睡眠与邻里社会经济地位：一项慢性下背痛和无痛个体的微观纵向研究。
Sleep and neighborhood socioeconomic status: a micro longitudinal study of chronic low-back pain and pain-free individuals.
机构信息
Department of Psychology, University of Alabama at Birmingham, 1300 University Boulevard, Campbell Hall, Room 237B, Birmingham, AL, 35294, USA.
Department of Biology, Samford University, Homewood, AL, USA.
出版信息
J Behav Med. 2021 Dec;44(6):811-821. doi: 10.1007/s10865-021-00234-w. Epub 2021 Jun 9.
Individuals with chronic low back pain (cLBP) frequently report sleep disturbances. Living in a neighborhood characterized by low-socioeconomic status (SES) is associated with a variety of negative health outcomes, including poor sleep. Whether low-neighborhood SES exacerbates sleep disturbances of people with cLBP, relative to pain-free individuals, has not previously been observed. This study compared associations between neighborhood-level SES, pain-status (cLBP vs. pain-free), and daily sleep metrics in 117 adults (cLBP = 82, pain-free = 35). Neighborhood-level SES was gathered from Neighborhood Atlas, which provides a composite measurement of overall neighborhood deprivation (e.g. area deprivation index). Individuals completed home sleep monitoring for 7-consecutive days/nights. Neighborhood SES and pain-status were tested as predictors of actigraphic sleep variables (e.g., sleep efficiency). Analyses revealed neighborhood-level SES and neighborhood-level SES*pain-status interaction significantly impacted objective sleep quality. These findings provide initial support for the negative impact of low neighborhood-level SES and chronic pain on sleep quality.
患有慢性下背痛（cLBP）的个体经常报告睡眠障碍。生活在社会经济地位较低（SES）的社区与多种负面健康结果相关，包括睡眠质量差。以前尚未观察到低社区 SES 是否会加剧患有 cLBP 的人与无疼痛个体的睡眠障碍。本研究比较了社区水平 SES、疼痛状况（cLBP 与无疼痛）与 117 名成年人（cLBP = 82，无疼痛 = 35）的日常睡眠指标之间的关联。社区水平 SES 是从 Neighborhood Atlas 收集的，它提供了整体社区贫困（例如，区域剥夺指数）的综合衡量标准。个体完成了 7 天/夜的家庭睡眠监测。将社区 SES 和疼痛状况作为活动计睡眠变量（例如，睡眠效率）的预测因子进行了测试。分析显示，社区 SES 水平和社区 SES*疼痛状况之间的相互作用显著影响了客观的睡眠质量。这些发现初步支持了低社区 SES 和慢性疼痛对睡眠质量的负面影响。
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