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Insomnia, Short Sleep, And Snoring In Mid-To-Late Pregnancy: Disparities Related To Poverty, Race, And Obesity

OBJECTIVE: To characterize sleep habits and parameters among women in mid-to-late pregnancy and to identify disparities associated with poverty, race, and obesity. DESIGN: Cross-sectional. SETTING: Large multi-site health system in Metro Detroit. PARTICIPANTS: A total of 267 pregnant women (27.3% no...

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Autores principales: Kalmbach, David A, Cheng, Philip, Sangha, Roopina, O’Brien, Louise M, Swanson, Leslie M, Palagini, Laura, Bazan, Luisa F, Roth, Thomas, Drake, Christopher L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839586/
https://www.ncbi.nlm.nih.gov/pubmed/31807103
http://dx.doi.org/10.2147/NSS.S226291
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author Kalmbach, David A
Cheng, Philip
Sangha, Roopina
O’Brien, Louise M
Swanson, Leslie M
Palagini, Laura
Bazan, Luisa F
Roth, Thomas
Drake, Christopher L
author_facet Kalmbach, David A
Cheng, Philip
Sangha, Roopina
O’Brien, Louise M
Swanson, Leslie M
Palagini, Laura
Bazan, Luisa F
Roth, Thomas
Drake, Christopher L
author_sort Kalmbach, David A
collection PubMed
description OBJECTIVE: To characterize sleep habits and parameters among women in mid-to-late pregnancy and to identify disparities associated with poverty, race, and obesity. DESIGN: Cross-sectional. SETTING: Large multi-site health system in Metro Detroit. PARTICIPANTS: A total of 267 pregnant women (27.3% non-Hispanic black; gestational age: 27.99±1.20 weeks) completed online surveys on sleep quality, insomnia symptoms, sleep aid use, signs/symptoms of sleep-disordered breathing, and sociodemographics. Body mass index (BMI) and patient insurance were derived from medical records. RESULTS: As high as 76.2% of the women reported global sleep disturbance, 30.6% endorsed snoring, 24.3% sleep <6 hrs/night, and over half screened positive for clinical insomnia. Yet, only 3.4% of the women reported an insomnia diagnosis and 3.0% reported a sleep apnea diagnosis. In unadjusted models, poverty, Medicaid coverage, self-identifying as black, and obesity before and during pregnancy (BMI ≥ 35) were associated with a wide range of sleep problems. However, adjusted models revealed specificity. Poverty was uniquely related to increased insomnia symptoms and trouble sleeping due to bad dreams. Obesity before pregnancy was related to poor sleep quality, snoring, sleep aids, and short sleep. Black women reported shorter sleep duration than white women but differed on no other sleep parameters. CONCLUSION: Clinical signs of insomnia and sleep-disordered breathing are common in mid-to-late pregnancy, but most cases go undetected. Problematic sleep disproportionately affects women in poverty, who self-identify as black, and who are obese before pregnancy. Poverty-related sleep issues are linked to insomnia, obesity-related disparities center on sleep-related breathing and medication use, and racial disparities relate to short sleep.
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spelling pubmed-68395862019-12-05 Insomnia, Short Sleep, And Snoring In Mid-To-Late Pregnancy: Disparities Related To Poverty, Race, And Obesity Kalmbach, David A Cheng, Philip Sangha, Roopina O’Brien, Louise M Swanson, Leslie M Palagini, Laura Bazan, Luisa F Roth, Thomas Drake, Christopher L Nat Sci Sleep Original Research OBJECTIVE: To characterize sleep habits and parameters among women in mid-to-late pregnancy and to identify disparities associated with poverty, race, and obesity. DESIGN: Cross-sectional. SETTING: Large multi-site health system in Metro Detroit. PARTICIPANTS: A total of 267 pregnant women (27.3% non-Hispanic black; gestational age: 27.99±1.20 weeks) completed online surveys on sleep quality, insomnia symptoms, sleep aid use, signs/symptoms of sleep-disordered breathing, and sociodemographics. Body mass index (BMI) and patient insurance were derived from medical records. RESULTS: As high as 76.2% of the women reported global sleep disturbance, 30.6% endorsed snoring, 24.3% sleep <6 hrs/night, and over half screened positive for clinical insomnia. Yet, only 3.4% of the women reported an insomnia diagnosis and 3.0% reported a sleep apnea diagnosis. In unadjusted models, poverty, Medicaid coverage, self-identifying as black, and obesity before and during pregnancy (BMI ≥ 35) were associated with a wide range of sleep problems. However, adjusted models revealed specificity. Poverty was uniquely related to increased insomnia symptoms and trouble sleeping due to bad dreams. Obesity before pregnancy was related to poor sleep quality, snoring, sleep aids, and short sleep. Black women reported shorter sleep duration than white women but differed on no other sleep parameters. CONCLUSION: Clinical signs of insomnia and sleep-disordered breathing are common in mid-to-late pregnancy, but most cases go undetected. Problematic sleep disproportionately affects women in poverty, who self-identify as black, and who are obese before pregnancy. Poverty-related sleep issues are linked to insomnia, obesity-related disparities center on sleep-related breathing and medication use, and racial disparities relate to short sleep. Dove 2019-11-04 /pmc/articles/PMC6839586/ /pubmed/31807103 http://dx.doi.org/10.2147/NSS.S226291 Text en © 2019 Kalmbach et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Kalmbach, David A
Cheng, Philip
Sangha, Roopina
O’Brien, Louise M
Swanson, Leslie M
Palagini, Laura
Bazan, Luisa F
Roth, Thomas
Drake, Christopher L
Insomnia, Short Sleep, And Snoring In Mid-To-Late Pregnancy: Disparities Related To Poverty, Race, And Obesity
title Insomnia, Short Sleep, And Snoring In Mid-To-Late Pregnancy: Disparities Related To Poverty, Race, And Obesity
title_full Insomnia, Short Sleep, And Snoring In Mid-To-Late Pregnancy: Disparities Related To Poverty, Race, And Obesity
title_fullStr Insomnia, Short Sleep, And Snoring In Mid-To-Late Pregnancy: Disparities Related To Poverty, Race, And Obesity
title_full_unstemmed Insomnia, Short Sleep, And Snoring In Mid-To-Late Pregnancy: Disparities Related To Poverty, Race, And Obesity
title_short Insomnia, Short Sleep, And Snoring In Mid-To-Late Pregnancy: Disparities Related To Poverty, Race, And Obesity
title_sort insomnia, short sleep, and snoring in mid-to-late pregnancy: disparities related to poverty, race, and obesity
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839586/
https://www.ncbi.nlm.nih.gov/pubmed/31807103
http://dx.doi.org/10.2147/NSS.S226291
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