Journal article
Financial Hardship and Sleep Quality Among Black American Women With and Without Systemic Lupus Erythematosus
Psychosomatic medicine, v 86(4), pp 315-323
01 May 2024
PMID: 38724039
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: To compare dimensions of financial hardship and self-reported sleep quality among Black women with versus without systemic lupus erythematosus (SLE). Methods: Participants were 402 Black women (50% with validated diagnosis of SLE) living in Georgia between 2017 and 2020. Black women with SLE were recruited from a population-based cohort established in Atlanta, and Black women without SLE were recruited to be of comparable age and from the same geographic areas as SLE women. Financial hardship was measured using three different scales: financial adjustments, financial setbacks, and financial strain. Sleep was assessed continuously using the Pittsburgh Sleep Quality Index (PSQI) scale. Each dimension of financial hardship was analyzed separately in SLE-stratified multivariable linear regression models and adjusted by sociodemographic and health status factors. Results: Dimensions of financial hardship were similarly distributed across the two groups. Sleep quality was worse in Black women with, versus without, SLE (p < .001). Among Black women with SLE, financial adjustment was positively associated with a 0.40-unit increase in poor sleep quality (95% CI = 0.12-0.67, p = .005). When accounting for cognitive depressive symptoms, financial setbacks and strain were somewhat attenuated for Black women with SLE. Overall, no associations between financial hardships and sleep quality were observed for the women without SLE. Conclusions: Black women with SLE who experience financial hardships may be more at risk for poor sleep quality than Black women without SLE. Economic interventions targeting this population may help improve their overall health and quality of life.
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Details
- Title
- Financial Hardship and Sleep Quality Among Black American Women With and Without Systemic Lupus Erythematosus
- Creators
- Khadijah Abdallah - Emory UniversityShivika Udaipuria - Emory UniversityRaphiel Murden - Emory UniversityIzraelle I. McKinnon - Emory UniversityChristy L. Erving - The University of Texas at AustinNicole Fields - Emory UniversityRenee Moore - Drexel UniversityBianca Booker - Emory UniversityTaylor Burey - Emory UniversityCharmayne Dunlop-Thomas - Emory UniversityCristina Drenkard - Emory UniversityDayna A. Johnson - Emory UniversityViola Vaccarino - Emory UniversityS. Sam Lim - Emory UniversityTene T. Lewis - Emory University
- Publication Details
- Psychosomatic medicine, v 86(4), pp 315-323
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 9
- Grant note
- R01AR070898; T32 HL130025; K24HL163696; R01HL158141; DP08806 / National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:001217158800011
- Scopus ID
- 2-s2.0-85192697492
- Other Identifier
- 991021880394904721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Psychiatry
- Psychology
- Psychology, Multidisciplinary