Examining sleep characteristics in Canada through a diversity and equity lens.

Ethnicity Gender Immigration status Language Sexual orientation Socioeconomic status

Journal

Sleep health
ISSN: 2352-7226
Titre abrégé: Sleep Health
Pays: United States
ID NLM: 101656808

Informations de publication

Date de publication:
21 Mar 2024
Historique:
received: 14 06 2023
revised: 15 12 2023
accepted: 01 02 2024
medline: 23 3 2024
pubmed: 23 3 2024
entrez: 22 3 2024
Statut: aheadofprint

Résumé

To examine specific sleep characteristics of adults living in Canada according to sex, gender, ethnoracial background, socioeconomic status, immigration status, sexual orientation, and language spoken at home. This cross-sectional and nationally representative study used self-reported data from the 2021 Canadian Community Health Survey (n = 39,346 adults aged 18 years and older). Sleep characteristics (sleep duration, nighttime insomnia symptoms, unrefreshing sleep, and difficulty staying awake) were assessed and compared across groups. Females were more likely than males to report nighttime insomnia symptoms (23.1% vs. 14.8%) and unrefreshing sleep (17.2% vs. 13.5%). The same was also observed for gender identity. Although White respondents were more likely to meet sleep duration recommendations (58.3%), they had the highest prevalence of nighttime insomnia symptoms (20.9%) compared to respondents with other ethnoracial backgrounds. Respondents coming from lower socioeconomic backgrounds were more likely to report poorer sleep compared to those coming from higher socioeconomic backgrounds. Insomnia symptoms were lower among immigrants (13.9%) compared to nonimmigrants (21.1%). Respondents with a sexual orientation not classified as heterosexual, gay, or lesbian reported poorer sleep. Finally, for language spoken at home, those who responded "French only" were more likely to meet sleep duration recommendations (64.1%) and were less likely to report unrefreshing sleep (8.8%). Nighttime insomnia symptoms were the lowest among those who reported speaking a language other than French or English at home (9.5%). This study highlights important sleep disparities among Canadians. Future intervention strategies should aim to reduce sleep health disparities.

Identifiants

DOI: 10.1016/j.sleh.2024.02.001 PMID: 38519365
pubmed: 38519365
pii: S2352-7218(24)00022-6
doi: 10.1016/j.sleh.2024.02.001
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 National Sleep Foundation. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of conflicts of interest The authors have declared no conflicts of interest.

Auteurs

Jean-Philippe Chaput (JP)

Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada; Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada. Electronic address: jpchaput@cheo.on.ca.

Lianne M Tomfohr-Madsen (LM)

Faculty of Education, University of British Columbia, Vancouver, British Columbia, Canada.

Colleen E Carney (CE)

Department of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada.

Rébecca Robillard (R)

School of Psychology, University of Ottawa, Ottawa, Ontario, Canada; Sleep Research Unit, University of Ottawa Institute of Mental Health Research at The Royal, Ottawa, Ontario, Canada.

Hugues Sampasa-Kanyinga (H)

Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.

Justin J Lang (JJ)

Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada; Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, South Australia, Australia.

Classifications MeSH