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The Social Patterning of Sleep in African Americans: Associations of Socioeconomic Position and Neighborhood Characteristics with Sleep in the Jackson Heart Study
Journal article   Open access   Peer reviewed

The Social Patterning of Sleep in African Americans: Associations of Socioeconomic Position and Neighborhood Characteristics with Sleep in the Jackson Heart Study

Dayna A Johnson, Lynda Lisabeth, DeMarc Hickson, Vicki Johnson-Lawrence, Tandaw Samdarshi, Herman Taylor and Ana V Diez Roux
Sleep (New York, N.Y.), v 39(9), pp 1749-1759
01 Sep 2016
DOI: https://doi.org/10.5665/sleep.6106
PMID: 27253767
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.5665/sleep.6106View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

Adult African Americans Aged Aged, 80 and over Cross-Sectional Studies Depression - physiopathology Female Humans Linear Models Logistic Models Male Middle Aged Mississippi - epidemiology Prospective Studies Residence Characteristics Risk Factors Self Report Sleep - physiology Sleep Initiation and Maintenance Disorders - ethnology Sleep Initiation and Maintenance Disorders - etiology Social Class Young Adult
We investigated cross-sectional associations of individual-level socioeconomic position (SEP) and neighborhood characteristics (social cohesion, violence, problems, disadvantage) with sleep duration and sleep quality in 5,301 African Americans in the Jackson Heart Study. All measures were self-reported. Sleep duration was assessed as hours of sleep; sleep quality was reported as poor (1) to excellent (5). SEP was measured by categorized years of education and income. Multinomial logistic and linear regression models were fit to examine the associations of SEP and neighborhood characteristics (modeled dichotomously and tertiles) with sleep duration (short vs. normal, long vs. normal) and continuous sleep duration and quality after adjustment for demographics and risk factors. The mean sleep duration was 6.4 ± 1.5 hours, 54% had a short (≤ 6 h) sleep duration, 5% reported long (≥ 9 h) sleep duration, and 24% reported fair to poor sleep quality. Lower education was associated with greater odds of long sleep (odds ratio [OR] = 2.19, 95% confidence interval [CI] = 1.42, 3.38) and poorer sleep quality (β = -0.17, 95% CI = -0.27, -0.07) compared to higher education after adjustment for demographics and risk factors. Findings were similar for income. High neighborhood violence was associated with shorter sleep duration (-9.82 minutes, 95% CI = -16.98, -2.66) and poorer sleep quality (β = -0.11, 95% CI = -0.20, 0.00) after adjustment for demographics and risk factors. Results were similar for neighborhood problems. In secondary analyses adjusted for depressive symptoms in a subset of participants, most associations were attenuated and only associations of low SEP with higher odds of long sleep and higher neighborhood violence with poorer sleep quality remained statistically significant. Social and environmental characteristics are associated with sleep duration and quality in African Americans. Depressive symptoms may explain at least part of this association.

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107 citations in Web of Science
98 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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

#3 Good Health and Well-Being

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