Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Gaston, Symielle A., Strassle, Paula D., Alhasan, Dana M., Pérez-Stable, Eliseo J., Nápoles, Anna M., Jackson, Chandra L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc 2023
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
_version_ 1785053535220531200
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
work_keys_str_mv AT gastonsymiellea financialhardshipsleepdisturbancesandtheirrelationshipamongmenandwomenintheunitedstatesduringthecovid19pandemic
AT strasslepaulad financialhardshipsleepdisturbancesandtheirrelationshipamongmenandwomenintheunitedstatesduringthecovid19pandemic
AT alhasandanam financialhardshipsleepdisturbancesandtheirrelationshipamongmenandwomenintheunitedstatesduringthecovid19pandemic
AT perezstableeliseoj financialhardshipsleepdisturbancesandtheirrelationshipamongmenandwomenintheunitedstatesduringthecovid19pandemic
AT napolesannam financialhardshipsleepdisturbancesandtheirrelationshipamongmenandwomenintheunitedstatesduringthecovid19pandemic
AT jacksonchandral financialhardshipsleepdisturbancesandtheirrelationshipamongmenandwomenintheunitedstatesduringthecovid19pandemic