Abstract
Introduction
Population-based studies are needed to fully disentangle persistent racial and ethnic disparities in sleep health in the US. In this study, we examine whether the frequency of self-reflection on racial identify influences insufficient sleep among US adults.
Methods
The 2010 Behavioral Risk Factor Analysis Surveillance System (BRFSS) was used as the primary data source to explore the relationship between self-reflection of racial identity and insufficient sleep. Data was limited to states administering the “Reactions to Race Module,” which included Georgia, Kentucky, and Rhode Island (N=7,085). Frequency of self-reflection of race was assessed using the question “How often do you think about your race? Would you say never, once a year, once a month, once a week, once a day, once an hour, or constantly?” Insufficient sleep was determined using the item, “During the past 30 days, for about how many days have you felt you did not get enough rest or sleep?” Multivariate regression analyses were performed while controlling for age, sex, education, income, marital status, and poor mental and physical health.
Results: Results
Across the sample, participants reported an average of 8.95+/- 10.06 days of insufficient sleep per month. Participants from Georgia reported the highest number of days of insufficient sleep (9.83+/- 10.51) followed by Kentucky (8.64+/- 9.94) and Rhode Island (8.38+/- 9.67) (p<0.05). After controling for age, sex, education, income, employment, and marital status, individuals reporting any self-reflection on their race were more likely to report insufficient sleep within a 30-day period (Beta=0.026, 95% CI [0.062, 1.02], p=0.027).
Conclusion: Conclusion
In a sample of US adults, self-reflection of race adversely impacted sleep quality. More studies are needed to fully explore the mechanisms underpinning this association.
Support (if any):