Alyssa A Gamaldo1, Charlene E Gamaldo2, Jason C Allaire3, Adrienne T Aiken-Morgan4, Rachel E Salas2, Sarah Szanton5, Keith E Whitfield6. 1. School of Aging Studies, University of South Florida, Tampa, FL ; National Institute on Aging Intramural Research Program, National Institutes of Health, Baltimore, MD. 2. Department of Neurology, Johns Hopkins University, Baltimore, MD. 3. Department of Psychology, North Carolina State University, Raleigh, NC. 4. Center on Biobehavioral Health Disparities, Duke University, Durham, NC. 5. School of Nursing, Johns Hopkins University, Baltimore, MD. 6. Center on Biobehavioral Health Disparities, Duke University, Durham, NC ; Psychology and Neuroscience, Duke University, Durham, NC.
Abstract
OBJECTIVE: To examine the relationship between measures of sleep quality and the presence of commonly encountered comorbid and sociodemographic conditions in elderly Black subjects. METHOD: Analyses included participants from the Baltimore Study of Black Aging (BSBA; n = 450; mean age 71.43 years; SD 9.21). Pittsburgh Sleep Quality Index (PSQI) measured overall sleep pattern and quality. Self-reported and objective measures of physical and mental health data and demographic information were collected for all participants. RESULTS: Sociodemographic and comorbid health factors were significantly associated with sleep quality. Results from regression analyses revealed that older age, current financial strain, interpersonal problems, and stress were unique predictors of worse sleep quality. Sleep duration was significantly correlated with age, depressive affect, interpersonal problems, and stress; only age was a unique significant predictor. While participants 62 years or younger had worse sleep quality with increasing levels of stress, there was no significant relationship between sleep quality and stress for participants 81 years and older. CONCLUSIONS: Several potential mechanisms may explain poor sleep in urban, community dwelling Blacks. Perceived stressors, including current financial hardship or hardship experienced for an extended time period throughout the lifespan, may influence sleep later in life.
OBJECTIVE: To examine the relationship between measures of sleep quality and the presence of commonly encountered comorbid and sociodemographic conditions in elderly Black subjects. METHOD: Analyses included participants from the Baltimore Study of Black Aging (BSBA; n = 450; mean age 71.43 years; SD 9.21). Pittsburgh Sleep Quality Index (PSQI) measured overall sleep pattern and quality. Self-reported and objective measures of physical and mental health data and demographic information were collected for all participants. RESULTS: Sociodemographic and comorbid health factors were significantly associated with sleep quality. Results from regression analyses revealed that older age, current financial strain, interpersonal problems, and stress were unique predictors of worse sleep quality. Sleep duration was significantly correlated with age, depressive affect, interpersonal problems, and stress; only age was a unique significant predictor. While participants 62 years or younger had worse sleep quality with increasing levels of stress, there was no significant relationship between sleep quality and stress for participants 81 years and older. CONCLUSIONS: Several potential mechanisms may explain poor sleep in urban, community dwelling Blacks. Perceived stressors, including current financial hardship or hardship experienced for an extended time period throughout the lifespan, may influence sleep later in life.
Authors: Donald M Lloyd-Jones; Yuling Hong; Darwin Labarthe; Dariush Mozaffarian; Lawrence J Appel; Linda Van Horn; Kurt Greenlund; Stephen Daniels; Graham Nichol; Gordon F Tomaselli; Donna K Arnett; Gregg C Fonarow; P Michael Ho; Michael S Lauer; Frederick A Masoudi; Rose Marie Robertson; Véronique Roger; Lee H Schwamm; Paul Sorlie; Clyde W Yancy; Wayne D Rosamond Journal: Circulation Date: 2010-01-20 Impact factor: 29.690
Authors: Wilfred R Pigeon; Kathi Heffner; Paul Duberstein; Kevin Fiscella; Jan Moynihan; Benjamin P Chapman Journal: J Am Board Fam Med Date: 2011 Mar-Apr Impact factor: 2.657
Authors: Donald Lloyd-Jones; Robert Adams; Mercedes Carnethon; Giovanni De Simone; T Bruce Ferguson; Katherine Flegal; Earl Ford; Karen Furie; Alan Go; Kurt Greenlund; Nancy Haase; Susan Hailpern; Michael Ho; Virginia Howard; Brett Kissela; Steven Kittner; Daniel Lackland; Lynda Lisabeth; Ariane Marelli; Mary McDermott; James Meigs; Dariush Mozaffarian; Graham Nichol; Christopher O'Donnell; Veronique Roger; Wayne Rosamond; Ralph Sacco; Paul Sorlie; Randall Stafford; Julia Steinberger; Thomas Thom; Sylvia Wasserthiel-Smoller; Nathan Wong; Judith Wylie-Rosett; Yuling Hong Journal: Circulation Date: 2008-12-15 Impact factor: 29.690
Authors: Saverio Stranges; Joan M Dorn; Martin J Shipley; Ngianga-Bakwin Kandala; Maurizio Trevisan; Michelle A Miller; Richard P Donahue; Kathleen M Hovey; Jane E Ferrie; Michael G Marmot; Francesco P Cappuccio Journal: Am J Epidemiol Date: 2008-10-22 Impact factor: 4.897
Authors: Adrienne T Aiken-Morgan; Alyssa A Gamaldo; Regina C Sims; Jason C Allaire; Keith E Whitfield Journal: J Gerontol B Psychol Sci Soc Sci Date: 2014-10-31 Impact factor: 4.077
Authors: Roland J Thorpe; Alyssa A Gamaldo; Rachel E Salas; Charlene E Gamaldo; Keith E Whitfield Journal: J Clin Sleep Med Date: 2016-10-15 Impact factor: 4.062
Authors: Jessica M Blaxton; Cindy S Bergeman; Brenda R Whitehead; Marcia E Braun; Jessic D Payne Journal: J Gerontol B Psychol Sci Soc Sci Date: 2017-05-01 Impact factor: 4.077
Authors: Safiyyah M Okoye; Sarah L Szanton; Nancy A Perrin; Manka Nkimbeng; Jennifer A Schrack; Hae-Ra Han; Casandra Nyhuis; Sarah Wanigatunga; Adam P Spira Journal: Sleep Health Date: 2021-10-01