scholarly journals 0368 Sleep Health Among Transgender Women of Color in New York City: Preliminary Analyses of the Turnnt Study

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A141-A141
Author(s):  
D Duncan ◽  
J Schneider ◽  
A Radix ◽  
S Harry-Hernandez ◽  
D Callander
Keyword(s):  
New York ◽  
New York City ◽  
Sleep Quality ◽  
Food Insecurity ◽  
Sleep Duration ◽  
Women Of Color ◽  
Transgender Women ◽  
Housing Instability ◽  
Poor Sleep ◽  
Sleep Health

Abstract Introduction Little is known about sleep health among transgender and gender diverse populations. Even less is known about sleep among transgender women of color, a population that experiences considerable health disparity. Methods Interim baseline data were analyzed from the TURNNT (Trying to Understand Relationships, Networks and Neighborhoods among Transgender women of color) Study, an ongoing cohort of 350 HIV-negative transgender women of color in New York City. At baseline, items from the widely-used Pittsburgh Sleep Quality Index (PSQI) were used to measure typical sleep duration and subjective sleep quality. For example, typical sleep duration was measured with the PSQI item, “During the past month, how many hours of actual sleep did you get each night?”. Participant responses were analyzed descriptively; the Mann-Whitney U test was used to assess bivariate associations. Results As of November 2019, there were n=31 participants enrolled in TURNNT. Nearly half of participants earned less than $30,000 per year (48%) and in the 6 months before participation 61% had experienced food insecurity and 13% reported being unstably housed. Participants reported typically receiving 2-12 hours of sleep per night (median=6 hours). With short sleep defined as <7 hours per night, 55% reported this during the month prior to participation in the study, while 29% of participants rated their overall sleep quality as poor. Typical sleep duration was equivalent among participants with lower or higher incomes (5.5 vs 7 hours, p=0.3), but those who faced food insecurity reported less sleep (5 vs 7 hours, p<0.05) as did those who experienced housing instability (3.5 vs 7 hours, p<0.05). Conclusion Poor sleep health was common among our sample of transgender women of color, especially among those experiencing food insecurity and housing instability. Future research should examine multi-level correlates of poor sleep health such as network structures and neighborhood environments. Support The TURNNT (Trying to Understand Relationships, Networks and Neighborhoods among Transgender women of color) Study is funded through grants from the National Institute on Minority Health and Health Disparities (Grant Numbers: R01MD013554 and 3R01MD013554-02S1; Principal Investigator: Dustin T. Duncan, ScD).

Sleep health among transgender women of color in New York City: Preliminary analyses of interim baseline data from the TURNNT study cohort

Sleep Health ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 153-154
Author(s):  
Dustin T. Duncan ◽  
John A. Schneider ◽  
Asa Radix ◽  
Salem Harry-Hernandez ◽  
Denton Callander
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Women Of Color ◽  
Transgender Women ◽  
Baseline Data ◽  
Study Cohort ◽  
Sleep Health

534 Food Insecurity and Sleep Health by Race/Ethnicity and Age Group in the United States

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A211-A211
Author(s):  
Nyree Riley ◽  
Dana Alhasan ◽  
W Braxton Jackson ◽  
Chandra Jackson
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Sleep Duration ◽  
Sleep Disturbances ◽  
The United States ◽  
Poor Sleep ◽  
High Food ◽  
Short Sleep Duration ◽  
Sleep Health ◽  
Falling Asleep

Abstract Introduction Food insecurity may influence sleep through poor mental health (e.g., depression) and immune system suppression. Although prior studies have found food insecurity to be associated with poor sleep, few studies have investigated the food security-sleep association among racially/ethnically diverse participants and with multiple sleep dimensions. Methods Using National Health Interview Survey data, we examined overall, age-, sex/gender-, and racial/ethnic-specific associations between food insecurity and sleep health. Food security was categorized as very low, low, marginal, and high. Sleep duration was categorized as very short (<6 hours), short (<7 hours), recommended (7–9 hours), and long (≥9 hours). Sleep disturbances included trouble falling and staying asleep, insomnia symptoms, waking up feeling unrested, and using sleep medication (all ≥3 days/times in the previous week). Adjusting for sociodemographic characteristics and other confounders, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (95% CI) for sleep dimensions by very low, low, and marginal vs. high food security. Results The 177,435 participants’ mean age was 47.2±0.1 years, 52.0% were women, 68.4% were Non-Hispanic (NH)-White. Among individuals reporting very low food security, 75.4% had an annual income of <$35,000 and 60.3% were ≥50 years old. After adjustment, very low vs. high food security was associated with a higher prevalence of very short (PR=2.61 [95%CI: 2.44–2.80]) and short (PR=1.66 [95% CI: 1.60–1.72]) sleep duration. Very low vs. high food security was associated with both trouble falling asleep (PR=2.21 [95% CI: 2.12–2.30]) and trouble staying asleep (PR=1.98 [95% CI: 1.91–2.06]). Very low vs. high food security was associated with higher prevalence of very short sleep duration among Asians (PR=3.64 [95% CI: 2.67–4.97]), Whites (PR=2.73 [95% CI: 2.50–2.99]), Blacks (PR=2.03 [95% CI: 1.80–2.31]), and Hispanic/Latinxs (PR=2.65 [95% CI: 2.30–3.07]). Conclusion Food insecurity was associated with poor sleep in a diverse sample of the US population. Support (if any):

scholarly journals Association of physical activity with sleep health: A systematic review

2019 ◽  
Vol 23 ◽  
pp. 1-26
Author(s):  
Andrea Wendt ◽  
Thaynã Ramos Flores ◽  
Inácio Crochemore Mohnsam Silva ◽  
Fernando César Wehrmeister
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Undergraduate Students ◽  
Data Extraction ◽  
Activity Measurement ◽  
Poor Sleep ◽  
Long Term Effects ◽  
Sleep Health ◽  
Cross Sectional

The aim of this study was to systematically examine the literature on physical activity and sleep in non-clinical and population-based settings. The inclusion criteria were original studies testing the association between physical activity (as exposure) and sleep (as outcome) in representative samples of the general population, workers, or undergraduate students. Sleep health included sleep duration, sleep quality and insomnia. Studies evaluating samples including only individuals with some disease or a health condition were excluded. A search was performed in the PubMed, Scopus, Lilacs, CINAHL, and SPORTdiscus databases in March 2018. Data extraction was performed using the following items: year, author, country, population, age group, sample size, study design, sleep measurement/definition, physical activity measurement/definition, adjustment and main results. A total of 57 studies were selected, which markedly used heterogeneous instruments to measure physical activity and sleep. The majority were conducted in high-income countries and with cross-sectional design. Physical activity was associated with lower odds of insomnia (observed in 10 of 17 studies), poor sleep quality (observed in 12 of 19 studies) and long sleep duration (observed in 7 of 11 studies). The results about short sleep or continuous sleep duration remain unclear. Physical activity seems to be associated with sleep quality and insomnia, especially among adult and elderly populations in which these outcomes are more usually measured. The short- and long-term effects of physical activity intensities and dose-response on sleep should be better evaluated.

175 Household and Transnational Caregiving and Sleep in Latinx Adults: The modifying effects of employment status

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A71-A71
Author(s):  
Luciana Giorgio ◽  
Carmela Alcantara
Keyword(s):  
New York ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Employment Status ◽  
Poor Sleep ◽  
Moderating Effects ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Quality Sleep ◽  
And Gender

Abstract Introduction Although caregiving is associated with shorter sleep durations and worse sleep quality, particularly among employed individuals, these studies have mostly examined household (i.e., child, adult) and domestic caregiving among majority non-Latinx White samples. Sending remittances, a form of transnational caregiving whereby financial support is provided to relatives in one’s country of origin, is associated with positive mental health among Latinxs, yet its association with sleep remains unexamined. We examined the association of household and transnational caregiving with sleep duration and quality, and explored the moderating effects of employment status on these relationships. Methods Using cross-sectional data of healthy Latinx adults in New York City (N=188), we conducted separate age and gender-adjusted linear regressions or logistic regressions to examine the association of caregiving and sleep duration, and poor sleep quality, respectively. Sleep duration (continuous) and sleep quality (fairly/very poor) were measured using two items from the PSQI. Household caregiving was defined as caregiving for children or adults in the household. Transnational caregiving was operationalized as sending remittances. Moderation was tested using employment status*caregiving cross-products in adjusted models. Results Participants were Mage=37.61(SD=14.07), 71.3% employed, 66.5% female, and 59.6% immigrants. Overall, 14.9% were household caregivers and 28.72% sent remittances. Household caregiving was not significantly associated with sleep duration or quality. Those who sent remittances reported on average sleeping 27.63 minutes less than non-remitters (b=-27.63,SE=13.93,p<0.05). Sending remittances was associated with 2.30 increased odds of reporting poor sleep quality (OR:2.30; 95%CI:1.03-5.14.) Employment status was a significant moderator (p<0.05). Among those who were employed, sending remittances was associated with 3 times higher odds of poor sleep quality (OR:3.00;95%CI:1.46-10.59) and 48.94 fewer minutes of sleep duration than non-remitters (b=-48.94,SE=15.72,p<0.05). These relationships were not observed among unemployed Latinxs. Conclusion Transnational caregivers were more likely to report shorter sleep duration and poorer sleep quality than their counterparts, and this was only observed among employed vs. unemployed Latinxs. Household caregiving was not significantly associated with sleep. Employed transnational caregivers may have multiple jobs that further constrain opportunities for longer and high-quality sleep. Future studies should examine potential upstream factors (e.g., working conditions) that may limit employed, transnational caregivers’ ability to obtain adequate sleep. Support (if any):

scholarly journals Anxiety and depressive symptoms are associated with poor sleep health during a period of COVID-19-induced nationwide lockdown: a cross-sectional analysis of adults in Jordan

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041995
Author(s):  
Yazan A Al-Ajlouni ◽  
Su Hyun Park ◽  
Jude Alawa ◽  
Ghaith Shamaileh ◽  
Aziz Bawab ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Sleep Quality ◽  
Health Outcomes ◽  
Sleep Duration ◽  
Sleep Problem ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Short Sleep Duration ◽  
Sleep Health ◽  
Short Sleep

Background Jordan, a Middle Eastern country, declared a state of national emergency due to COVID-19 and a strict nationwide lockdown on 17 March 2020, banning all travel and movement around the country, potentially impacting mental health. This study sought to investigate the association between mental health (eg, anxiety and depressive symptoms) and sleep health among a sample of Jordanians living through a state of COVID-19-induced nationwide lockdown. Methods Using Facebook, participants (n=1240) in Jordan in March 2020 were recruited and direct to a web-based survey measuring anxiety (items from General Anxiety Disorder 7-item (GAD-7) scale instrument), depressive symptoms (items from Center for Epidemiologic Studies Depression Scale), sleep health (items from the Pittsburgh Sleep Quality Index) and sociodemographic. A modified Poisson regression model with robust error variance. Adjusted prevalence ratios (aPRs) and 95% CIs were estimated to examine how anxiety and depressive symptoms may affect different dimensions of sleep health: (1) poor sleep quality, (2) short sleep duration, (3) encountering sleep problems. Results The majority of participants reported having experienced mild (33.8%), moderate (12.9%) or severe (6.3%) levels of anxiety during lockdown, and nearly half of respondents reported depressive symptoms during lockdown. Similarly, over 60% of participants reported having experienced at least one sleep problem in the last week, and nearly half reported having had short sleep duration. Importantly, anxiety was associated with poor sleep health outcomes. For example, corresponding to the dose–response relationship between anxiety and sleep health outcomes, those reporting severe anxiety were the most likely to experience poor sleep quality (aPR =8.95; 95% CI=6.12 to 13.08), short sleep duration (aPR =2.23; 95% CI=1.91 to 2.61) and at least one problem sleep problem (aPR=1.73; 95% CI=1.54 to 1.95). Moreover, depressive symptoms were also associated with poor sleep health outcomes. As compared with scoring in the first quartile, scoring fourth quartile was associated with poor sleep quality (aPR=11.82; 95% CI=6.64 to 21.04), short sleep duration (aPR=1.87; 95% CI=1.58 to 2.22), and experiencing at least one sleep problem (aPR=1.90; 95% CI=1.66 to 2.18). Conclusions Increased levels of anxiety and depressive symptoms can negatively influence sleep health among a sample of Jordanian adults living in a state of COVID-19-induced nationwide lockdown.

scholarly journals Gender Dysphoria, Mental Health, and Poor Sleep Health Among Transgender and Gender Nonbinary Individuals: A Qualitative Study in New York City

2020 ◽  
Vol 5 (1) ◽  
pp. 59-68 ◽  
Author(s):  
Salem Harry-Hernandez ◽  
Sari L. Reisner ◽  
Eric W. Schrimshaw ◽  
Asa Radix ◽  
Raiya Mallick ◽  
...  
Keyword(s):  
Mental Health ◽  
New York ◽  
New York City ◽  
Qualitative Study ◽  
York City ◽  
Gender Dysphoria ◽  
Poor Sleep ◽  
Sleep Health ◽  
And Gender

scholarly journals Sleep health epidemiology in low and middle-income countries: a systematic review and meta-analysis of the prevalence of poor sleep quality and sleep duration

Sleep Health ◽  
2018 ◽  
Vol 4 (3) ◽  
pp. 239-250 ◽  
Author(s):  
Guido Simonelli ◽  
Nathaniel S. Marshall ◽  
Antigone Grillakis ◽  
Christopher B. Miller ◽  
Camilla M. Hoyos ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Meta Analysis ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Sleep Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals 0692 Gender Dysphoria, Mental Health, and Poor Sleep Quality Among Transgender and Gender Non-Conforming Individuals: A Qualitative Study in New York City

SLEEP ◽  
2019 ◽  
Vol 42 (Supplement_1) ◽  
pp. A277-A278 ◽  
Author(s):  
Salem Harry-Hernandez ◽  
Sari L Reisner ◽  
Eric Schrimshaw ◽  
Asa Radix ◽  
Raiya Mallick ◽  
...  
Keyword(s):  
Mental Health ◽  
New York ◽  
New York City ◽  
Qualitative Study ◽  
Sleep Quality ◽  
York City ◽  
Gender Dysphoria ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
And Gender

140 Short and Long Sleep Duration, Poor Sleep Quality, and Later Sleep are Associated with Lower Odds of Adolescents Eating Breakfast

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A58-A58
Author(s):  
Gina Mathew ◽  
David Reichenberger ◽  
Orfeu Buxton ◽  
Lauren Hale ◽  
Anne-Marie Chang
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Poor Sleep ◽  
Sleep Health ◽  
Subjective Sleep Quality ◽  
Breakfast Consumption ◽  
Lower Odds ◽  
Subjective Sleep ◽  
Sleep Timing ◽  
Eating Breakfast

Abstract Introduction Sleep health is linked to dietary choices, and skipping breakfast is associated with risk of negative health outcomes in adolescents. However, there is a lack of research on whether dimensions of sleep at night predict adolescents eating breakfast the next day. We investigated within- and between-person associations of multiple aspects of sleep with adolescent breakfast consumption. Methods Data were collected from a subset of the age 15 wave of the Fragile Families and Child Wellbeing Study (n=590). Teens wore an actigraphy device and completed daily surveys for ~1 week (mean=5.9 days). Surveys assessed subjective sleep quality (low–high) and consumption of breakfast (no/yes). Mixed models assessed whether actigraphy-measured sleep timing (onset, midpoint, and offset) and subjective sleep quality predicted odds of breakfast consumption in both within- and between-person models. A curvilinear association between sleep duration and breakfast consumption was also assessed. Irregularity of sleep duration and timing were tested as additional predictors, calculated as SD per person (in between-person models only). Analyses included random intercepts for participants and covariates: school day, boredom, loneliness, happiness, depressive symptoms, sex, race/ethnicity, body mass index, and household income. Results Within-person analyses revealed a significant curvilinear association between sleep duration and breakfast consumption, such that on nights when teens slept shorter or longer than their average, they had lower odds of eating breakfast the next day (p=.005). Additionally, on nights when teens had a later sleep midpoint or offset than their usual, they tended to skip breakfast the next day (both p<.05). Between-person models showed that teens who on average had later sleep timing (onset, midpoint, and offset) and who reported lower sleep quality had lower odds of eating breakfast (all p<.04). Lastly, teens with greater irregularity of sleep duration and sleep timing (midpoint and offset) had lower odds of eating breakfast (all p<.009). Conclusion Findings indicate that multiple dimensions of adolescent sleep health, including long and short sleep duration, later sleep timing, and poorer sleep quality, are associated with lower odds of eating breakfast. These sleep and dietary behaviors in adolescence may consequently impact future metabolic health. Support (if any) R01HD073352

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