TY - JOUR
T1 - Social and health correlates of sleep duration in a US hispanic population
T2 - Results from the hispanic community health study/study of Latinos
AU - Patel, Sanjay R.
AU - Sotres-Alvarez, Daniela
AU - Castañeda, Sheila F.
AU - Dudley, Katherine A.
AU - Gallo, Linda C.
AU - Hernandez, Rosalba
AU - Medeiros, Elizabeth A.
AU - Penedo, Frank J.
AU - Mossavar-Rahmani, Yasmin
AU - Ramos, Alberto R.
AU - Redline, Susan
AU - Reid, Kathryn J.
AU - Zee, Phyllis C.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - Study Objectives: To define the prevalence of poor sleep patterns in the US Hispanic/Latino population, identify sociodemographic and psychosocial predictors of short and long sleep duration, and the association between sleep and cardiometabolic outcomes. Design: Cross-sectional analysis. Setting: Community-based study. Participants: Adults age 18-74 y free of sleep disorders (n=11,860) from the Hispanic Community Health Study/Study of Latinos baseline examination (2008-2011). Interventions: N/A. Measurements and Results: The mean self-reported sleep duration was 8.0 h per night with 18.6% sleeping less than 7 h and 20.1% sleeping more than 9 h in age-and sex-adjusted analyses. Short sleep was most common in individuals of Puerto Rican heritage (25.6%) and the Other Hispanic group (27.4%). Full-time employment, low level of education, and depressive symptoms were independent predictors of short sleep, whereas unemployment, low household income, low level of education, and being born in the mainland US were independent predictors of long sleep. After accounting for sociodemographic differences, short sleep remained significantly associated with obesity with an odds ratio of 1.29 [95% confidence interval 1.12-1.49] but not with diabetes, hypertension, or heart disease. In contrast, long sleep was not associated with any of these conditions. Conclusions: Sleep duration is highly variable among US Hispanic/Latinos, varying by Hispanic/Latino heritage as well as socioeconomic status. These differences may have health consequences given associations between sleep duration and cardiometabolic disease, particularly obesity.
AB - Study Objectives: To define the prevalence of poor sleep patterns in the US Hispanic/Latino population, identify sociodemographic and psychosocial predictors of short and long sleep duration, and the association between sleep and cardiometabolic outcomes. Design: Cross-sectional analysis. Setting: Community-based study. Participants: Adults age 18-74 y free of sleep disorders (n=11,860) from the Hispanic Community Health Study/Study of Latinos baseline examination (2008-2011). Interventions: N/A. Measurements and Results: The mean self-reported sleep duration was 8.0 h per night with 18.6% sleeping less than 7 h and 20.1% sleeping more than 9 h in age-and sex-adjusted analyses. Short sleep was most common in individuals of Puerto Rican heritage (25.6%) and the Other Hispanic group (27.4%). Full-time employment, low level of education, and depressive symptoms were independent predictors of short sleep, whereas unemployment, low household income, low level of education, and being born in the mainland US were independent predictors of long sleep. After accounting for sociodemographic differences, short sleep remained significantly associated with obesity with an odds ratio of 1.29 [95% confidence interval 1.12-1.49] but not with diabetes, hypertension, or heart disease. In contrast, long sleep was not associated with any of these conditions. Conclusions: Sleep duration is highly variable among US Hispanic/Latinos, varying by Hispanic/Latino heritage as well as socioeconomic status. These differences may have health consequences given associations between sleep duration and cardiometabolic disease, particularly obesity.
KW - Disparities
KW - Epidemiology
KW - Hispanic
KW - Sleep
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U2 - 10.5665/sleep.5036
DO - 10.5665/sleep.5036
M3 - Article
C2 - 26085298
AN - SCOPUS:84938220691
SN - 0161-8105
VL - 38
SP - 1515
EP - 1522
JO - Sleep
JF - Sleep
IS - 10
ER -