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Sleep and Economic Status Are Linked to Daily Life Stress in African-Born Blacks Living in America

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  • Zoe C. Waldman

    (Section on Ethnicity and Health, Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, USA)

  • Blayne R. Schenk

    (Section on Ethnicity and Health, Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, USA)

  • Marie Grace Duhuze Karera

    (Section on Ethnicity and Health, Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, USA
    National Institute of Minority Health and Health Disparities, Bethesda, MD 20892, USA
    Institute of Global Health Equity Research, University of Global Health Equity, Kigali 6955, Rwanda)

  • Arielle C. Patterson

    (Section on Ethnicity and Health, Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, USA)

  • Thomas Hormenu

    (Section on Ethnicity and Health, Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, USA
    Department of Health, Physical Education, University of Cape Coast, Cape Coast P.O. Box 5007, Ghana)

  • Lilian S. Mabundo

    (Section on Ethnicity and Health, Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, USA)

  • Christopher W. DuBose

    (Section on Ethnicity and Health, Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, USA)

  • Ram Jagannathan

    (Department of Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA)

  • Peter L. Whitesell

    (Howard University Hospital Sleep Disorders Center, Howard University, 2041 Georgia Ave, NW, Washington, DC 20060, USA)

  • Annemarie Wentzel

    (Section on Ethnicity and Health, Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, USA)

  • Margrethe F. Horlyck-Romanovsky

    (Section on Ethnicity and Health, Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, USA
    Department of Health and Nutrition Sciences, Brooklyn College, City University of New York, New York, NY 11210, USA)

  • Anne E. Sumner

    (Section on Ethnicity and Health, Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, USA
    National Institute of Minority Health and Health Disparities, Bethesda, MD 20892, USA)

Abstract

To identify determinants of daily life stress in Africans in America, 156 African-born Blacks (Age: 40 ± 10 years (mean ± SD), range 22–65 years) who came to the United States as adults (age ≥ 18 years) were asked about stress, sleep, behavior and socioeconomic status. Daily life stress and sleep quality were assessed with the Perceived Stress Scale (PSS) and Pittsburgh Sleep Quality Index (PSQI), respectively. High-stress was defined by the threshold of the upper quartile of population distribution of PSS (≥16) and low-stress as PSS < 16. Poor sleep quality required PSQI > 5. Low income was defined as <40 k yearly. In the high and low-stress groups, PSS were: 21 ± 4 versus 9 ± 4, p < 0.001 and PSQI were: 6 ± 3 versus 4 ± 3, p < 0.001, respectively. PSS and PSQI were correlated (r = 0.38, p < 0.001). The odds of high-stress were higher among those with poor sleep quality (OR 5.11, 95% CI: 2.07, 12.62), low income (OR 5.03, 95% CI: 1.75, 14.47), and no health insurance (OR 3.01, 95% CI: 1.19, 8.56). Overall, in African-born Blacks living in America, daily life stress appears to be linked to poor quality sleep and exacerbated by low income and lack of health insurance.

Suggested Citation

  • Zoe C. Waldman & Blayne R. Schenk & Marie Grace Duhuze Karera & Arielle C. Patterson & Thomas Hormenu & Lilian S. Mabundo & Christopher W. DuBose & Ram Jagannathan & Peter L. Whitesell & Annemarie Wen, 2022. "Sleep and Economic Status Are Linked to Daily Life Stress in African-Born Blacks Living in America," IJERPH, MDPI, vol. 19(5), pages 1-14, February.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2562-:d:756320
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    References listed on IDEAS

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