Associations of Short Sleep and Shift Work Status with Hypertension among Black and White Americans.
Objective. The purpose of this study was to investigate whether short sleepers (<6 hrs) who worked the non-day-shift were at greater likelihood of reporting hypertension and if these associations varied by individuals' ethnicity. Methods. Analysis was based on the 2010 National Health Interview Survey (NHIS). A total of 59,199 American adults provided valid data for the present analyses (mean age = 46.2 ± 17.7 years; 51.5% were female). Respondents provided work schedule and estimated habitual sleep durations as well as self-report of chronic conditions. Results. Of the sample, 30.8% reported a diagnosis of hypertension, 79.1% reported daytime shift work, 11.0% reported rotating shift work, and 4.0% reported night shift work. Logistic regression analysis showed that shift work was significantly associated with hypertension among Blacks [OR = 1.35, CI: 1.06-1.72. P < 0.05], but not among Whites [OR = 1.01, CI: 0.85-1.20, NS]. Black shift workers sleeping less than 6 hours had significantly increased odds of reporting hypertension [OR = 1.81, CI: 1.29-2.54, P < 0.01], while their White counterparts did not [OR = 1.17, CI: 0.90-1.52, NS]. Conclusions. Findings suggest that Black Americans working the non-day-shift especially with short sleep duration have increased odds of reporting hypertension.
Montefiore Medical Center, Department of Psychiatry and Behavioral Science, 111 East 210 Street, Bronx, NY 10467, USA.
Mirnova E
ME
Ceïde
Brooklyn Health Disparities Center, Department of Medicine, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA.
Abhishek
A
Pandey
Center for Healthful Behavior Change, Department of Population Health, NYU Langone Medical Center, New York, NY 10016, USA.
Joe
J
Ravenell
Brooklyn Health Disparities Center, Department of Medicine, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA.
Margaret
M
Donat
Center for Healthful Behavior Change, Department of Population Health, NYU Langone Medical Center, New York, NY 10016, USA.
Gbenga
G
Ogedegbe
Center for Healthful Behavior Change, Department of Population Health, NYU Langone Medical Center, New York, NY 10016, USA.
Girardin
G
Jean-Louis