1097 Sleep Disturbances, Sleep Burden, And Depressive Symptoms In US Hispanics/Latinos: Results From The HCHS/SOL Sueño Study
Abstract Introduction While sleep disturbances and depression often co-occur, these associations are understudied among Hispanics/Latinos. We examined the associations of sleep disturbances and sleep burden with depressive symptoms among Hispanic/Latino adults in the United States. Methods We used c...
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| Veröffentlicht in: | Sleep (New York, N.Y.) N.Y.), 2020-05, Vol.43 (Supplement_1), p.A417-A418 |
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| creator | Alcantara, C Wallace, M Sotres-Alvarez, D Vetter, C Phillips, A J Shafazand, S Johnson, D A Wallace, D Gallo, L C Ramos, A R Penedo, F Wohlgemuth, W K Zee, P C Redline, S Patel, S R |
| description | Abstract
Introduction
While sleep disturbances and depression often co-occur, these associations are understudied among Hispanics/Latinos. We examined the associations of sleep disturbances and sleep burden with depressive symptoms among Hispanic/Latino adults in the United States.
Methods
We used cross-sectional data from the Hispanic Community Health Study/Study of Latinos Sueño Ancillary study (2010-2013). The study enrolled 2072 adults (ages 18-64; 51.5% females) who completed one-week wrist-actigraphy and sleep questionnaires. Sleep burden was operationalized as the total count of sleep disturbances across six domains (duration, efficiency, midpoint, variability, insomnia, sleepiness). Depressive symptoms were assessed using the Center for Epidemiological Studies Depression scale (CESD-10). We used weighted survey linear regressions to evaluate the association of sleep disturbances and sleep burden with elevated depressive symptoms (CESD≥10) in individual models adjusted for age, gender, site, heritage, nativity, education, income, and employment. Sensitivity analyses further adjusted for behavioral health risk factors and apnea-hypopnea index.
Results
An estimated 28.3% had elevated depressive symptoms, 8.0% had short sleep duration (9 hours), 45.2% exhibited a later sleep midpoint (≥4:00AM), 38.4% had high sleep timing variability (upper third tertile for between day sleep midpoint), 15.3% had insomnia (ISI≥10), 17.3% had excessive daytime sleepiness (ESS ≥10), 21.5% had poor sleep efficiency ( |
| doi_str_mv | 10.1093/sleep/zsaa056.1092 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2502886965</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/sleep/zsaa056.1092</oup_id><sourcerecordid>2502886965</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1532-6ead9f0e01cd496f5ba4a83442aa6126aac0b84f40282cf1e64b4318b8893e243</originalsourceid><addsrcrecordid>eNqNkMFOg0AQhjdGE2v1BTxt4rXI7rKsi7faWmlC0kTaM1lgiDQt4A6Y1IPv5DP4YoLtA3ia_P_830zyE3LL2T1ngefiDqBxP9EY5qvBEmdkxH2fOUEvzsmIccUdzZl_Sa4Qt6zXMvBG5KtfP9B4wOm8xLazqakywMnJe-psDtWETquczqGxgFh-AI0P-6at90iXFd3ENCyxMVWZoRuZtqxqfKSvgN2uRbqw9Z6u34CGszB241VE4w5-vmsat11-uCYXhdkh3JzmmGwWz-tZ6ESrl-VsGjkZ9z3hKDB5UDBgPMtloAo_NdJoT0phjOJCGZOxVMtCMqFFVnBQMpUe16nWgQdCemNyd7zb2Pq9A2yTbd3Zqn-ZCL-HtAqU36fEMZXZGtFCkTS23Bt7SDhLhp6Tv56TU8-DJXrIOUJ11_wn_wumwIGJ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2502886965</pqid></control><display><type>article</type><title>1097 Sleep Disturbances, Sleep Burden, And Depressive Symptoms In US Hispanics/Latinos: Results From The HCHS/SOL Sueño Study</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><source>EZB Electronic Journals Library</source><creator>Alcantara, C ; Wallace, M ; Sotres-Alvarez, D ; Vetter, C ; Phillips, A J ; Shafazand, S ; Johnson, D A ; Wallace, D ; Gallo, L C ; Ramos, A R ; Penedo, F ; Wohlgemuth, W K ; Zee, P C ; Redline, S ; Patel, S R</creator><creatorcontrib>Alcantara, C ; Wallace, M ; Sotres-Alvarez, D ; Vetter, C ; Phillips, A J ; Shafazand, S ; Johnson, D A ; Wallace, D ; Gallo, L C ; Ramos, A R ; Penedo, F ; Wohlgemuth, W K ; Zee, P C ; Redline, S ; Patel, S R</creatorcontrib><description>Abstract
Introduction
While sleep disturbances and depression often co-occur, these associations are understudied among Hispanics/Latinos. We examined the associations of sleep disturbances and sleep burden with depressive symptoms among Hispanic/Latino adults in the United States.
Methods
We used cross-sectional data from the Hispanic Community Health Study/Study of Latinos Sueño Ancillary study (2010-2013). The study enrolled 2072 adults (ages 18-64; 51.5% females) who completed one-week wrist-actigraphy and sleep questionnaires. Sleep burden was operationalized as the total count of sleep disturbances across six domains (duration, efficiency, midpoint, variability, insomnia, sleepiness). Depressive symptoms were assessed using the Center for Epidemiological Studies Depression scale (CESD-10). We used weighted survey linear regressions to evaluate the association of sleep disturbances and sleep burden with elevated depressive symptoms (CESD≥10) in individual models adjusted for age, gender, site, heritage, nativity, education, income, and employment. Sensitivity analyses further adjusted for behavioral health risk factors and apnea-hypopnea index.
Results
An estimated 28.3% had elevated depressive symptoms, 8.0% had short sleep duration (<6 hours of sleep), 10.9% had long sleep duration (>9 hours), 45.2% exhibited a later sleep midpoint (≥4:00AM), 38.4% had high sleep timing variability (upper third tertile for between day sleep midpoint), 15.3% had insomnia (ISI≥10), 17.3% had excessive daytime sleepiness (ESS ≥10), 21.5% had poor sleep efficiency (<85%), and 77.4% had a total sleep burden count of ≥0. Insomnia (ß=0.49,95%CI:.43,.56), later sleep timing (ß=0.10,95%CI:.04,.16), excessive daytime sleepiness (ß=0.19,95%CI:.11,.27), poor sleep efficiency (ß=0.09,95%CI:.02,.17), high variability (ß=0.07, 95%CI:.01,.12), and sleep burden (ß=0.11,95%CI:.09,.13), were each positively associated with elevated depressive symptoms in individual adjusted models and sensitivity analyses. Extreme sleep durations were not associated with elevated depressive symptoms.
Conclusion
Multiple inter-related sleep disturbances, particularly those pertaining to sleep quality and timing, are associated with depression and may be targets for future interventions aimed at improving mood among Hispanics/Latinos.
Support
HL127307, HL098927, HL125748</description><identifier>ISSN: 0161-8105</identifier><identifier>EISSN: 1550-9109</identifier><identifier>DOI: 10.1093/sleep/zsaa056.1092</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Efficiency ; Hispanic Americans ; Insomnia ; Mental depression ; Sleep deprivation</subject><ispartof>Sleep (New York, N.Y.), 2020-05, Vol.43 (Supplement_1), p.A417-A418</ispartof><rights>Sleep Research Society 2020. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com. 2020</rights><rights>Sleep Research Society 2020. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids></links><search><creatorcontrib>Alcantara, C</creatorcontrib><creatorcontrib>Wallace, M</creatorcontrib><creatorcontrib>Sotres-Alvarez, D</creatorcontrib><creatorcontrib>Vetter, C</creatorcontrib><creatorcontrib>Phillips, A J</creatorcontrib><creatorcontrib>Shafazand, S</creatorcontrib><creatorcontrib>Johnson, D A</creatorcontrib><creatorcontrib>Wallace, D</creatorcontrib><creatorcontrib>Gallo, L C</creatorcontrib><creatorcontrib>Ramos, A R</creatorcontrib><creatorcontrib>Penedo, F</creatorcontrib><creatorcontrib>Wohlgemuth, W K</creatorcontrib><creatorcontrib>Zee, P C</creatorcontrib><creatorcontrib>Redline, S</creatorcontrib><creatorcontrib>Patel, S R</creatorcontrib><title>1097 Sleep Disturbances, Sleep Burden, And Depressive Symptoms In US Hispanics/Latinos: Results From The HCHS/SOL Sueño Study</title><title>Sleep (New York, N.Y.)</title><description>Abstract
Introduction
While sleep disturbances and depression often co-occur, these associations are understudied among Hispanics/Latinos. We examined the associations of sleep disturbances and sleep burden with depressive symptoms among Hispanic/Latino adults in the United States.
Methods
We used cross-sectional data from the Hispanic Community Health Study/Study of Latinos Sueño Ancillary study (2010-2013). The study enrolled 2072 adults (ages 18-64; 51.5% females) who completed one-week wrist-actigraphy and sleep questionnaires. Sleep burden was operationalized as the total count of sleep disturbances across six domains (duration, efficiency, midpoint, variability, insomnia, sleepiness). Depressive symptoms were assessed using the Center for Epidemiological Studies Depression scale (CESD-10). We used weighted survey linear regressions to evaluate the association of sleep disturbances and sleep burden with elevated depressive symptoms (CESD≥10) in individual models adjusted for age, gender, site, heritage, nativity, education, income, and employment. Sensitivity analyses further adjusted for behavioral health risk factors and apnea-hypopnea index.
Results
An estimated 28.3% had elevated depressive symptoms, 8.0% had short sleep duration (<6 hours of sleep), 10.9% had long sleep duration (>9 hours), 45.2% exhibited a later sleep midpoint (≥4:00AM), 38.4% had high sleep timing variability (upper third tertile for between day sleep midpoint), 15.3% had insomnia (ISI≥10), 17.3% had excessive daytime sleepiness (ESS ≥10), 21.5% had poor sleep efficiency (<85%), and 77.4% had a total sleep burden count of ≥0. Insomnia (ß=0.49,95%CI:.43,.56), later sleep timing (ß=0.10,95%CI:.04,.16), excessive daytime sleepiness (ß=0.19,95%CI:.11,.27), poor sleep efficiency (ß=0.09,95%CI:.02,.17), high variability (ß=0.07, 95%CI:.01,.12), and sleep burden (ß=0.11,95%CI:.09,.13), were each positively associated with elevated depressive symptoms in individual adjusted models and sensitivity analyses. Extreme sleep durations were not associated with elevated depressive symptoms.
Conclusion
Multiple inter-related sleep disturbances, particularly those pertaining to sleep quality and timing, are associated with depression and may be targets for future interventions aimed at improving mood among Hispanics/Latinos.
Support
HL127307, HL098927, HL125748</description><subject>Efficiency</subject><subject>Hispanic Americans</subject><subject>Insomnia</subject><subject>Mental depression</subject><subject>Sleep deprivation</subject><issn>0161-8105</issn><issn>1550-9109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkMFOg0AQhjdGE2v1BTxt4rXI7rKsi7faWmlC0kTaM1lgiDQt4A6Y1IPv5DP4YoLtA3ia_P_830zyE3LL2T1ngefiDqBxP9EY5qvBEmdkxH2fOUEvzsmIccUdzZl_Sa4Qt6zXMvBG5KtfP9B4wOm8xLazqakywMnJe-psDtWETquczqGxgFh-AI0P-6at90iXFd3ENCyxMVWZoRuZtqxqfKSvgN2uRbqw9Z6u34CGszB241VE4w5-vmsat11-uCYXhdkh3JzmmGwWz-tZ6ESrl-VsGjkZ9z3hKDB5UDBgPMtloAo_NdJoT0phjOJCGZOxVMtCMqFFVnBQMpUe16nWgQdCemNyd7zb2Pq9A2yTbd3Zqn-ZCL-HtAqU36fEMZXZGtFCkTS23Bt7SDhLhp6Tv56TU8-DJXrIOUJ11_wn_wumwIGJ</recordid><startdate>20200527</startdate><enddate>20200527</enddate><creator>Alcantara, C</creator><creator>Wallace, M</creator><creator>Sotres-Alvarez, D</creator><creator>Vetter, C</creator><creator>Phillips, A J</creator><creator>Shafazand, S</creator><creator>Johnson, D A</creator><creator>Wallace, D</creator><creator>Gallo, L C</creator><creator>Ramos, A R</creator><creator>Penedo, F</creator><creator>Wohlgemuth, W K</creator><creator>Zee, P C</creator><creator>Redline, S</creator><creator>Patel, S R</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20200527</creationdate><title>1097 Sleep Disturbances, Sleep Burden, And Depressive Symptoms In US Hispanics/Latinos: Results From The HCHS/SOL Sueño Study</title><author>Alcantara, C ; Wallace, M ; Sotres-Alvarez, D ; Vetter, C ; Phillips, A J ; Shafazand, S ; Johnson, D A ; Wallace, D ; Gallo, L C ; Ramos, A R ; Penedo, F ; Wohlgemuth, W K ; Zee, P C ; Redline, S ; Patel, S R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1532-6ead9f0e01cd496f5ba4a83442aa6126aac0b84f40282cf1e64b4318b8893e243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Efficiency</topic><topic>Hispanic Americans</topic><topic>Insomnia</topic><topic>Mental depression</topic><topic>Sleep deprivation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alcantara, C</creatorcontrib><creatorcontrib>Wallace, M</creatorcontrib><creatorcontrib>Sotres-Alvarez, D</creatorcontrib><creatorcontrib>Vetter, C</creatorcontrib><creatorcontrib>Phillips, A J</creatorcontrib><creatorcontrib>Shafazand, S</creatorcontrib><creatorcontrib>Johnson, D A</creatorcontrib><creatorcontrib>Wallace, D</creatorcontrib><creatorcontrib>Gallo, L C</creatorcontrib><creatorcontrib>Ramos, A R</creatorcontrib><creatorcontrib>Penedo, F</creatorcontrib><creatorcontrib>Wohlgemuth, W K</creatorcontrib><creatorcontrib>Zee, P C</creatorcontrib><creatorcontrib>Redline, S</creatorcontrib><creatorcontrib>Patel, S R</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>ProQuest Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Sleep (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alcantara, C</au><au>Wallace, M</au><au>Sotres-Alvarez, D</au><au>Vetter, C</au><au>Phillips, A J</au><au>Shafazand, S</au><au>Johnson, D A</au><au>Wallace, D</au><au>Gallo, L C</au><au>Ramos, A R</au><au>Penedo, F</au><au>Wohlgemuth, W K</au><au>Zee, P C</au><au>Redline, S</au><au>Patel, S R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>1097 Sleep Disturbances, Sleep Burden, And Depressive Symptoms In US Hispanics/Latinos: Results From The HCHS/SOL Sueño Study</atitle><jtitle>Sleep (New York, N.Y.)</jtitle><date>2020-05-27</date><risdate>2020</risdate><volume>43</volume><issue>Supplement_1</issue><spage>A417</spage><epage>A418</epage><pages>A417-A418</pages><issn>0161-8105</issn><eissn>1550-9109</eissn><abstract>Abstract
Introduction
While sleep disturbances and depression often co-occur, these associations are understudied among Hispanics/Latinos. We examined the associations of sleep disturbances and sleep burden with depressive symptoms among Hispanic/Latino adults in the United States.
Methods
We used cross-sectional data from the Hispanic Community Health Study/Study of Latinos Sueño Ancillary study (2010-2013). The study enrolled 2072 adults (ages 18-64; 51.5% females) who completed one-week wrist-actigraphy and sleep questionnaires. Sleep burden was operationalized as the total count of sleep disturbances across six domains (duration, efficiency, midpoint, variability, insomnia, sleepiness). Depressive symptoms were assessed using the Center for Epidemiological Studies Depression scale (CESD-10). We used weighted survey linear regressions to evaluate the association of sleep disturbances and sleep burden with elevated depressive symptoms (CESD≥10) in individual models adjusted for age, gender, site, heritage, nativity, education, income, and employment. Sensitivity analyses further adjusted for behavioral health risk factors and apnea-hypopnea index.
Results
An estimated 28.3% had elevated depressive symptoms, 8.0% had short sleep duration (<6 hours of sleep), 10.9% had long sleep duration (>9 hours), 45.2% exhibited a later sleep midpoint (≥4:00AM), 38.4% had high sleep timing variability (upper third tertile for between day sleep midpoint), 15.3% had insomnia (ISI≥10), 17.3% had excessive daytime sleepiness (ESS ≥10), 21.5% had poor sleep efficiency (<85%), and 77.4% had a total sleep burden count of ≥0. Insomnia (ß=0.49,95%CI:.43,.56), later sleep timing (ß=0.10,95%CI:.04,.16), excessive daytime sleepiness (ß=0.19,95%CI:.11,.27), poor sleep efficiency (ß=0.09,95%CI:.02,.17), high variability (ß=0.07, 95%CI:.01,.12), and sleep burden (ß=0.11,95%CI:.09,.13), were each positively associated with elevated depressive symptoms in individual adjusted models and sensitivity analyses. Extreme sleep durations were not associated with elevated depressive symptoms.
Conclusion
Multiple inter-related sleep disturbances, particularly those pertaining to sleep quality and timing, are associated with depression and may be targets for future interventions aimed at improving mood among Hispanics/Latinos.
Support
HL127307, HL098927, HL125748</abstract><cop>US</cop><pub>Oxford University Press</pub><doi>10.1093/sleep/zsaa056.1092</doi><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Efficiency Hispanic Americans Insomnia Mental depression Sleep deprivation |
| title | 1097 Sleep Disturbances, Sleep Burden, And Depressive Symptoms In US Hispanics/Latinos: Results From The HCHS/SOL Sueño Study |
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