The influence of psychosocial stressors and socioeconomic status on sleep among caregivers of teenagers with asthma, the Puff City study
Johnson DA, Meltzer LJ, Zhang T, Lu M, Cassidy-Bushrow AE, Stokes-Buzzelli S, Duffy E, McKinnon B, Mahajan P, Redline S, and Joseph CL. The influence of psychosocial stressors and socioeconomic status on sleep among caregivers of teenagers with asthma, the Puff City study. Sleep Health 2018; 4(2):141-146.
Insufficient sleep is common among caregivers and is associated with worse health outcomes; however, the contributors to poor sleep among caregivers are unknown. We investigated the cross-sectional association between socioeconomic status (SES), psychosocial stressors, and sleep among caregivers.
Caregivers (n=98) of teenagers with asthma self-reported sleep duration (hours), sleep quality (very good to very bad), education (
Caregivers on average were 45.5 years, female (89%), and African American (90%). Average sleep duration was 5.9 hours (standard deviation: 1.5), 72% reported short sleep (<7 hours), and 65% reported "fairly bad or very bad" sleep quality. After adjustment for covariates, caregivers with greater social support had a 44% (95% confidence interval: 0.32, 0.98) lower odds of short sleep duration and slept 20.0 minutes (3.09, 37) longer on average. Greater depressive symptoms were associated with a 26% (1.11, 1.44) higher odds of short sleep and sleeping on average 6.08 minutes (-8.67, -3.49) less at night. SES and other psychosocial stressors were not associated with sleep.
Caregivers had a high prevalence of short and poor quality sleep. Depressive symptoms were associated with shorter sleep, whereas social support was associated with longer sleep. Identifying factors that mitigate the effect of psychosocial stressors on sleep is warranted.
Medical Subject Headings
Adolescent; Adult; African Americans; Asthma; Caregivers; Cross-Sectional Studies; Depression; Female; Health Status Disparities; Humans; Male; Middle Aged; Prevalence; Risk Factors; Self Report; Sleep; Sleep Initiation and Maintenance Disorders; Social Class; Social Support; Stress, Psychological; Time Factors