The Influence of Psychosocial Stressors and Socioeconomic Status on Sleep Among Caregivers of Teenagers with Asthma, the Puff City Study

Overview

Journal Sleep Health

Specialty Psychiatry

Date 2018 Mar 21

PMID 29555126

Citations 11

Authors

Dayna A Johnson

Lisa J Meltzer

Talan Zhang

Mei Lu

Andrea E Cassidy-Bushrow

Stephanie Stokes-Buzzelli

Elizabeth Duffy

Brittany McKinnon

Prashant Mahajan

Susan Redline

Christine Lm Joseph

Affiliations

Soon will be listed here.

Abstract

Objective: 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.

Methods: Caregivers (n=98) of teenagers with asthma self-reported sleep duration (hours), sleep quality (very good to very bad), education (<high school to college graduate), income ($15,000 to $50,000), and psychosocial stressors (stress, worry, social support, depressive symptoms, nightly awakenings due to caregiving). Logistic and linear regression models were performed to study the association of between SES, psychosocial stressors, and sleep, adjusting for possible confounders.

Results: 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.

Conclusions: 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.

Citing Articles

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Sleeping behavior and associated factors during COVID-19 in students at a Hispanic serving institution in the US southwestern border region.

Rahman H, Akinjobi Z, Gard C, Munson-McGee S Sci Rep. 2023; 13(1):11620.

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Perceived Stress in the Primary Caregivers of Adolescents with Asthma: A Cross-Sectional Study.

Valero-Moreno S, Montoya-Castilla I, Schoeps K, Postigo-Zegarra S, Perez-Marin M Children (Basel). 2022; 9(11).

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The Effect of Short Sleep Duration on the Development of Asthma.

Hu Z, Song X, Hu K Int J Clin Pract. 2022; 2022:3378821.

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Parental sleep when their child is sick: A phased principle-based concept analysis.

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