title: Racial/ethnic disparities in short sleep duration by occupation: the contribution of immigrant status.
abstract: Sleep duration, associated with increased morbidity/mortality, has been shown to vary by race and occupation. Few studies have examined the additional influence of immigrant status. Using a nationally-representative sample of 175,244 US adults from the National Health Interview Survey from 2004 to 2011, we estimated prevalence ratios (PRs) for short sleep duration (<7 h/per day) among US- and non-US born Blacks and Latinos by occupation compared to their White counterparts using adjusted Poisson regression models with robust variance. Non-US born participants' mean age was 46 years, 55% were men, 58% were Latino, and 65% lived in the US ≥ 15 years. Short sleep prevalence was highest among US- and non-US born Blacks in all occupations, and the prevalence generally increased with increasing professional/management roles in Blacks and Latinos while it decreased among Whites. Adjusted short sleep was more prevalent in US-born Blacks compared to Whites in professional/management (PR = 1.52 [95% confidence interval (CI): 1.42-1.63]), support services (PR = 1.31 [95% CI: 1.26-1.37]), and laborers (PR = 1.11 [95% CI: 1.06-1.16]). The Black-White comparison was even higher for non-US born Black laborers (PR = 1.50 [95% CI: 1.24-1.80]). Similar for non-US born Latinos, Latinos born in the US had a higher short sleep prevalence in professional/management (PR = 1.14 [95% CI: 1.04-1.24]) and support services (PR = 1.06 [95% CI: 1.01-1.11]), but a lower prevalence among laborers (PR = 0.77 [95% CI: 0.74-0.81]) compared to Whites. Short sleep varied within and between immigrant status for some ethnicities in particular occupations, further illuminating the need for tailored interventions to address sleep disparities among US workers.
authors.affiliation: 655 Huntington Avenue, Building II, Room 302, Boston, MA 02215, USA. Electronic address: cjackson@hsph.harvard.edu.
authors.forename: Chandra L
authors.initials: CL
authors.lastname: Jackson
authors.affiliation: 655 Huntington Avenue, Building II, Room 302, Boston, MA 02215, USA.
authors.forename: Frank B
authors.initials: FB
authors.lastname: Hu
authors.affiliation: 655 Huntington Avenue, Building II, Room 302, Boston, MA 02215, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Redline
authors.affiliation: 655 Huntington Avenue, Building II, Room 302, Boston, MA 02215, USA.
authors.forename: David R
authors.initials: DR
authors.lastname: Williams
authors.affiliation: 655 Huntington Avenue, Building II, Room 302, Boston, MA 02215, USA.
authors.forename: Josiemer
authors.initials: J
authors.lastname: Mattei
authors.affiliation: 655 Huntington Avenue, Building II, Room 302, Boston, MA 02215, USA.
authors.forename: Ichiro
authors.initials: I
authors.lastname: Kawachi
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006306:Health Surveys; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009790:Occupations / Q000706:statistics & numerical data*; D044469:Racial Groups / Q000706:statistics & numerical data*; D012890:Sleep; D012959:Socioeconomic Factors; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Ethnicity; Immigrant; Occupation; Race; Sleep; United States
references.citation: Cult Med Psychiatry. 1994 Jun;18(2):163-82
references.pmid: 7924399
references.citation: Sleep. 2008 Aug;31(8):1087-96
references.pmid: 18714780
references.citation: Sleep. 2007 Sep;30(9):1096-103
references.pmid: 17910381
references.citation: Behav Sleep Med. 2012 Oct;10(4):235-49
references.pmid: 22946733
references.citation: Am J Respir Crit Care Med. 2014 Feb 1;189(3):335-44
references.pmid: 24392863
references.citation: Am J Community Psychol. 1997 Oct;25(5):581-99
references.pmid: 9485575
references.citation: Int J Health Serv. 2006;36(1):51-85
references.pmid: 16524165
references.citation: PLoS Med. 2004 Dec;1(3):e62
references.pmid: 15602591
references.citation: J Clin Sleep Med. 2013 Sep 15;9(9):897-905; 905A-905D
references.pmid: 23997702
references.citation: J Immigr Minor Health. 2011 Apr;13(2):402-7
references.pmid: 19728094
references.citation: J Occup Environ Med. 2008 Nov;50(11):1244-52
references.pmid: 19001950
references.citation: Health Psychol. 2013 Jul;32(7):810-9
references.pmid: 23088174
references.citation: J Occup Health Psychol. 1998 Jul;3(3):265-75
references.pmid: 9684216
references.citation: Sleep. 2010 Feb;33(2):149-59
references.pmid: 20175398
references.citation: Soc Sci Med. 2011 Nov;73(10):1551-60
references.pmid: 21982630
references.citation: J Immigr Health. 2004 Apr;6(2):83-92
references.pmid: 15014225
references.citation: Sleep. 2000 Mar 15;23(2):155-63
references.pmid: 10737332
references.citation: Am J Med. 2012 Feb;125(2):162-7
references.pmid: 22269619
references.citation: Sleep. 2014 Jan 01;37(1):147-56
references.pmid: 24381373
references.citation: Sleep Med Rev. 2013 Aug;17(4):255-62
references.pmid: 23348004
references.citation: Sleep Med. 2005 Jul;6(4):353-8
references.pmid: 15978518
references.citation: Sleep. 2011 Aug 01;34(8):1021-31
references.pmid: 21804664
references.citation: Race Soc Probl. 2013 Jun 1;5(2):100-112
references.pmid: 23894254
references.citation: Biometrics. 1992 Jun;48(2):577-85
references.pmid: 1637980
references.citation: Sleep. 2010 Jul;33(7):962-7
references.pmid: 20614856
references.citation: Diabetes Care. 2003 Feb;26(2):380-4
references.pmid: 12547866
references.citation: Sleep. 2007 Dec;30(12):1667-73
references.pmid: 18246976
references.citation: JAMA. 2012 Nov 7;308(17):1775-84
references.pmid: 23117778
references.citation: Am J Ind Med. 2008 Aug;51(8):555-67
references.pmid: 18553362
references.citation: Sleep. 2006 Aug;29(8):1009-14
references.pmid: 16944668
references.citation: Demography. 2009 Aug;46(3):535-51
references.pmid: 19771943
references.citation: Sleep. 2011 Apr 01;34(4):509-18
references.pmid: 21461330
references.citation: Arch Intern Med. 2005 Apr 25;165(8):863-7
references.pmid: 15851636
references.citation: Sleep Med Rev. 2010 Jun;14(3):191-203
references.pmid: 19932976
references.citation: Diabetes Care. 2013 Nov;36(11):3557-65
references.pmid: 24026552
references.citation: Sleep Med. 2011 Mar;12(3):209-14
references.pmid: 21317037
references.citation: Prog Cardiovasc Nurs. 2004 Spring;19(2):56-9
references.pmid: 15133379
references.citation: BMC Public Health. 2014 Jun 03;14:552
references.pmid: 24894508
references.citation: Biol Psychol. 2012 Jan;89(1):34-8
references.pmid: 21925567
references.citation: Biol Res Nurs. 2014 Apr;16(2):134-42
references.pmid: 23411360
references.citation: Epidemiology. 2008 Nov;19(6):838-45
references.pmid: 18854708
references.citation: BMC Public Health. 2010 Aug 11;10:475
references.pmid: 20701789
references.citation: Health Qual Life Outcomes. 2008 Aug 10;6:61
references.pmid: 18691437
references.citation: Am J Epidemiol. 2006 Jul 1;164(1):5-16
references.pmid: 16740591
references.citation: J Gen Intern Med. 2010 Aug;25(8):847-52
references.pmid: 20490949
references.citation: Behav Sleep Med. 2006;4(1):29-44
references.pmid: 16390283
references.citation: Prev Med. 2005 Jun;40(6):642-51
references.pmid: 15850860
references.citation: Arch Intern Med. 2006 Sep 18;166(16):1689-92
references.pmid: 16983045
references.citation: Annu Rev Public Health. 2005;26:367-97
references.pmid: 15760294
references.citation: Soc Sci Med. 2010 Sep;71(5):1027-36
references.pmid: 20621406
references.citation: Sleep Med. 2010 May;11(5):470-8
references.pmid: 20388566
references.citation: Int Nurs Rev. 2012 Jun;59(2):237-44
references.pmid: 22591096
references.citation: Cultur Divers Ethnic Minor Psychol. 2008 Jan;14(1):19-28
references.pmid: 18229997
references.citation: Am J Public Health. 2007 Jan;97(1):52-9
references.pmid: 17138909
references.citation: Chronobiol Int. 2010 May;27(3):575-89
references.pmid: 20524802
references.citation: Eur J Epidemiol. 2004;19(8):777-84
references.pmid: 15469035
references.citation: BMC Med Res Methodol. 2003 Oct 20;3:21
references.pmid: 14567763
references.citation: Am J Public Health Nations Health. 1964 Jan;54:11-23
references.pmid: 14117648
references.citation: Am J Epidemiol. 2013 Nov 1;178(9):1442-51
references.pmid: 24018914