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Financial hardship, sleep disturbances, and their relationship among men and women in the United States during the COVID-19 pandemic
OBJECTIVE: 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 t...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Inc
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239652/ https://www.ncbi.nlm.nih.gov/pubmed/37280141 http://dx.doi.org/10.1016/j.sleh.2023.04.007 |
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author | Gaston, Symielle A. Strassle, Paula D. Alhasan, Dana M. Pérez-Stable, Eliseo J. Nápoles, Anna M. Jackson, Chandra L. |
author_facet | Gaston, Symielle A. Strassle, Paula D. Alhasan, Dana M. Pérez-Stable, Eliseo J. Nápoles, Anna M. Jackson, Chandra L. |
author_sort | Gaston, Symielle A. |
collection | PubMed |
description | OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. |
format | Online Article Text |
id | pubmed-10239652 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-102396522023-06-05 Financial hardship, sleep disturbances, and their relationship among men and women in the United States during the COVID-19 pandemic Gaston, Symielle A. Strassle, Paula D. Alhasan, Dana M. Pérez-Stable, Eliseo J. Nápoles, Anna M. Jackson, Chandra L. Sleep Health Article OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. Elsevier Inc 2023-06-04 /pmc/articles/PMC10239652/ /pubmed/37280141 http://dx.doi.org/10.1016/j.sleh.2023.04.007 Text en Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Gaston, Symielle A. Strassle, Paula D. Alhasan, Dana M. Pérez-Stable, Eliseo J. Nápoles, Anna M. Jackson, Chandra L. Financial hardship, sleep disturbances, and their relationship among men and women in the United States during the COVID-19 pandemic |
title | Financial hardship, sleep disturbances, and their relationship among men and women in the United States during the COVID-19 pandemic |
title_full | Financial hardship, sleep disturbances, and their relationship among men and women in the United States during the COVID-19 pandemic |
title_fullStr | Financial hardship, sleep disturbances, and their relationship among men and women in the United States during the COVID-19 pandemic |
title_full_unstemmed | Financial hardship, sleep disturbances, and their relationship among men and women in the United States during the COVID-19 pandemic |
title_short | Financial hardship, sleep disturbances, and their relationship among men and women in the United States during the COVID-19 pandemic |
title_sort | financial hardship, sleep disturbances, and their relationship among men and women in the united states during the covid-19 pandemic |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239652/ https://www.ncbi.nlm.nih.gov/pubmed/37280141 http://dx.doi.org/10.1016/j.sleh.2023.04.007 |
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