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Hispanic/Latino Heritage Group Disparities in Sleep and the Sleep-Cardiovascular Health Relationship by Housing Tenure Status in the United States – Carolina Center for Population Aging and Health

Hispanic/Latino Heritage Group Disparities in Sleep and the Sleep-Cardiovascular Health Relationship by Housing Tenure Status in the United States

Citation

Gaston, Symielle A.; Nguyen-Rodriguez, Selena T.; Aiello, Allison E.; McGrath, John J.; Jackson 2nd, W. Braxton; Nápoles, Anna; Pérez-Stable, Eliseo J.; & Jackson, Chandra L. (2020). Hispanic/Latino Heritage Group Disparities in Sleep and the Sleep-Cardiovascular Health Relationship by Housing Tenure Status in the United States. Sleep Health, 6(4), 451-462. PMCID: PMC7529662

Abstract

OBJECTIVES: The objective of this study was to investigate whether the sleep-cardiovascular health (CVH) association varies by Hispanic/Latino heritage group and housing tenure status (i.e., homeownership, unassisted housing, government-assisted housing), which is an important social determinant of health.
DESIGN: Cross-sectional analysis of pooled National Health Interview Survey (2004-2017) data.
SETTING: United States.
PARTICIPANTS: US-born/non-US-born Mexican, Puerto Rican, Cuban, Dominican, Central/South American, and US-born non-Hispanic (NH)-white adults.
MEASUREMENTS: Within each housing tenure category, Poisson regressions with robust variance estimated the adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) of (1) habitual sleep duration (<6-hours, 6-<7-hours, and >9-hours vs. 7-9 hours) and sleep quality for Hispanic/Latino heritage groups compared with NH-whites and (2) ideal CVH for Hispanic/Latino heritage groups within each sleep duration category, separately, compared with NH-whites who reported 7-9 hours sleep duration.
RESULTS: Among 283,767 NH-white and Hispanic/Latino adults (mean age=47.0±0.09 years, 50.1% female), 33% rented housing (4% government-assisted; 29% unassisted), and 67% were homeowners. Compared with their NH-white housing tenure counterparts, only Puerto Rican homeowners were more likely to report <6-hours (PR=1.70 [95% CI: 1.44-2.01]) and 6-<7-hours (PR=1.31 [1.19-1.44]) sleep duration. Overall, Hispanic/Latino heritage groups were either less likely or no more likely to report >9-hours sleep duration and poor sleep quality compared with NH-whites. Disparities in CVH were large between Puerto Rican unassisted renters and homeowners who reported >9-hours of habitual sleep compared with their NH-white housing tenure counterparts who reported 7-9 hours.
CONCLUSIONS: Hispanic/Latino-white disparities in the sleep-CVH relationship may vary by Hispanic/Latino heritage group and housing tenure.

URL

http://dx.doi.org/10.1016/j.sleh.2020.01.005

Reference Type

Journal Article

Article Type

Regular

Year Published

2020

Journal Title

Sleep Health

Author(s)

Gaston, Symielle A.
Nguyen-Rodriguez, Selena T.
Aiello, Allison E.
McGrath, John J.
Jackson 2nd, W. Braxton
Nápoles, Anna
Pérez-Stable, Eliseo J.
Jackson, Chandra L.

PMCID

PMC7529662

Data Set/Study

National Health Interview Survey (NHIS)

Continent/Country

United States of America

State

Nonspecific

Race/Ethnicity

Hispanic/Latinx