Logo image
Back
The Contribution of Psychosocial Stressors to Sleep among African Americans in the Jackson Heart Study
Journal article   Open access   Peer reviewed

The Contribution of Psychosocial Stressors to Sleep among African Americans in the Jackson Heart Study

Dayna A Johnson, Lynda Lisabeth, Tené T Lewis, Mario Sims, DeMarc A Hickson, Tandaw Samdarshi, Herman Taylor and Ana V Diez Roux
Sleep (New York, N.Y.), v 39(7), pp 1411-1419
01 Jul 2016
DOI: https://doi.org/10.5665/sleep.5974
PMID: 27166234
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.5665/sleep.5974View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze),  Open

Abstract

Adult African Americans - psychology Aged Aged, 80 and over Cross-Sectional Studies Female Humans Linear Models Logistic Models Male Middle Aged Odds Ratio Risk Factors Self Report Sleep - physiology Sleep Wake Disorders - ethnology Sleep Wake Disorders - psychology Stress, Psychological - ethnology Stress, Psychological - physiopathology United States
Studies have shown that psychosocial stressors are related to poor sleep. However, studies of African Americans, who may be more vulnerable to the impact of psychosocial stressors, are lacking. Using the Jackson Heart Study (JHS) baseline data, we examined associations of psychosocial stressors with sleep in 4,863 African Americans. We examined cross-sectional associations between psychosocial stressors and sleep duration and quality in a large population sample of African Americans. Three measures of psychosocial stress were investigated: the Global Perceived Stress Scale (GPSS); Major Life Events (MLE); and the Weekly Stress Inventory (WSI). Sleep was assessed using self-reported hours of sleep and sleep quality rating (1 = poor; 5 = excellent). Multinomial logistic and linear regression models were used to examine the association of each stress measure (in quartiles) with continuous and categorical sleep duration (< 5 ("very short"), 5-6 h ("short") and > 9 h ("long") versus 7 or 8 h ("normal"); and with sleep quality after adjustment for demographics and risk factors (body mass index, hypertension, diabetes, physical activity). Mean age of the sample was 54.6 years and 64% were female. Mean sleep duration was 6.4 + 1.5 hours, 54% had a short sleep duration, 5% had a long sleep duration, and 34% reported a "poor" or "fair" sleep quality. Persons in the highest GPSS quartile had higher odds of very short sleep (odds ratio: 2.87, 95% confidence interval [CI]: 2.02, 4.08), higher odds of short sleep (1.72, 95% CI: 1.40, 2.12), shorter average sleep duration (Δ = -33.6 min (95% CI: -41.8, -25.4), and reported poorer sleep quality (Δ = -0.73 (95% CI: -0.83, -0.63) compared to those in the lowest quartile of GPSS after adjustment for covariates. Similar patterns were observed for WSI and MLE. Psychosocial stressors were not associated with long sleep. For WSI, effects of stress on sleep duration were stronger for younger (< 60 y) and college-educated African-Americans. Psychosocial stressors are associated with higher odds of short sleep, lower average sleep duration, and lower sleep quality in African Americans. Psychosocial stressors may be a point of intervention among African Americans for the improvement of sleep and downstream health outcomes.

Metrics

20 Record Views
94 citations in Web of Science
94 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Neurosciences
Logo image