An exploration of clinical, behavioral, and community factors associated with sleep duration and efficiency among middle-aged Black/African American smokers.
African American adults
Black adults
Machine-learning
Sleep duration
Sleep efficiency
Smokers
Social-ecological
Journal
Sleep health
ISSN: 2352-7226
Titre abrégé: Sleep Health
Pays: United States
ID NLM: 101656808
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
21
10
2020
revised:
09
12
2020
accepted:
22
01
2021
pubmed:
21
3
2021
medline:
12
3
2022
entrez:
20
3
2021
Statut:
ppublish
Résumé
We examined the most important correlates to sleep duration and efficiency from a comprehensive array of multilevel factors. Baseline data from a cohort of 216 Black/African American smokers aged 40-65 years were examined. The binary outcomes of healthy sleep duration (6-8 h/night) and efficiency (≥85%) were ascertained from 14 consecutive days of actigraphy. Seventy-three independent variables from socio-demographic, individual behavioral, individual physiological, interpersonal, and community domains were assessed. Random survival forest decision trees were generated for each outcome, and variable importance metrics used to rank the predictive abilities of exposure variables. The 5 most predictive exposure variables for each outcome were entered into a regression model of the respective outcome (with age and sex). Study participants (N = 216) had a mean age of 54.57 years (SD = 6.17) and 57% were male. Healthy sleep duration was achieved by 56.5% and healthy sleep efficiency by 13.6% of the sample. Regression models showed every additional minute of light physical activity was associated with 1% increased odds, while every unit decrease in the inflammation marker of interleukin-8 was associated with 12% increased odds, of achieving a healthy sleep duration. Every unit increase in total social support was associated with a 34% increased odds, while every unit increase in the hazardous drinking score corresponded with 30% decreased odds, of achieving healthy sleep efficiency. Light physical activity, social support, and alcohol consumption may be key modifiable intervention targets to improving sleep duration and sleep efficiency in this population.
Identifiants
pubmed: 33741321
pii: S2352-7218(21)00006-1
doi: 10.1016/j.sleh.2021.01.006
pmc: PMC8205929
mid: NIHMS1684382
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT03534076']
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
397-407Subventions
Organisme : NIDA NIH HHS
ID : R01 DA051321
Pays : United States
Organisme : NIMHD NIH HHS
ID : R01 MD011600
Pays : United States
Organisme : NIMHD NIH HHS
ID : R01 MD012734
Pays : United States
Informations de copyright
Copyright © 2021 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
Références
Tanaffos. 2012;11(2):22-6
pubmed: 25191410
Thorax. 1999 Jul;54(7):581-6
pubmed: 10377201
Lung. 2014 Feb;192(1):175-84
pubmed: 24077936
Chronobiol Int. 2016;33(1):10-21
pubmed: 26654569
Arch Intern Med. 2009 Jun 8;169(11):1055-61
pubmed: 19506175
Sleep Health. 2019 Apr;5(2):166-174
pubmed: 30928117
Ann Behav Med. 2016 Oct;50(5):715-726
pubmed: 27056396
J Am Heart Assoc. 2017 Aug 23;6(8):
pubmed: 28838917
Health Psychol. 2006 Sep;25(5):635-42
pubmed: 17014281
Proc Natl Acad Sci U S A. 2017 Aug 15;114(33):8889-8894
pubmed: 28760970
Am J Public Health. 2003 Sep;93(9):1552-8
pubmed: 12948979
Atherosclerosis. 2008 Nov;201(1):217-24
pubmed: 18289552
J Am Heart Assoc. 2017 Sep 9;6(9):
pubmed: 28889101
Ethn Dis. 2013 Autumn;23(4):499-507
pubmed: 24392615
MMWR Morb Mortal Wkly Rep. 2016 Feb 19;65(6):137-41
pubmed: 26890214
Health Place. 2009 Dec;15(4):1006-13
pubmed: 19447667
J Occup Health. 2011;53(6):413-6
pubmed: 21952296
Am J Respir Crit Care Med. 2003 May 1;167(9):1287
pubmed: 12714344
Arch Intern Med. 1999 May 10;159(9):997-1004
pubmed: 10326942
Chest. 2015 Jul;148(1):159-168
pubmed: 25612228
Sleep. 2016 Jan 01;39(1):217-26
pubmed: 26414903
J Addict Med. 2015 Jan-Feb;9(1):40-5
pubmed: 25325299
J Pers Assess. 2006 Apr;86(2):150-61
pubmed: 16599789
Front Neurol. 2015 Jun 05;6:112
pubmed: 26097464
PLoS One. 2017 Sep 6;12(9):e0182013
pubmed: 28877192
Sleep Health. 2019 Oct;5(5):514-520
pubmed: 31208939
J Clin Sleep Med. 2017 Jan 15;13(1):39-47
pubmed: 27707448
J Am Coll Cardiol. 2004 Feb 18;43(4):678-83
pubmed: 14975482
Sleep Med Clin. 2017 Mar;12(1):1-22
pubmed: 28159089
Sleep. 2007 Nov;30(11):1547-54
pubmed: 18041487
Neuropsychopharmacology. 1999 Mar;20(3):279-86
pubmed: 10063488
Alcohol Clin Exp Res. 2017 Apr;41(4):798-809
pubmed: 28118486
Sleep Health. 2021 Apr;7(2):177-182
pubmed: 33221256
Sci Rep. 2020 Mar 24;10(1):5275
pubmed: 32210292
Sleep Med Rev. 2010 Jun;14(3):191-203
pubmed: 19932976
Pediatrics. 2010 Jul;126(1):e26-32
pubmed: 20595453
Behav Sleep Med. 2015;13 Suppl 1:S4-S38
pubmed: 26273913
J Stud Alcohol. 1995 Jul;56(4):423-32
pubmed: 7674678
Health Psychol. 2018 Aug;37(8):787-798
pubmed: 29809022
Arch Intern Med. 1995 Apr 24;155(8):838-44
pubmed: 7717792
Br J Addict. 1991 Sep;86(9):1119-27
pubmed: 1932883
Sleep. 2011 Dec 01;34(12):1631-40
pubmed: 22131599
Psychol Bull. 2003 Mar;129(2):270-304
pubmed: 12696841
J Clin Endocrinol Metab. 2004 May;89(5):2119-26
pubmed: 15126529
Sleep Med. 2017 Dec;40:58-62
pubmed: 29221780
Science. 1997 Aug 15;277(5328):918-24
pubmed: 9252316
Nicotine Tob Res. 2012 Oct;14(10):1161-9
pubmed: 22367977
J Natl Med Assoc. 2013 Spring;105(1):4-15
pubmed: 23862291
Sleep. 2010 May;33(5):585-92
pubmed: 20469800
Sleep. 2020 Aug 12;43(8):
pubmed: 32154560
J Youth Adolesc. 1991 Apr;20(2):149-66
pubmed: 24265004
Soc Sci Med. 2006 Mar;62(5):1291-303
pubmed: 16129534
Sleep. 2014 Dec 01;37(12):1889-906
pubmed: 25325472
J Physiother. 2012;58(3):157-63
pubmed: 22884182
Environ Int. 2010 Jul;36(5):492-8
pubmed: 20406712
Sleep. 2007 Sep;30(9):1145-52
pubmed: 17910386
J Sci Med Sport. 2011 Sep;14(5):411-6
pubmed: 21616714
Nicotine Tob Res. 2002 May;4(2):149-59
pubmed: 12028847
Sleep Med Rev. 2014 Oct;18(5):415-24
pubmed: 24629826
PLoS One. 2013 Aug 19;8(8):e71658
pubmed: 23977105
Sleep. 2014 Feb 01;37(2):219-27
pubmed: 24501434
Sleep Health. 2020 Oct;6(5):587-593
pubmed: 32482573
Adv Prev Med. 2017;2017:1364387
pubmed: 28458924
Am J Lifestyle Med. 2014 Nov-Dec;8(6):375-379
pubmed: 25729341
Annu Rev Public Health. 2020 Apr 2;41:81-99
pubmed: 31900098
Perspect Psychol Sci. 2015 Nov;10(6):733-7
pubmed: 26581727
Sleep Med. 2010 May;11(5):470-8
pubmed: 20388566
Am J Respir Crit Care Med. 2017 Mar 1;195(5):557-582
pubmed: 28128970
J Pers Assess. 1990 Winter;55(3-4):610-7
pubmed: 2280326
J Am Diet Assoc. 2005 Mar;105(3):352-63; quiz 487
pubmed: 15746822
J Clin Sleep Med. 2015 Sep 15;11(9):1047-56
pubmed: 25902823
Dtsch Med Wochenschr. 2014 May;139(19):1016-8
pubmed: 24782157
Chronobiol Int. 2013 Jun;30(5):691-8
pubmed: 23721120
Int J Environ Res Public Health. 2019 Aug 25;16(17):
pubmed: 31450707