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Asian-White disparities in short sleep duration by industry of employment and occupation in the US: a cross-sectional study.

ABSTRACT: Although short sleep is associated with an increased risk of morbidity as well as mortality and has been shown to vary by industry of employment and occupation, little is known about the relationship between work and sleep among Asian Americans.Using a nationally representative sample of US adults (n?=?125,610) in the National Health Interview Survey from 2004-2011, we estimated prevalence ratios for self-reported short sleep duration (<7 hours) in Asians compared to Whites by industry of employment and occupation using adjusted Poisson regression models with robust variance.Asians were more likely to report short sleep duration than Whites (33 vs. 28%, p < 0.001), and the Asian-White disparity was widest in finance/information and healthcare industries. Compared to Whites after adjustments, short sleep was also more prevalent among Asians employed in Public administration (PR = 1.35 [95% CI: 1.17,1.56]), Education (PR = 1.29 [95% CI: 1.08,1.53]), and Professional/Management (PR = 1.18 [95% CI: 1.03,1.36]). Short sleep, however, was lower among Asians in Accommodation/Food (PR = 0.81 [95% CI: 0.66, 0.99]) with no difference in Retail. In professional and support-service occupations, short sleep was higher among Asians, but was not different among laborers.U.S. Asian-White disparities in short sleep varied by industries, suggesting a need to consider both race and occupational characteristics to identify high-risk individuals.

SUBMITTER: Jackson CL

PROVIDER: S-EPMC4057824 | biostudies-other | 2014 Jun

REPOSITORIES: biostudies-other

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Asian-White disparities in short sleep duration by industry of employment and occupation in the US: a cross-sectional study.

Jackson Chandra L CL Kawachi Ichiro I Redline Susan S Juon Hee-Soon HS Hu Frank B FB

BMC public health 20140603

<h4>Background</h4>Although short sleep is associated with an increased risk of morbidity as well as mortality and has been shown to vary by industry of employment and occupation, little is known about the relationship between work and sleep among Asian Americans.<h4>Methods</h4>Using a nationally representative sample of US adults (n = 125,610) in the National Health Interview Survey from 2004-2011, we estimated prevalence ratios for self-reported short sleep duration (<7 hours) in Asians compa ...[more]

PMID: 24894508

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Project description:BackgroundWe aimed to describe the patterns of nutritional status and sleep duration in children from Ethiopia, India, Peru and Vietnam; to assess the association between short sleep duration and overweight and obesity, and if this was similar among boys and girls in Peru.Methods and findingsAnalysis of the Young Lives Study, younger cohort, third round. In Ethiopia there were 1,999 observations, 2,011, 2,052 and 2,000 in India, Peru and Vietnam, respectively. Analyses included participants with complete data for sleep duration, BMI, sex and age; missing data: 5.9% (Ethiopia), 4.1% (India), 6.0% (Peru) and 4.5% (Vietnam). Exposure was sleep duration per day: short (<10 hours) versus regular (10-11 hours). Outcome was overweight and obesity. Multivariable analyses were conducted using a hierarchical approach to assess the effect of variables at different levels. Overweight/obesity prevalence was 0.5%/0.2% (Ethiopia), 1.3%/0.3% (India), 6.1%/2.8% (Vietnam), and 15.8%/5.4% (Peru). Only Peruvian data was considered to explore the association between short sleep duration and overweight and obesity, with 1,929 children, aged 7.9±0.3 years, 50.3% boys. Short and regular sleep duration was 41.6% and 55.6%, respectively. Multivariable models showed that obesity was 64% more prevalent among children with short sleep duration, an estimate that lost significance after controlling for individual- and family-related variables (PR: 1.15; 95%CI: 0.81-1.64). Gender was an effect modifier of the association between short sleep duration and overweight (p?=?0.030) but not obesity (p?=?0.533): the prevalence ratio was greater than one across all the models for boys, yet it was less than one for girls.ConclusionsChildhood overweight and obesity have different profiles across developing settings. In a sample of children living in resource-limited settings in Peru there is no association between short sleep duration and obesity; the crude association was slightly attenuated by children-related variables but strongly diminished by family-related variables.

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Asian-White disparities in short sleep duration by industry of employment and occupation in the US: a cross-sectional study.

Publications

Asian-White disparities in short sleep duration by industry of employment and occupation in the US: a cross-sectional study.

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