Financial hardship, sleep disturbances, and their relationship among men and women in the United States during the COVID-19 pandemic.
COVID-19
Financial stress
Health status disparities
Racial groups
Sleep quality
Journal
Sleep health
ISSN: 2352-7226
Titre abrégé: Sleep Health
Pays: United States
ID NLM: 101656808
Informations de publication
Date de publication:
08 2023
08 2023
Historique:
received:
06
12
2022
revised:
18
04
2023
accepted:
26
04
2023
medline:
29
8
2023
pubmed:
7
6
2023
entrez:
6
6
2023
Statut:
ppublish
Résumé
In the United States (US), the health and financial consequences of COVID-19 have disproportionately impacted women and minoritized racial-ethnic groups. Yet, few US studies have investigated financial hardship during the COVID-19 pandemic and sleep health disparities. Our objective was to investigate associations between financial hardship and sleep disturbances during the COVID-19 pandemic by gender and race and ethnicity in the United States. We used the nationally representative COVID-19's Unequal Racial Burden cross-sectional survey data collected among 5339 men and women from 12/2020 to 2/2021. Participants reported financial hardship (eg, debt, employment/work loss) since the pandemic began and completed the Patient-Reported Outcomes Management Information System Short Form 4a for sleep disturbances. Prevalence ratios (PRs) and 95% confidence intervals were estimated using adjusted, weighted Poisson regression with robust variance. Most (71%) participants reported financial hardship. Prevalence of moderate to severe sleep disturbances was 20% overall, higher among women (23%), and highest among American Indian/Alaska Native (29%) and multiracial adults (28%). Associations between financial hardship and moderate to severe sleep disturbances (PR = 1.52 [95% confidence interval: 1.18, 1.94]) did not differ by gender but varied by race and ethnicity: associations were strongest among Black/African American (PR = 3.52 [1.99,6.23]) adults. Both financial hardship and sleep disturbances were prevalent, and their relationships were strongest among certain minoritized racial-ethnic groups, particularly Black/African American adults. Interventions that alleviate financial insecurity may reduce sleep health disparities.
Identifiants
pubmed: 37280141
pii: S2352-7218(23)00086-4
doi: 10.1016/j.sleh.2023.04.007
pmc: PMC10239652
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Intramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
551-559Subventions
Organisme : Intramural NIH HHS
ID : ZIA ES103325
Pays : United States
Informations de copyright
Published by Elsevier Inc.
Déclaration de conflit d'intérêts
Declaration of conflict of interest The authors have no conflicts of interest to declare.