title: Social and Health Correlates of Sleep Duration in a US Hispanic Population: Results from the Hispanic Community Health Study/Study of Latinos.
abstract: OBJECTIVE
  To define the prevalence of poor sleep patterns in the US Hispanic/Latino population, identify sociodemographic and psychosocial predictors of short and long sleep duration, and the association between sleep and cardiometabolic outcomes.
  
  
  METHODS
  Cross-sectional analysis.
  
  
  METHODS
  Community-based study.
  
  
  METHODS
  Adults age 18-74 y free of sleep disorders (n = 11,860) from the Hispanic Community Health Study/Study of Latinos baseline examination (2008-2011).
  
  
  METHODS
  N/A.
  
  
  RESULTS
  The mean self-reported sleep duration was 8.0 h per night with 18.6% sleeping less than 7 h and 20.1% sleeping more than 9 h in age- and sex-adjusted analyses. Short sleep was most common in individuals of Puerto Rican heritage (25.6%) and the Other Hispanic group (27.4%). Full-time employment, low level of education, and depressive symptoms were independent predictors of short sleep, whereas unemployment, low household income, low level of education, and being born in the mainland US were independent predictors of long sleep. After accounting for sociodemographic differences, short sleep remained significantly associated with obesity with an odds ratio of 1.29 [95% confidence interval 1.12-1.49] but not with diabetes, hypertension, or heart disease. In contrast, long sleep was not associated with any of these conditions.
  
  
  CONCLUSIONS
  Sleep duration is highly variable among US Hispanic/Latinos, varying by Hispanic/Latino heritage as well as socioeconomic status. These differences may have health consequences given associations between sleep duration and cardiometabolic disease, particularly obesity.
authors.affiliation: Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
authors.forename: Sanjay R
authors.initials: SR
authors.lastname: Patel
authors.affiliation: University of North Carolina, Chapel Hill, NC.
authors.forename: Daniela
authors.initials: D
authors.lastname: Sotres-Alvarez
authors.affiliation: San Diego State University, San Diego, CA.
authors.forename: Sheila F
authors.initials: SF
authors.lastname: Castañeda
authors.affiliation: Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Dudley
authors.affiliation: San Diego State University, San Diego, CA.
authors.forename: Linda C
authors.initials: LC
authors.lastname: Gallo
authors.affiliation: University of Illinois at Urbana-Champaign, Urbana, IL.
authors.forename: Rosalba
authors.initials: R
authors.lastname: Hernandez
authors.affiliation: San Diego State University, San Diego, CA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Medeiros
authors.affiliation: Northwestern University, Chicago, IL.
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Penedo
authors.affiliation: Albert Einstein College of Medicine, Bronx, NY.
authors.forename: Yasmin
authors.initials: Y
authors.lastname: Mossavar-Rahmani
authors.affiliation: University of Miami, Miami, FL.
authors.forename: Alberto R
authors.initials: AR
authors.lastname: Ramos
authors.affiliation: Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
authors.forename: Susan
authors.initials: S
authors.lastname: Redline
authors.affiliation: Northwestern University, Chicago, IL.
authors.forename: Kathryn J
authors.initials: KJ
authors.lastname: Reid
authors.affiliation: Northwestern University, Chicago, IL.
authors.forename: Phyllis C
authors.initials: PC
authors.lastname: Zee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003153:Community Health Services; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000453:epidemiology; D004522:Educational Status; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D006262:Health; D006306:Health Surveys; D006331:Heart Diseases / Q000453:epidemiology; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology; D016017:Odds Ratio; D015995:Prevalence; D011647:Puerto Rico / Q000208:ethnology; D057566:Self Report; D012890:Sleep / Q000502:physiology*; D012923:Social Class; D013997:Time Factors; D014481:United States / Q000453:epidemiology / Q000208:ethnology; D055815:Young Adult
keywords: Hispanic; disparities; epidemiology; sleep