scholarly journals Trends in short sleep duration in the National Health and Interview Survey 2004-2018: A Decomposition Analysis

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 916-916
Author(s):  
Jiahui Xu ◽  
Orfeu Buxton ◽  
Liying Luo ◽  
Alyssa Gamaldo ◽  
Ashton Verdery ◽  
...  
Keyword(s):  
Labor Force ◽  
Sleep Duration ◽  
Labor Force Participation ◽  
National Health ◽  
Population Aging ◽  
Decomposition Analysis ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Interview Survey ◽  
Compositional Effects

Abstract Since the early 2000s, it is increasingly common that people have short sleep durations (<=6 per 24-hour), making this a high-prevalence public health issue, especially among Black individuals. We investigate how trends in short sleep duration are influenced by changes in population aging, socioeconomic factors (e.g., education, labor force participation, marital status), and health conditions and behaviors (e.g., pain, smoking, drinking, obesity, psychological distress). We use the pooled cross-sectional data from the 2004-2018 National Health and Interview Survey, a large and nationally representative study. We partition overall trends in short sleep duration into (a) compositional effects due to distributional changes in age structure, socioeconomic and health factors and (b) unexplained rate effects. Subsequently, we compare the relative contribution of each factor to the total compositional effects among Black and White participants. Results demonstrate that greater education is associated with greater prevalence of short sleep duration among Black Americans, but reduced prevalence among White Americans. For both racial groups, population aging contributes relatively little to temporal patterns in short sleep duration; by contrast, higher distress and lower labor force participation in recent years are associated with the increasing prevalence of short sleep duration.

scholarly journals 1102 Relationship Between Emotional Distress And Sleep Duration Among Hispanics Using The 2018 National Health Interview Survey Dataset

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A419-A419
Author(s):  
J Garcia ◽  
J Moore ◽  
L Payano ◽  
A Rogers ◽  
P Poke ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Emotional Distress ◽  
National Health ◽  
National Health Interview Survey ◽  
Short Sleep Duration ◽  
Hispanic Females ◽  
Health Interview Survey ◽  
Short Sleep ◽  
Health Interview ◽  
Interview Survey

Abstract Introduction Although Hispanics experience a high level of shorter sleep duration (< 7 hrs./24 period), a clear mechanism or cause is lacking. Previous research indicate that emotional distress may explain the burden of shorter sleep among blacks. Applying these findings to Hispanics, we investigated whether emotional distress explains the burden of short sleep duration (< 7 hrs.) among Hispanics and if this relationship varies by sex Methods We used data from the 2018 National Health Interview Survey (NHIS) dataset, a nationally representative sample, in which only Hispanic ethnicity participants (N=3,091) were analyzed. Average sleep duration was self-reported and measured in hours. Emotional distress was measured using Kessler 6, which measures how an individual felt over the past 30 days: nervous, hopeless, restless/fidgety, depressed, effortful and worthless. To assess the association between short sleep duration and emotional distress, we performed Pearson correlation, hierarchical regression analyses, and stratified this relationship by sex to determine if this relationship differed between males and females, adjusting for covariates. Results Of the total sample of 3,091 Hispanics, 1,762 were female, and 1,329 were male. Sleep duration and emotional distress were negatively correlated among females (r = -.27, p <.001) and males (r=-.18, p <.001). Among Hispanic females, sleep duration significantly predicted emotional distress, β = -.27, t = -11.60, p <.001, and explained a significant portion of variance in emotional distress, R2 = .07, F= 134.63, p <.001. While, among Hispanic males, sleep significantly predicted emotional distress (β = -.18, t =-6.5, p <.001) and explained a significant portion of the variance in emotional distress (R2 = .03, F= 42.37, p <.001). Conclusion Our findings indicate that a negative sleep-ED relationship, suggesting that shorter sleep was predictive of higher levels of emotional distress among Hispanics and that this relationship is greater among Hispanic females, compared males. Support K01HL135452, R01MD007716, R01HL142066, and K07AG052685

scholarly journals Sleep Patterns among US Latinos by Nativity and Country of Origin: Results from the National Health Interview Survey

2020 ◽  
Vol 30 (1) ◽  
pp. 119-128
Author(s):  
Catherine Garcia ◽  
Connor M. Sheehan ◽  
Nilda Florez-Gonzalez ◽  
Jennifer A. Ailshire
Keyword(s):  
Sleep Duration ◽  
Disease Burden ◽  
Poor Sleep ◽  
South American ◽  
Foreign Born ◽  
Short Sleep Duration ◽  
Short Sleep ◽  
Health Related ◽  
Interview Survey ◽  
Central South

Background: Sparse data exist to describe national population-level trends in short sleep duration among Latinos. Because short sleep duration is associated with several health conditions that are common in Latinos, such as obesity, diabetes, and hypertension, understanding sleep trends among this population may be key to reduc­ing their disease burden. This study aimed to document Latino subgroup differences in self-reported sleep duration by nativity and country of origin relative to Whites.Design and Setting: Pooled cross-sectional analysis of self-reported data from the Na­tional Health and Interview Survey (NHIS), 2004-2017.Participants: 303,244 respondents, aged 18 to 84 years, who self-identified as non- Latino US-born White, US-born Mexican, foreign-born Mexican, US-born Puerto Rican, island-born Puerto Rican, US-born Cuban, foreign-born Cuban, US-born Dominican, foreign-born Dominican, US-born Central/South American, foreign-born Central/South American, US-born “other” Latino, and foreign-born “other” Latino.Methods: Multinomial logistic regression models were used to predict sleep duration controlling for demographics, acculturation, socioeconomic, and health-related factors. Results: We found that all Latino subgroups (except US-born Cubans) were more likely to report poor sleep duration relative to non-Latino Whites, net of demographic, acculturation, socioeconomic, and health-related characteristics. However, the magnitude of disadvantage varies by Latino subgroup. We also found that poor sleep duration is concentrated among certain age groups for the various Latino subpopula­tions.Conclusions: Given that Latinos in the United States are at higher risk for obesity, diabetes, and hypertension, understanding the patterns of sleep among this popula­tion can help identify strategies to improve sleep habits in order to reduce disease burden. Ethn Dis. 2020;30(1):119-128;doi:10.18865/ed.30.1.119

scholarly journals 0864 Race/ethnicity And Sex-dependent Effects Of Metabolic Burden Across Different Age-categories On Trends In Self-reported Sleep Duration: Findings From The National Health Interview Survey, 2004-2013

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A329-A329
Author(s):  
O Eirene ◽  
O M Bubu ◽  
T Donley ◽  
J Blanc ◽  
C Madera ◽  
...  
Keyword(s):  
Sleep Duration ◽  
National Health ◽  
National Health Interview Survey ◽  
Hispanic Males ◽  
Health Interview Survey ◽  
Short Sleep ◽  
Metabolic Burden ◽  
Health Interview ◽  
Interview Survey ◽  
Racial Ethnic

Abstract Introduction We examined race and sex-dependent effects of metabolic burden across different age-categories on trends in self-reported sleep duration for the U.S. non-institutionalized civilian population. Methods We analyzed data from the National Health Interview Survey (NHIS) adults aged 18-85 from 2004 to 2013 (N=258,158). Metabolic burden was characterized by obesity (BMI>30), dyslipidemia, diabetes, and hypertension morbidity burden levels. Racial/ethnic categories included non-Hispanic Whites (NHW), Blacks/African Americans (AAs) and Hispanics. Sleep duration within a 24-hour period on average was categorized as short sleep (≤ 6hrs), adequate sleep (7-8 hrs.), and long sleep (≥ 9hrs). Age was categorized as 18 - <26, 26 - <65 and 65 - 85. Adjusted multinomial logistic regression models stratified by race, sex and age-categories examined effects of metabolic burden on trends in self-reported sleep duration. Results The prevalence of short sleep duration was relatively stable from 2004-2012 for NHW and all females. However, AA and Hispanic males showed consistent increase in the rates of short sleepers beginning in 2007 through 2013 especially for ages 18 - <26, and 26 - <65 (P <.001 for trend). For all racial/ethnic categories, compared to individuals aged 18 - <26, individuals aged 26 - <65 were more likely to report short sleep (aOR: 1.55, 95% CI: 1.50-1.61) and individuals aged 65 - 85 were more likely to be long sleepers (aOR: 1.95, 95% CI: 1.86-2.05). Interestingly, the rate of short sleep increased as the metabolic burden increased (P <.001 for trend). This trend was more pronounced among AA and Hispanic males aged 65 - 85 with ≥ 2 metabolic conditions who were more likely to report short sleep (aOR: 1.77, 95% CI: 1.44-2.19 and aOR: 1.45, 95% CI: 1.17-1.93 respectively), compared to NHW males. Conclusion Increased metabolic burden among minority populations and especially in the elderly male, affect sleep and may have consequences for treating these populations. Support NIH/NIA/NHLBI (L30-AG064670, CIRAD P30AG059303 Pilot, T32HL129953, R01AG056531, R25HL105444, R25NS094093, K07AG05268503, R01HL142066, K23HL125939)

scholarly journals Are U.S. adults reporting less sleep?: Findings from sleep duration trends in the National Health Interview Survey, 2004–2017

SLEEP ◽  
2018 ◽  
Vol 42 (2) ◽  
Author(s):  
Connor M Sheehan ◽  
Stephen E Frochen ◽  
Katrina M Walsemann ◽  
Jennifer A Ailshire
Keyword(s):  
Logistic Regression ◽  
Sleep Duration ◽  
Ethnic Differences ◽  
National Health ◽  
National Health Interview Survey ◽  
Regression Models ◽  
Multinomial Logistic Regression ◽  
Logistic Regression Models ◽  
Short Sleep ◽  
Interview Survey

AbstractStudy ObjectivesTo document trends in self-reported sleep duration for the noninstitutionalized U.S. civilian population from 2004 to 2017 and examine how sleep trends vary by race/ethnicity.MethodsWe use data from the National Health Interview Survey (NHIS) for U.S. noninstitutionalized adults aged 18–84 from 2004 to 2017 (N = 398 382). NHIS respondents were asked how much they slept in a 24-hour period on average, which we categorized as ≤6 hr (short sleep), 7–8 hr (adequate sleep), and ≥9 hr (long sleep). We used multinomial logistic regression models to examine trends in self-reported sleep duration and assess race/ethnic differences in these trends. Our models statistically adjusted for demographic, socioeconomic, familial, behavioral, and health covariates.ResultsThe prevalence of short sleep duration was relatively stable from 2004 to 2012. However, results from multinomial logistic regression models indicated that there was an increasing trend toward short sleep beginning in 2013 (b: 0.09, 95% CI: 0.05–0.14) that continued through 2017 (b: 0.18, 95% CI: 0.13–0.23). This trend was significantly more pronounced among Hispanics and non-Hispanic blacks, which resulted in widening racial/ethnic differences in reports of short sleep.ConclusionsRecent increases in reports of short sleep are concerning as short sleep has been linked with a number of adverse health outcomes in the population. Moreover, growing race/ethnic disparities in short sleep may have consequences for racial and ethnic health disparities.

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