Abstract This study aimed to examine differences in sleep difficulties among adults in the United States (aged 18–59) as a function of sexual orientation and physical health. Data came from the 2013 to 2014 National Health and Nutrition Examination Survey. Participants (n = 4115) reported on demographics, sexual orientation, sleep, number of doctor visits, physical health, and depressive symptoms. In bivariate analyses, sleep difficulties that were confirmed by a healthcare professional were more likely among sexual minority than among heterosexual adults. After controlling for demographic variables, health problems, and depressive symptoms, bisexual adults were more likely than heterosexual adults to report confirmed sleep difficulties. Subsequent analysis revealed that depressive symptoms partially mediated the association of confirmed sleep difficulties and sexual orientation, particularly for bisexual women. Thus, our findings revealed that confirmed sleep difficulties were more common among bisexual adults – especially bisexual women - than among heterosexual or lesbian/gay adults. The results suggest that disparities in sleep, health, and depression warrant further investigation.

中文翻译：

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性取向和睡眠困难：来自国家健康和营养检查 (NHANES) 的证据

摘要 本研究旨在检查美国成年人（18-59 岁）睡眠困难的差异，作为性取向和身体健康的函数。数据来自 2013 年至 2014 年的全国健康和营养检查调查。参与者 (n = 4115) 报告了人口统计学、性取向、睡眠、就诊次数、身体健康和抑郁症状。在双变量分析中，由医疗保健专业人员确认的睡眠困难在性少数群体中比在异性恋成年人中的可能性更大。在控制人口统计学变量、健康问题和抑郁症状后，双性恋成年人比异性恋成年人更有可能报告确认的睡眠困难。随后的分析显示，抑郁症状在一定程度上介导了已确认的睡眠困难和性取向之间的关联，特别是对于双性恋女性。因此，我们的研究结果表明，与异性恋或女同性恋/男同性恋成年人相比，双性恋成年人——尤其是双性恋女性——更常见确认睡眠困难。结果表明，睡眠、健康和抑郁方面的差异值得进一步调查。