title: The influence of PTSD, sleep fears, and neighborhood stress on insomnia and short sleep duration in urban, young adult, African Americans.
abstract: African Americans residing in stressful urban environments have high rates of insomnia and short sleep duration, both of which are associated with adverse health outcomes. However, limited data exist that explore factors influencing inadequate sleep in this high-risk population. This study sought to evaluate the contributions of demographics, trauma, posttraumatic stress disorder (PTSD) symptoms, sleep fears, and neighborhood stress to both insomnia and short sleep in urban African American young adults. Data were analyzed from self-report measures completed by 378 participants 18-35 years of age. PTSD symptom severity and sleep fears were independently associated with insomnia severity, and sleep fears was associated with sleep duration. Results have implications for preventative health intervention strategies for urban African American young adults.
authors.affiliation: a Department of Psychiatry & Behavioral Sciences Howard University College of Medicine , Washington , DC.
authors.forename: Tyish
authors.initials: T
authors.lastname: Hall Brown
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Mellman
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D005239:Fear / Q000502:physiology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008954:Models, Biological; D012111:Residence Characteristics; D012307:Risk Factors; D057566:Self Report; D012890:Sleep / Q000502:physiology*; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications / Q000209:etiology* / Q000503:physiopathology / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000150:complications* / Q000503:physiopathology / Q000523:psychology; D013315:Stress, Psychological / Q000503:physiopathology / Q000523:psychology; D013997:Time Factors; D014505:Urban Population; D055815:Young Adult