Abstract

Introduction

Discrimination is a risk factor for poor sleep outcomes. Physiological activation is one mechanism tying the experience of discrimination to disturbed sleep. Discrimination, however, can also impact psychosocial well-being, which is a necessary precursor for healthy sleep. Feelings of safety derived from social connections can be threatened when individuals face discrimination. The objective of the current study was to examine the role of social well-being as a factor underlying the longitudinal association between discrimination and sleep quality.

Methods

An archival analysis was conducted with 937 adults participating in the longitudinal Midlife in the United States (MIDUS) study. Data was collected at three time points across 10 years. Perceived daily discrimination and overall social well-being were assessed via self-report. Sleep quality was assessed via the Pittsburgh Sleep Quality Index, Global Sleep Quality score.

Results

The overall model accounted for 15.6% of variance in global sleep quality. Controlling for multiple covariates, more frequent experiences of discrimination predicted worse global sleep quality 10 years later (β=.06, p=.03). Worse overall social well-being was a significant mediator of the discrimination-global sleep quality association (95% CI [.0001, .0118]), such that more frequent discrimination predicted lower overall social well-being, which, in turn, was associated with worse global sleep quality.

Conclusion

Given the persistence of sleep disparities among stigmatized and marginalized groups and the importance of sleep as a means of health disparity reduction, there is a need to identify mechanisms linking discrimination to poor sleep outcomes. Daily experiences of discrimination, such as being given less respect or treated as though less intelligent, have long-lasting associations with social well-being. Furthermore, social well-being is a predictor of future sleep quality. In addition to addressing discriminatory practices, targeting the effects of social well-being on sleep is a direction for future research.

Support

N/A

中文翻译：

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0378作为歧视与睡眠质量之间的纵向调解者的社会福祉

摘要

介绍

歧视是睡眠不良的危险因素。生理激活是将辨别经验与睡眠障碍联系起来的一种机制。但是，歧视也会影响社会心理健康，这是健康睡眠的必要先兆。当个人面临歧视时，来自社交关系的安全感可能会受到威胁。当前研究的目的是检验社会幸福感是歧视和睡眠质量之间纵向关联的基础因素。

方法

对参与美国纵向中年（MIDUS）研究的937名成年人进行了档案分析。跨十年收集了三个时间点的数据。通过自我报告评估每日的感知歧视和整体社会福祉。睡眠质量通过匹兹堡睡眠质量指数，全球睡眠质量得分进行评估。

结果

总体模型占全球睡眠质量差异的15.6％。控制多个协变量，更频繁的歧视经历预示着10年后的整体睡眠质量会变差（β= .06，p = .03）。更糟糕的总体社会福祉是歧视-全球睡眠质量协会的重要调解者（95％CI [.0001，.0118]），因此，更频繁的歧视预示着更低的总体社会福祉，这反过来又是与较差的全球睡眠质量有关。

结论

鉴于受污名和边缘化群体之间的睡眠差异仍然存在，并且睡眠作为减少健康差异的一种手段的重要性，有必要确定将歧视与不良睡眠结果联系起来的机制。日常的歧视经历，例如受到较少的尊重或被视为缺乏理智的对待，与社会福祉有着长期的联系。此外，社会幸福感是未来睡眠质量的预测指标。除了解决歧视性做法外，针对社会福利对睡眠的影响也是未来研究的方向。

支持

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