Racial/ethnic disparities in sleep duration and sleep disturbances among pregnant and non‐pregnant women in the United States
Lydia Feinstein,Lydia Feinstein,Ketrell L McWhorter,Symielle A. Gaston,Wendy M. Troxel,Katherine M. Sharkey,Chandra L. Jackson +6 more
TLDR
Given disparities in maternal/birth outcomes and sleep, expectant mothers (particularly racial/ethnic minorities) may need screening followed by treatment for sleep disturbances.Abstract:
Sleep disturbances among pregnant women are increasingly linked to suboptimal maternal/birth outcomes. Few studies in the USA investigating sleep by pregnancy status have included racially/ethnically diverse populations, despite worsening disparities in adverse birth outcomes. Using a nationally representative sample of 71,644 (2,349 pregnant) women from the National Health Interview Survey (2004-2017), we investigated relationships between self-reported pregnancy and six sleep characteristics stratified by race/ethnicity. We also examined associations between race/ethnicity and sleep stratified by pregnancy status. We used average marginal predictions from fitted logistic regression models to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) for each sleep dimension, adjusting for sociodemographic and health characteristics. Pregnant women were less likely than non-pregnant women to report short sleep (PROverall = 0.75; 95% CI, 0.68-0.82) and more likely to report long sleep (PROverall = 2.06; 95% CI, 1.74-2.43) and trouble staying asleep (PROverall = 1.34; 95% CI, 1.25-1.44). The association between pregnancy and sleep duration was less pronounced among women aged 35-49 years compared to those <35 years. Among white women, sleep medication use was less prevalent among pregnant compared to non-pregnant women (PRWhite = 0.45; 95% CI, 0.31-0.64), but this association was not observed among black women (PRBlack = 0.98; 95% CI, 0.46-2.09) and was less pronounced among Hispanic/Latina women (PRHispanic/Latina = 0.82; 95% CI, 0.38-1.77). Compared to pregnant white women, pregnant black women had a higher short sleep prevalence (PRBlack = 1.35; 95% CI, 1.08-1.67). Given disparities in maternal/birth outcomes and sleep, expectant mothers (particularly racial/ethnic minorities) may need screening followed by treatment for sleep disturbances. Our findings should be interpreted in the historical and sociocultural context of the USA.read more
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Objectively measured short sleep duration and later sleep midpoint in pregnancy are associated with a higher risk of gestational diabetes
Francesca L. Facco,William A. Grobman,Kathryn J. Reid,Corette B. Parker,Shannon M. Hunter,Robert M. Silver,Robert C. Basner,George R. Saade,Grace W. Pien,Shalini Manchanda,Judette Louis,Chia Ling Nhan-Chang,Judith H. Chung,Deborah A. Wing,Deborah A. Wing,Hyagriv N. Simhan,David M. Haas,Jay D. Iams,Samuel Parry,Phyllis C. Zee +19 more
TL;DR: A relationship between short sleep duration and later sleep midpoint with gestational diabetes is demonstrated and independent contributions of these 2 sleep characteristics to the risk for Gestational diabetes in nulliparous women are suggested.
Journal ArticleDOI
Racial/Ethnic Disparities in Sleep Health and Potential Interventions Among Women in the United States.
Chandra L. Jackson,Tiffany M. Powell-Wiley,Symielle A. Gaston,Marcus R Andrews,Kosuke Tamura,Alberto R. Ramos +5 more
TL;DR: It is concluded that future studies are needed to focus on sleep health in general, sleep disorders such as insomnia and obstructive sleep apnea in particular, and disparities in both sleep health and sleep disorders among women using an intersectional framework.
Journal ArticleDOI
Perinatal Insomnia and Mental Health: a Review of Recent Literature.
TL;DR: The purpose of this review is to critically examine the most recent literature on perinatal insomnia, focusing on unique features of this period which may confer specific risk, associations with depression and anxiety, and emerging work on per inatal insomnia treatment.
Journal ArticleDOI
Environmental Factors Involved in Maternal Morbidity and Mortality
Abee L Boyles,Brandiese E Beverly,Suzanne E. Fenton,Chandra L. Jackson,Anne Marie Z Jukic,Vicki L Sutherland,Donna D. Baird,Gwen W Collman,Darlene Dixon,Kelly K. Ferguson,Janet E Hall,Elizabeth M Martin,Thaddeus T Schug,Alexandra J. White,Kelly J Chandler +14 more
TL;DR: Identifying and reducing a pregnant woman's environmental exposures is not only beneficial to her offspring but also important to preserve her short- and long-term health.
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Gestational sleep deprivation is associated with higher offspring body mass index and blood pressure.
Margreet W Harskamp-van Ginkel,Despo Ierodiakonou,Katerina Margetaki,Katerina Margetaki,Marina Vafeiadi,Marianna Karachaliou,Manolis Kogevinas,Tanja G. M. Vrijkotte,Leda Chatzi +8 more
TL;DR: This is the first study showing that gestational sleep deprivation may increase offspring’s adiposity and blood pressure, while exploring possible mechanisms.
References
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TL;DR: The American Academy of Sleep Medicine and Sleep Research Society developed a consensus recommendation for the amount of sleep needed to promote optimal health in adults, using a modified RAND Appropriateness Method process.
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Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society.
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Journal ArticleDOI
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