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Sexual Orientation and Sleep in the U.S.: A National Profile

Published:January 03, 2017DOI:https://doi.org/10.1016/j.amepre.2016.10.039

      Introduction

      Sexual minorities often experience poorer health than non-sexual minorities. However, extant knowledge remains limited regarding the sleep characteristics, a risk factor for chronic diseases and excess mortality, of sexual minorities compared with non-sexual minorities at the population level.

      Methods

      This study analyzed the 2013–2014 National Health Interview Survey, Adult Sample (n=68,960) to examine the reported sleep duration and sleep disturbances (i.e., not feeling rested, difficulty falling asleep, and waking up at night) by sexual orientation (i.e., homosexual [n=1,149], bisexual [n=515], and other sexual minorities [n=144]). Statistical analysis, conducted in 2015, used multinomial logistic and logistic regressions to estimate the associations between sexual orientation and sleep variables.

      Results

      Adult sexual minorities had higher risks of sleep disturbances than heterosexual adults. Differences in SES and physical and mental health conditions partly explained the gaps. Sexual minority women had greater odds of waking up at night than sexual minority men did, but sexual minority adults who were also racial minorities showed no differences in odds of sleep disturbances compared to white sexual minority adults. Results found that sexual orientation was not associated with an increased risk of short or long sleep duration.

      Conclusions

      This study documented substantial disparities in sleep disturbances between sexual minorities and non-sexual minorities. These gaps cannot simply be explained by social and demographic factors. Interventions that target sexual minorities should pay attention to disparities in sleep and investigate methods to promote sleep health of sexual minorities.
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      References

        • Cappuccio F.P.
        • Cooper D.
        • D’Elia L.
        • Strazzullo P.
        • Miller M.A.
        Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies.
        Eur Heart J. 2011; 32: 1484-1492https://doi.org/10.1093/eurheartj/ehr007
        • Jackson C.L.
        • Redline S.
        • Emmons K.M.
        Sleep as a potential fundamental contributor to disparities in cardiovascular health.
        Annu Rev Public Health. 2015; 36: 417-440https://doi.org/10.1146/annurev-publhealth-031914-122838
        • Mallon L.
        • Broman J.E.
        • Hetta J.
        Is usage of hypnotics associated with mortality?.
        Sleep Med. 2009; 10: 279-286https://doi.org/10.1016/j.sleep.2008.12.004
        • Baglioni C.
        • Battagliese G.
        • Feige B.
        • et al.
        Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies.
        J Affect Disord. 2011; 135: 10-19https://doi.org/10.1016/j.jad.2011.01.011
        • Chang P.P.
        • Ford D.E.
        • Mead L.A.
        • Cooper-Patrick L.
        • Klag M.J.
        Insomnia in young men and subsequent depression. The Johns Hopkins Precursors Study.
        Am J Epidemiol. 1997; 146: 105-114https://doi.org/10.1093/oxfordjournals.aje.a009241
        • LeBlanc M.
        • Beaulieu-Bonneau S.
        • Mérette C.
        • et al.
        Psychological and health-related quality of life factors associated with insomnia in a population-based sample.
        J Psychosom Res. 2007; 63: 157-166https://doi.org/10.1016/j.jpsychores.2007.03.004
        • Hale L.
        • Do D.P.
        Racial differences in self-reports of sleep duration in a population-based study.
        Sleep. 2007; 30: 1096-1103
        • Hicken M.T.
        • Lee H.
        • Ailshire J.
        • Burgard S.A.
        • Williams D.R.
        “Every shut eye, ain’t sleep”: the role of racism-related vigilance in racial/ethnic disparities in sleep difficulty.
        Race Soc Probl. 2013; 5: 100-112https://doi.org/10.1007/s12552-013-9095-9
        • Krueger P.M.
        • Friedman E.M.
        Sleep duration in the United States: a cross-sectional population-based study.
        Am J Epidemiol. 2009; 169: 1052-1063https://doi.org/10.1093/aje/kwp023
        • Jackson C.L.
        • Hu F.B.
        • Redline S.
        • et al.
        Racial/ethnic disparities in short sleep duration by occupation: the contribution of immigrant status.
        Soc Sci Med. 2014; 118: 71-79https://doi.org/10.1016/j.socscimed.2014.07.059
        • Lauderdale D.S.
        • Philip Schumm L.
        • Kurina L.M.
        • et al.
        Assessment of sleep in the national social life, health, and aging project.
        J Gerontol S B Psychol Sci Soc Sci. 2014; 69: S125-S133https://doi.org/10.1093/geronb/gbu092
        • Dermody S.S.
        • Marshal M.P.
        • Cheong J.
        • et al.
        Longitudinal disparities of hazardous drinking between sexual minority and heterosexual individuals from adolescence to young adulthood.
        J Youth Adolesc. 2014; 43: 30-39https://doi.org/10.1007/s10964-013-9905-9
        • Fallin A.
        • Goodin A.
        • Lee Y.O.
        • Bennett K.
        Smoking characteristics among lesbian, gay, and bisexual adults.
        Prev Med. 2015; 74: 123-130https://doi.org/10.1016/j.ypmed.2014.11.026
        • Green K.E.
        • Feinstein B.A.
        Substance use in lesbian, gay, and bisexual populations: an update on empirical research and implications for treatment.
        Psychol Addict Behav. 2012; 26: 265-278https://doi.org/10.1037/a0025424
        • NIH
        The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding.
        National Academy of Sciences, Washington, DC2011
        • Badgett M.V.L.
        Employment and sexual orientation: disclosure and discrimination in the workplace.
        J Gay Lesbian Soc Serv. 1996; 4: 29-52https://doi.org/10.1300/J041v04n04_03
        • DiPlacido J.
        Minority Stress among Lesbians, Gay Men, and Bisexuals: A Consequence of Heterosexism, Homophobia, and Stigmatization.
        Sage Publications, Inc, Thousand Oaks, CA1998
        • Cacioppo J.T.
        • Hawkley L.C.
        • Berntson G.G.
        • et al.
        Do lonely days invade the nights? Potential social modulation of sleep efficiency.
        Psychol Sci. 2002; 13: 384-387https://doi.org/10.1111/j.0956-7976.2002.00469.x
        • Buttram M.E.
        • Kurtz S.P.
        Risk and protective factors associated with gay neighborhood residence.
        Am J Mens Health. 2013; 7: 110-118https://doi.org/10.1177/1557988312458793
        • Carpiano R.M.
        • Kelly B.C.
        • Easterbrook A.
        • Parsons J.T.
        Community and drug use among gay men: the role of neighborhoods and networks.
        J Health Soc Behav. 2011; 52: 74-90https://doi.org/10.1177/0022146510395026
        • Ford D.E.
        • Kamerow D.B.
        Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?.
        JAMA. 1989; 262: 1479-1484https://doi.org/10.1001/jama.1989.03430110069030
        • Burgard S.A.
        The needs of others: gender and sleep interruptions for caregivers.
        Soc Forces. 2011; 89: 1189-1215https://doi.org/10.1093/sf/89.4.1189
        • Hsieh N.
        • Ruther M.
        Sexual minority health and health risk factors: intersection effects of gender, race, and sexual identity.
        Am J Prev Med. 2016; 50: 746-755https://doi.org/10.1016/j.amepre.2015.11.016
        • American Psychiatric Association
        Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
        American Psychiatric Association, Washington, DC2013
        • WHO
        The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines.
        WHO, Geneva2012
        • Groeger J.A.
        • Zijlstra F.R.
        • Dijk D.J.
        Sleep quantity, sleep difficulties and their perceived consequences in a representative sample of some 2000 British adults.
        J Sleep Res. 2004; 13: 359-371https://doi.org/10.1111/j.1365-2869.2004.00418.x
        • Freedman V.A.
        • Schoeni R.F.
        • Martin L.G.
        • Cornman J.C.
        Chronic conditions and the decline in late-life disability.
        Demography. 2007; 44: 459-477https://doi.org/10.1353/dem.2007.0026
        • Kessler R.C.
        • Barker P.R.
        • Colpe L.J.
        • et al.
        Screening for serious mental illness in the general population.
        Arch Gen Psychiatry. 2003; 60: 184-189https://doi.org/10.1001/archpsyc.60.2.184
        • Kolenikov S.
        Resampling variance estimation for complex survey data.
        Stata J. 2010; 10: 165-199
        • Venn S.
        • Arber S.
        • Meadows R.
        • Hislop J.
        The fourth shift: exploring the gendered nature of sleep disruption among couples with children.
        Br J Sociol. 2008; 59: 79-97https://doi.org/10.1111/j.1468-4446.2007.00183.x
        • Goldberg A.E.
        • Smith J.Z.
        • Perry‐Jenkins M.
        The division of labor in lesbian, gay, and heterosexual new adoptive parents.
        J Marriage Family. 2012; 74: 812-828https://doi.org/10.1111/j.1741-3737.2012.00992.x
        • Patterson C.J.
        Family relationships of lesbians and gay men.
        J Marriage Family. 2000; 62: 1052-1069https://doi.org/10.1111/j.1741-3737.2000.01052.x
        • Balsam K.F.
        • Molina Y.
        • Beadnell B.
        • Simoni J.
        • Walters K.
        Measuring multiple minority stress: the LGBT People of Color Microaggressions Scale.
        Cultur Divers Ethnic Minor Psychol. 2011; 17: 163https://doi.org/10.1037/a0023244