interval: 1.70-2.61), poor sleep quality (odds ratio: 1.69; 95%confidence interval: 1.41-2.02), and not meeting sleep duration guidelines (odds ratio: 1.40; 95% confidence interval: 1.18-1.66) compared to those without financial difficulties. Psychosocial factors explained 40% of the relationship of financial hardship with insomnia, 35% of the relationship with poor sleep quality, and 10% of the association with suboptimal sleep duration. The contribution of lifestyle-related factors was 8%, 12%, and 17%, respectively.</p><p><strong>Conclusion: </strong>Perceived financial hardship is a significant predictor of poor sleep, and this association is mediated by psychosocial and, to a lesser extent, lifestyle-related factors. These findings highlight the need for integrative approaches addressing social inequalities in sleep.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029869","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}