scholarly journals The Association between Sexual Orientation and Sleep Problems: Are there Racial and Ethnic Differences?

2019 ◽  
Vol 1 (2) ◽  
pp. 220-225
Author(s):  
Almazan

Using the 2013–2017 National Health Interview Survey, this study examined whether there were significant sexual orientation differences in sleep problems in specific racial and ethnic populations. The analysis had a large sample size and enough statistical power to evaluate any sexual orientation differences or non-differences in sleep problems in Latinx, non-Latinx Black, non-Latinx Asian and Pacific Islander, and non-Latinx White populations. Consistent with recent studies on sexual orientation and sleep problems, this analysis revealed that, for most racial and ethnic groups, there was no significant sexual orientation difference in non-normal sleep duration. Sexual minority adults were significantly more likely to report not feeling rested, trouble falling asleep, trouble staying asleep, and taking medications for sleep than heterosexual adults. There were two notable exceptions in the findings. The first exception was that Latinx sexual minority adults were significantly more likely to report non-normal sleep duration when compared with Latinx heterosexual adults. The second exception was that there was no significant sexual orientation difference in not feeling rested among Asian and Pacific Islander adults.

2019 ◽  
Vol 3 (1) ◽  
pp. e000534
Author(s):  
Kristine Marie Stangenes ◽  
Mari Hysing ◽  
Irene Bircow Elgen ◽  
Thomas Halvorsen ◽  
Trond Markestad ◽  
...  

ObjectiveTo explore whether children born extremely preterm (EPT) with different types of sleep problems had more behavioural and respiratory health problems than EPT children without sleep problems.DesignProspective, nationwide, questionnaire-based study. At 11 years of age, parents reported on four current sleep problems: difficulty falling asleep or frequent awakenings, snoring, daytime sleepiness and not recommended sleep duration (<9 hours). Behavioural problems were assessed by parents and teachers with the Strengths and Difficulties Questionnaire (SDQ). Parents assessed respiratory symptoms with the International Study of Asthma and Allergies in Childhood questionnaire and described use of asthma medication.SettingNorway.PatientsEPT children.Main outcome measuresSpecified sleep problems, behavioural problems and respiratory health.ResultsData were obtained from 216 of 372 (58 %) of eligible children. All four specified sleep problems were associated with significantly higher parent-reported SDQ total-score (OR 1.1 for all), and except for not recommended sleep duration, also with higher teacher-reported SDQ total-score (OR 1.1 for all). Daytime sleepiness was strongly associated with wheezing last 12 months (OR 3.4), disturbed sleep due to wheezing (OR 3.9), wheeze during or after exercise (OR 2.9), use of inhaled corticosteroids or oral leukotriene modifiers (OR 3.4) and use of bronchodilators (OR 3.9). Snoring was associated with wheezing during or after exercise (OR 2.8) and current asthma (OR 4.2).ConclusionEPT children with different types of sleep problems had more behavioural and respiratory health problems than EPT children without sleep problems.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A425-A426
Author(s):  
R Peprah ◽  
D Jenkins ◽  
T Donley ◽  
A Sexias ◽  
G Jean-Louis

Abstract Introduction Sleep duration can have important effects on health. Long and short sleep has been associated with negative health outcomes in women. Depression may aggravate an already impaired sleep quality. This study explored associations between sleep duration and depression in pregnant women. Methods We analyzed data for adult women (n=9,372) from the 2017 and 2018 National Health Interview Survey (NHIS), which is a nationally representative study of the US civilian non-institutionalized population. Sleep was categorized by short (≤6 hrs), normal/healthy (7-8 hrs), and long (≥9 hrs) sleep. Using STATA 15.0 for Windows, we report weighted frequencies and Chi-and square tests. Alpha of 0.05 was used for all significance levels. Results Of the sample, 81.7% of the women were White, 10.6% were Black and 7.7% were other minorities. The mean age was 51.4±18.3. We found that the proportion of women who reported short sleep increased with age (p&lt;0.000). Current drinkers (37%) had higher numbers of normal sleep than those who were former drinkers or abstainers (p&lt;0.000). With respect to BMI, more obese women were short and sleepers (17% and 4% respectively), but women with normal BMI (19%) were normal sleepers (p&lt;0.000). In short sleepers, more women had trouble falling asleep (13%) and staying asleep (17%), but reported not using medication and never feeling rested. Similar results were found for long sleepers. Higher proportions of normal sleepers reported not have trouble falling asleep (27%), staying asleep (26%), or using medication for sleep (40%) (p&lt;0.000). However, of those who reported normal sleep, greater frequencies of working up feeling rested occurred only 3-6 times in the past week (p&lt;0.000). Conclusion In this study, women with depression self-reported more normal sleep duration. This finding is inconsistent with previous research. Whether this association is causal and what pathways explain this association is unknown. Support This study was supported by funding from the NIH: R01MD007716, R01HL142066, K01HL135452, and K07AG052685.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 174-174
Author(s):  
Adena Galinsky ◽  
Karen Fredriksen Goldsen ◽  
James Dahlhamer ◽  
Tina Norris

Abstract Sleep problems may increase the risk for, and result from, other health problems and negatively impact quality of life. Lesbian, gay, and bisexual older adults report more sleep problems compared to their straight counterparts when such problems are measured in the aggregate (e.g. “one or more of four specific sleep problems”). However, scant national research has examined if specific types of sleep problems vary by sexual orientation among older adults. Using 2015-2018 National Health Interview Survey (NHIS) data, we used logistic regression to separately model five sleep problems among women 50+ and men 50+ (lesbian/gay women: n=377, bisexual women: n=142, straight women: n=33,216; gay men: n=508, bisexual men: n=115, straight men: n=25,998) as functions of sexual orientation, controlling for age, race, education, and income. Sexual minority older adults were more likely than their straight counterparts to have taken sleep medication in the past week (women AOR=2.04, 95% CI:1.55, 2.67; men AOR=1.81, 95% CI:1.36, 2.40). The only other difference by sexual orientation found for men was bisexual older men’s greater likelihood, compared to straight men, of having difficulty falling asleep (AOR=2.02, 95% CI: 1.08, 3.79). Older women did not differ by sexual orientation in difficulty falling asleep, difficulty staying asleep, or waking up not feeling rested for four or more days in the past week, or meeting National Sleep Foundation recommendations for hours of sleep per night, whether lesbian/gay and bisexual women were examined together or disaggregated. Future research may examine why sleep quality only sometimes varies by sexual orientation.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A235-A235
Author(s):  
Alisa Burnham ◽  
Olena Kucheruk ◽  
Emily Brown ◽  
Jodi Mindell

Abstract Introduction Previous studies of sleep patterns and problems in preterm infants and toddlers have yielded inconsistent results, with some studies noting differences on salient sleep parameters and others indicating similarities. Furthermore, little is known about any differences about sleep-related behaviors. Thus, the current aims of this study were to assess sleep patterns, problems, and sleep-related behaviors in young children born prematurely who were NICU graduates. Methods Caregivers of 262 children (53.4% boys; 35.9% Black, 40.5% White, 23.6% Other) being followed in a neonatal follow-up clinic at their corrected age one-year (10–16 months) or two-year (22–28 month) visit completed the Brief Infant Sleep Questionnaire-Revised SF (BISQ-R SF). Results At approximately one year of age, infants were going to bed at 8:36, taking 33 minutes to fall asleep, and waking .63 times per night for 19 minutes, for a total nighttime sleep duration of 8’01”. Similarly, at approximately two years of age, infants were going to bed at 8:16, taking 26.7 minutes to fall asleep, and waking .94 times per night for 16.3 minutes, for a total nighttime sleep duration of 8’26”. Sleep problems were reported by 18.1% and 19.6% of caregivers, respectively, with the majority indicating that their child slept well (78.5% and 76.5%) and minimal bedtime difficulties (13.6% and 14.6%). The majority of infants slept in their own crib (81%), with infants more likely to room share at 1-year compared to 2-year (49% vs 35%), and almost half falling asleep independently (43% and 46%). Conclusion Overall, sleep patterns and parent-perceived sleep problems (18–20%) in these NICU graduates were better than expected, and similar to normative data of similar age children (Sadeh et al., 2008). However, these infants/toddlers obtained less nighttime (8–8.5 hrs vs 10 hrs). Sleep education of parents of NICU graduates should not only focus on sleep behaviors, but also on ensuring sufficient sleep. Support (if any):


2021 ◽  
Vol 12 ◽  
Author(s):  
Michelle Olaithe ◽  
Melissa Ree ◽  
Nigel McArdle ◽  
Sara Donaldson ◽  
Maria Pushpanathan ◽  
...  

Study Objectives: To determine cognitive profiles in individuals with short sleep duration insomnia (SSDI) and normal sleep duration insomnia (NSDI; also, paradoxical insomnia), compared to healthy sleepers.Method: Polysomnographic (PSG) and neuropsychological data were analysed from 902 community-based Raine Study participants aged 22 ± 0.6 years of whom 124 met criteria for insomnia (53 with NSDI and 71 with or SSDI) and 246 were classified as healthy with normal sleep (i.e., without insomnia or other sleep disorders). Measurements of self- report (attention and memory) and laboratory-assessed (attention, episodic memory, working memory, learning, and psychomotor function) cognition and mood, and PSG-based sleep stages (% total sleep time; %TST) were compared between these 3 groups.Results: In comparison to the healthy sleeper group, both insomnia groups had poorer self-reported attention, memory, mood, and sleep, and poorer laboratory-assessed attention (inconsistency). The NSDI group had less consistent working memory reaction time than healthy-sleepers or those with SSDI. The SSDI group had more inconsistency in executive function (shifting), and showed greater %TST in stage N1 and N3, and less REM sleep than either healthy-sleepers or those with NSDI.Conclusions: Individuals with NSDI demonstrated greater working memory inconsistency, despite no laboratory assessed sleep problems, implicating early signs of pathophysiology other than disturbed sleep. Those with SSDI demonstrated different sleep architecture, poorer attention (inconsistency), and greater executive function (inconsistency) compared to healthy-sleepers and those with NSDI, implicating sleep disturbance in the disease process of this phenotype.


2009 ◽  
Vol 6 (2-3) ◽  
pp. 155-173 ◽  
Author(s):  
Hyeouk Chris Hahm ◽  
Chris Adkins

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A456-A456
Author(s):  
B Galaska ◽  
J M Bakker ◽  
F Sert Kuniyoshi ◽  
M Bush ◽  
J Salazar ◽  
...  

Abstract Introduction Although sleep is critical to maintaining health and quality of life, inadequate sleep duration and/or quality is common. It can be difficult to distinguish sleep problems that may be addressed through adjustments to lifestyle versus issues that may represent a more serious condition requiring medical intervention. SmartSleep Analyzer is a cloud-based questionnaire and scoring algorithm designed to categorize respondents according to likely sleep problems as follows: obstructive sleep apnea (OSA), snoring, trouble falling asleep or staying asleep, delayed sleep phase disorder (DSPD), shift work disorder (SWD), chronic sleep restriction (CSR), or no sleep problem. Primary, secondary, and tertiary categorizations are provided, where applicable. The objective of this study was to validate the questionnaire scoring algorithm categorization/s against a sleep physician assessment. Methods From 2,316 available records, 90 complete questionnaires were randomly selected for this analysis. The questionnaire scoring algorithm categorization was compared against the consensus assessment of three independent sleep physicians who each reviewed the answers to all questions before arriving at a diagnosis. Results The questionnaire respondents (70% female) were aged 42.2±14.5 years, had a mean BMI of 32.0±7.7 kg/m2, and self-reported sleep duration of 6.5±1.4 hours/night. The primary, secondary, or tertiary categorization of the questionnaire scoring algorithm matched the primary consensus categorization of the physicians 90.6% of the time (95% confidence interval (CI): 82.6 to 95.7). When OSA and snoring were grouped, agreement increased to 98.9% (95% CI: 94.0 to 100). In all analyses undertaken, the accuracy of questionnaire scoring algorithm against the physicians exceeded the accuracy of the physicians when compared to each other. Conclusion These results demonstrate that our questionnaire and scoring algorithm performs well in identifying sleep problems that may impact adult respondents, using physician-review as the comparison standard. Support Philips


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