title: Racial/Ethnic Differences in Sleep Disorders and Reporting of Trouble Sleeping Among Women of Childbearing Age in the United States.
abstract: Objectives Whether racial/ethnic differences in prevalence/reporting of sleep disorders exist in pregnant women/women of child-bearing age is unknown. Study objectives were to estimate prevalence of sleep disorders and to examine racial/ethnic differences in sleep disorders, reporting of sleep issues, and amount of sleep among women of child-bearing age (15-44 years) in the US. Methods Through a secondary analysis of the National Health and Nutrition Examination Survey 2005-2010 (3175 non-pregnant, 432 pregnant women in main analysis), prevalence of sleep disorders, reporting of sleep disorders to a physician/health professional, and amount of sleep were estimated overall, by pregnancy status, and by race/ethnicity stratified by pregnancy status. Racial/ethnic differences in reporting of trouble sleeping by pregnancy status were examined using univariate and multivariate logistic regression. Results Prevalence of diagnosed sleep disorders among women of childbearing age was 4.9 % [3.9 % pregnant; 5.1 % non-pregnant (p < 0.01)]. Significantly fewer pregnant and non-pregnant minority women reported adequate sleep (7-8 h) than non-Hispanic white (white) women (p < 0.05). Among non-pregnant women, odds of report of trouble sleeping were significantly higher for white compared to black (aOR 0.47 [95 % CI 0.36, 0.61]) or Mexican-American women (aOR 0.29 [95 % CI 0.21, 0.41]); non-pregnant minority women were also significantly less likely to report trouble sleeping than white women when controlling for amount of sleep. Among pregnant women, these same trends were found. Discussion Compared to white women, minority women, despite reporting less adequate sleep, are less likely to report trouble sleeping, providing evidence of an important health disparity.
authors.affiliation: Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, 70122, USA. mamyx@tulane.edu.
authors.forename: Melissa
authors.initials: M
authors.lastname: Amyx
authors.affiliation: Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, 70122, USA.
authors.forename: Xu
authors.initials: X
authors.lastname: Xiong
authors.affiliation: HealthCore, Inc., Wilmington, DE, 19801, USA.
authors.forename: Yiqiong
authors.initials: Y
authors.lastname: Xie
authors.affiliation: Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, 70122, USA.
authors.forename: Pierre
authors.initials: P
authors.lastname: Buekens
mesh_terms: D000293:Adolescent; D000328:Adult; D044383:Black People / Q000208:ethnology / Q000706:statistics & numerical data; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D016015:Logistic Models; D017058:Mexican Americans / Q000706:statistics & numerical data; D011247:Pregnancy; D015995:Prevalence; D012890:Sleep; D012893:Sleep Wake Disorders / Q000453:epidemiology / Q000208:ethnology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D044465:White People / Q000208:ethnology / Q000706:statistics & numerical data; D001741:Black or African American
keywords: Health disparities; National health and nutrition examination survey (NHANES); Pregnancy; Sleep disorders