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Racial/Ethnic Differences in Sleep Disturbances: The Multi-Ethnic Study of Atherosclerosis (MESA)

Sleep (New York, N.Y.), 2015-06, Vol.38 (6), p.877-888 [Peer Reviewed Journal]

2015 Associated Professional Sleep Societies, LLC. ;2015 Associated Professional Sleep Societies, LLC. 2015 ;ISSN: 0161-8105 ;EISSN: 1550-9109 ;DOI: 10.5665/sleep.4732 ;PMID: 25409106

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Title:
Racial/Ethnic Differences in Sleep Disturbances: The Multi-Ethnic Study of Atherosclerosis (MESA)
Author: Chen, Xiaoli ; Wang, Rui ; Zee, Phyllis ; Lutsey, Pamela L ; Javaheri, Sogol ; Alcántara, Carmela ; Jackson, Chandra L ; Williams, Michelle A ; Redline, Susan
Subjects: Actigraphy ; Aged ; Aged, 80 and over ; Asian Continental Ancestry Group - statistics & numerical data ; Atherosclerosis - epidemiology ; Cohort Studies ; Continental Population Groups - statistics & numerical data ; Cross-Sectional Studies ; Ethnic Groups - statistics & numerical data ; European Continental Ancestry Group - statistics & numerical data ; Female ; Hispanic Americans - statistics & numerical data ; Humans ; Male ; Middle Aged ; Obesity - epidemiology ; Odds Ratio ; Polysomnography ; Prevalence ; Racial/Ethnic Differences in Sleep Disturbances ; Self Report ; Sleep Apnea Syndromes - diagnosis ; Sleep Apnea Syndromes - epidemiology ; Sleep Initiation and Maintenance Disorders - diagnosis ; Sleep Initiation and Maintenance Disorders - epidemiology ; Sleep Stages - physiology ; Sleep Wake Disorders - diagnosis ; Sleep Wake Disorders - epidemiology ; United States - epidemiology
Is Part Of: Sleep (New York, N.Y.), 2015-06, Vol.38 (6), p.877-888
Description: There is limited research on racial/ethnic variation in sleep disturbances. This study aimed to quantify the distributions of objectively measured sleep disordered breathing (SDB), short sleep duration, poor sleep quality, and self-reported sleep disturbances (e.g., insomnia) across racial/ethnic groups. Cross-sectional study. Six US communities. Racially/ethnically diverse men and women aged 54-93 y in the Multi-Ethnic Study of Atherosclerosis Sleep Cohort (n = 2,230). N/A. Information from polysomnography-measured SDB, actigraphy-measured sleep duration and quality, and self-reported daytime sleepiness were obtained between 2010 and 2013. Overall, 15.0% of individuals had severe SDB (apnea-hypopnea index [AHI] ≥ 30); 30.9% short sleep duration (< 6 h); 6.5% poor sleep quality (sleep efficiency < 85%); and 13.9% had daytime sleepiness. Compared with Whites, Blacks had higher odds of sleep apnea syndrome (AHI ≥ 5 plus sleepiness) (sex-, age-, and study site-adjusted odds ratio [OR] = 1.78, 95% confidence interval [CI]: 1.20, 2.63), short sleep (OR = 4.95, 95% CI: 3.56, 6.90), poor sleep quality (OR = 1.57, 95% CI: 1.00, 2.48), and daytime sleepiness (OR = 1.89, 95% CI: 1.38, 2.60). Hispanics and Chinese had higher odds of SDB and short sleep than Whites. Among non-obese individuals, Chinese had the highest odds of SDB compared to Whites. Only 7.4% to 16.2% of individuals with an AHI ≥ 15 reported a prior diagnosis of sleep apnea. Sleep disturbances are prevalent among middle-aged and older adults, and vary by race/ethnicity, sex, and obesity status. The high prevalence of sleep disturbances and undiagnosed sleep apnea among racial/ethnic minorities may contribute to health disparities.
Publisher: United States: Associated Professional Sleep Societies, LLC
Language: English
Identifier: ISSN: 0161-8105
EISSN: 1550-9109
DOI: 10.5665/sleep.4732
PMID: 25409106
Source: MEDLINE
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Racial/Ethnic Differences in Sleep Disturbances: The Multi-Ethnic Study of Atherosclerosis (MESA)

2015 Associated Professional Sleep Societies, LLC. ;2015 Associated Professional Sleep Societies, LLC. 2015 ;ISSN: 0161-8105 ;EISSN: 1550-9109 ;DOI: 10.5665/sleep.4732 ;PMID: 25409106

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