The Contribution of Psychosocial Stressors to Sleep among African Americans in the Jackson Heart Study.

STUDY OBJECTIVES Studies have shown that psychosocial stressors are related to poor sleep. However, studies of African Americans, who may be more vulnerable to the impact of psychosocial stressors, are lacking. Using the Jackson Heart Study (JHS) baseline data, we examined associations of psychosocial stressors with sleep in 4,863 African Americans. METHODS We examined cross-sectional associations between psychosocial stressors and sleep duration and quality in a large population sample of African Americans. Three measures of psychosocial stress were investigated: the Global Perceived Stress Scale (GPSS); Major Life Events (MLE); and the Weekly Stress Inventory (WSI). Sleep was assessed using self-reported hours of sleep and sleep quality rating (1 = poor; 5 = excellent). Multinomial logistic and linear regression models were used to examine the association of each stress measure (in quartiles) with continuous and categorical sleep duration (< 5 ("very short"), 5-6 h ("short") and > 9 h ("long") versus 7 or 8 h ("normal"); and with sleep quality after adjustment for demographics and risk factors (body mass index, hypertension, diabetes, physical activity). RESULTS Mean age of the sample was 54.6 years and 64% were female. Mean sleep duration was 6.4 + 1.5 hours, 54% had a short sleep duration, 5% had a long sleep duration, and 34% reported a "poor" or "fair" sleep quality. Persons in the highest GPSS quartile had higher odds of very short sleep (odds ratio: 2.87, 95% confidence interval [CI]: 2.02, 4.08), higher odds of short sleep (1.72, 95% CI: 1.40, 2.12), shorter average sleep duration (Δ = -33.6 min (95% CI: -41.8, -25.4), and reported poorer sleep quality (Δ = -0.73 (95% CI: -0.83, -0.63) compared to those in the lowest quartile of GPSS after adjustment for covariates. Similar patterns were observed for WSI and MLE. Psychosocial stressors were not associated with long sleep. For WSI, effects of stress on sleep duration were stronger for younger (< 60 y) and college-educated African-Americans. CONCLUSIONS Psychosocial stressors are associated with higher odds of short sleep, lower average sleep duration, and lower sleep quality in African Americans. Psychosocial stressors may be a point of intervention among African Americans for the improvement of sleep and downstream health outcomes.

[1]  A. Quyyumi,et al.  Socioeconomic status discrimination is associated with poor sleep in African-Americans, but not Whites. , 2016, Social science & medicine.

[2]  G. Jean-Louis,et al.  Sleep disparity, race/ethnicity, and socioeconomic position. , 2016, Sleep medicine.

[3]  David R. Williams,et al.  Discrimination and sleep: a systematic review. , 2016, Sleep medicine.

[4]  G. Jean-Louis,et al.  Differential increase in prevalence estimates of inadequate sleep among black and white Americans , 2015, BMC Public Health.

[5]  P. Dubbert,et al.  Perceived discrimination is associated with health behaviours among African-Americans in the Jackson Heart Study , 2015, Journal of Epidemiology & Community Health.

[6]  David R. Williams,et al.  Discrimination, other psychosocial stressors, and self-reported sleep duration and difficulties. , 2014, Sleep.

[7]  F. Hu,et al.  Racial disparities in short sleep duration by occupation and industry. , 2013, American journal of epidemiology.

[8]  M. Grandner,et al.  Dietary nutrients associated with short and long sleep duration. Data from a nationally representative sample , 2013, Appetite.

[9]  R. Levin,et al.  Trait Hostility, Perceived Stress, and Sleep Quality in a Sample of Normal Sleepers , 2013, Sleep disorders.

[10]  Insop Shim,et al.  Stress and Sleep Disorder , 2012, Experimental neurobiology.

[11]  M. Sims,et al.  The contribution of stress to the social patterning of clinical and subclinical CVD risk factors in African Americans: the Jackson Heart Study. , 2012, Social science & medicine.

[12]  Bradley J. Cardinal,et al.  Association between objectively-measured physical activity and sleep, NHANES 2005–2006 , 2011 .

[13]  A. D. Diez Roux,et al.  The socioeconomic gradient of diabetes prevalence, awareness, treatment, and control among African Americans in the Jackson Heart Study. , 2011, Annals of epidemiology.

[14]  D. Kromhout,et al.  Sleep duration and sleep quality in relation to 12-year cardiovascular disease incidence: the MORGEN study. , 2011, Sleep.

[15]  Andrew Steptoe,et al.  Psychosocial Factors and Sleep Efficiency: Discrepancies Between Subjective and Objective Evaluations of Sleep , 2011, Psychosomatic medicine.

[16]  J. DeCoster,et al.  Normal sleep in African-Americans and Caucasian-Americans: A meta-analysis. , 2011, Sleep medicine.

[17]  Claudia C. Ma,et al.  Association of perceived stress with sleep duration and sleep quality in police officers. , 2011, International journal of emergency mental health.

[18]  L. Waller,et al.  American Journal of Epidemiology Practice of Epidemiology Geographic Representation of the Jackson Heart Study Cohort to the African-american Population in Jackson, Mississippi , 2022 .

[19]  A. Pack,et al.  Problems associated with short sleep: bridging the gap between laboratory and epidemiological studies. , 2010, Sleep medicine reviews.

[20]  C. Sabanayagam,et al.  Sleep duration and cardiovascular disease: results from the National Health Interview Survey. , 2010, Sleep.

[21]  Raymond Cluydts,et al.  Nocturnal road traffic noise: A review on its assessment and consequences on sleep and health. , 2010, Environment international.

[22]  Tarani Chandola,et al.  The effect of short sleep duration on coronary heart disease risk is greatest among those with sleep disturbance: a prospective study from the Whitehall II cohort. , 2010, Sleep.

[23]  David R Williams,et al.  Race, socioeconomic status, and health: Complexities, ongoing challenges, and research opportunities , 2010, Annals of the New York Academy of Sciences.

[24]  M. Sallinen,et al.  Self‐reported sleep duration and cognitive functioning in the general population , 2009, Journal of sleep research.

[25]  Terrence D. Hill,et al.  Neighborhood disorder, sleep quality, and psychological distress: testing a model of structural amplification. , 2009, Health & place.

[26]  S. Burgard,et al.  Putting Work to Bed: Stressful Experiences on the Job and Sleep Quality∗ , 2009, Journal of health and social behavior.

[27]  B. Ainsworth,et al.  Validation of the Jackson Heart Study Physical Activity Survey in African Americans. , 2009, Journal of physical activity & health.

[28]  P. M. Krueger,et al.  Sleep duration in the United States: a cross-sectional population-based study. , 2009, American journal of epidemiology.

[29]  Daniel J Buysse,et al.  Race and financial strain are independent correlates of sleep in midlife women: the SWAN sleep study. , 2009, Sleep.

[30]  Paul J Rathouz,et al.  Self-Reported and Measured Sleep Duration: How Similar Are They? , 2008, Epidemiology.

[31]  T. Baker,et al.  Racial differences in arthritis-related stress, chronic life stress, and depressive symptoms among women with arthritis: a contextual perspective. , 2008, The journals of gerontology. Series B, Psychological sciences and social sciences.

[32]  Andrew Steptoe,et al.  Positive affect, psychological well-being, and good sleep. , 2008, Journal of psychosomatic research.

[33]  G. Jean-Louis,et al.  Sleep duration among black and white Americans: results of the National Health Interview Survey. , 2008, Journal of the National Medical Association.

[34]  E. Bixler,et al.  Lack of regular exercise, depression, and degree of apnea are predictors of excessive daytime sleepiness in patients with sleep apnea: sex differences. , 2008, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[35]  C. Chapman,et al.  Pain and stress in a systems perspective: reciprocal neural, endocrine, and immune interactions. , 2008, The journal of pain : official journal of the American Pain Society.

[36]  David R. Williams.  The health of men: structured inequalities and opportunities. , 2008, American journal of public health.

[37]  S. Drummond,et al.  Who are the long sleepers? Towards an understanding of the mortality relationship. , 2007, Sleep medicine reviews.

[38]  B. Dohrenwend,et al.  Distribution of Traumatic and Other Stressful Life Events by Race/Ethnicity, Gender, SES and Age: A Review of the Research , 2007, American journal of community psychology.

[39]  L. Hale,et al.  Racial differences in self-reports of sleep duration in a population-based study. , 2007, Sleep.

[40]  Torbjörn Akerstedt,et al.  Psychosocial stress and impaired sleep. , 2006, Scandinavian journal of work, environment & health.

[41]  John Bound,et al.  "Weathering" and age patterns of allostatic load scores among blacks and whites in the United States. , 2006, American journal of public health.

[42]  K. Lichstein,et al.  The Sleep of African Americans: A Comparative Review , 2006, Behavioral sleep medicine.

[43]  H. Colten,et al.  Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem , 2006 .

[44]  B. Ainsworth,et al.  Physical activity assessment methods in the Jackson Heart Study. , 2005, Ethnicity & disease.

[45]  Scott Davis,et al.  Factors associated with objective (actigraphic) and subjective sleep quality in young adult women. , 2005, Journal of psychosomatic research.

[46]  David R Williams,et al.  Sociocultural methods in the Jackson Heart Study: conceptual and descriptive overview. , 2005, Ethnicity & disease.

[47]  A. Knutsson,et al.  Psychosocial factors, gender, and sleep. , 2005, Journal of occupational health psychology.

[48]  Daniel W. Jones,et al.  Toward resolution of cardiovascular health disparities in African Americans: design and methods of the Jackson Heart Study. , 2005, Ethnicity & disease.

[49]  M. Andrew,et al.  Recruiting African-American research participation in the Jackson Heart Study: methods, response rates, and sample description. , 2005, Ethnicity & disease.

[50]  Mark Zimmerman,et al.  Using a self-report depression scale to identify remission in depressed outpatients. , 2004, The American journal of psychiatry.

[51]  P. Kohn,et al.  The Survey of Recent Life Experiences: A decontaminated hassles scale for adults , 1992, Journal of Behavioral Medicine.

[52]  Neil B. Rappaport,et al.  A daily stress inventory: Development, reliability, and validity , 1987, Journal of Behavioral Medicine.

[53]  N. Anderson,et al.  Understanding Racial and Ethnic Differences in Health in Late Life: A Research Agenda , 2004 .

[54]  N. Anderson,et al.  Panel on Race, Ethnicity, and Health in Later Life , 2004 .

[55]  G. Rutten,et al.  Screening for Type 2 Diabetes , 2003 .

[56]  R. Turner,et al.  Status variations in stress exposure: implications for the interpretation of research on race, socioeconomic status, and gender. , 2003, Journal of health and social behavior.

[57]  Daniel W. Jones,et al.  Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. , 2003, Hypertension.

[58]  Andrew Steptoe,et al.  Burden of Psychosocial Adversity and Vulnerability in Middle Age: Associations With Biobehavioral Risk Factors and Quality of Life , 2003, Psychosomatic medicine.

[59]  M. Andrew,et al.  A community-driven model of research participation: the Jackson Heart Study Participant Recruitment and Retention Study. , 2003, Ethnicity & disease.

[60]  M. Engelgau,et al.  Screening for type 2 diabetes. , 2000, Diabetes care.

[61]  C. Reynolds,et al.  Daytime Sleepiness Predicts Mortality and Cardiovascular Disease in Older Adults , 2000, Journal of the American Geriatrics Society.

[62]  F. Baker,et al.  A comparison of subjective estimates of sleep with objective polysomnographic data in healthy men and women. , 1999, Journal of psychosomatic research.

[63]  David R. Williams,et al.  Racial Differences in Physical and Mental Health , 1997, Journal of health psychology.

[64]  D. Jacobs,et al.  Psychosocial Factors and Plasma Lipids in Black and White Young Adults: The Coronary Artery Risk Development in Young Adults Study Data , 1996, Psychosomatic medicine.

[65]  S. James.  John Henryism and the health of African-Americans , 1994, Culture, medicine and psychiatry.

[66]  S. Kumanyika,et al.  Obesity, diet, and psychosocial factors contributing to cardiovascular disease in blacks. , 1991, Cardiovascular clinics.

[67]  T. Kamarck,et al.  A global measure of perceived stress. , 1983, Journal of health and social behavior.

[68]  J E Frijters,et al.  A short questionnaire for the measurement of habitual physical activity in epidemiological studies. , 1982, The American journal of clinical nutrition.

[69]  James H. Johnson,et al.  Assessing the impact of life changes: development of the Life Experiences Survey. , 1978, Journal of consulting and clinical psychology.

[70]  T. H. Holmes,et al.  The Social Readjustment Rating Scale. , 1967, Journal of psychosomatic research.