ABSTRACT

Poor sleep and different patterns of marital status among Hispanics/Latinos have been documented, yet the extent to which marital status is associated with sleep health and the moderating role of gender in this association among Hispanics/Latinos is poorly understood.

Demographic and sleep data were obtained from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL: n= 16,415), an epidemiological cohort study, and the Sueño Study (n= 2,252) that is an ancillary to HCHS/SOL. Sleep duration, insomnia symptoms, daytime sleepiness, napping, and snoring were self-reported and drawn from HCHS/SOL. Sleep efficiency, sleep fragmentation, and inter-day stability were objectively assessed in the Sueño Study.

Complex sample analyses indicated that being married or cohabiting was associated with better sleep health in general, including having normal sleep duration, fewer insomnia symptoms, and higher sleep efficiency (F> 2.804, p< .044). These associations were more prominent in objectively measured sleep indices and among females.

Findings suggest being in a committed relationship associated with better sleep health in Hispanics/Latinos in the US, a diverse and under-represented population. Findings may have implications for tailoring sleep health interventions to at-risk populations who may less likely to be in a committed relationship.

摘要

西班牙裔/拉丁裔的睡眠质量差和不同的婚姻状况模式已有记录，但婚姻状况与睡眠健康的关联程度以及性别在西班牙裔/拉丁裔这种关联中的调节作用却知之甚少。

人口统计和睡眠数据来自西班牙裔社区健康研究/拉丁裔研究 (HCHS/SOL: n = 16,415)（一项流行病学队列研究）以及作为 HCHS/SOL 的辅助研究的Sueño 研究 ( n = 2,252)。睡眠持续时间、失眠症状、白天嗜睡、小睡和打鼾均由 HCHS/SOL 自行报告。Sueño 研究对睡眠效率、睡眠碎片化和日间稳定性进行了客观评估。

复杂的样本分析表明，结婚或同居总体上与更好的睡眠健康相关，包括正常的睡眠时间、较少的失眠症状和更高的睡眠效率（F > 2.804，p < .044）。这些关联在客观测量的睡眠指数和女性中更为突出。

研究结果表明，在美国，西班牙裔/拉丁裔是一个多元化且代表性不足的群体，保持忠诚的关系与更好的睡眠健康相关。研究结果可能会对针对不太可能建立忠诚关系的高危人群制定睡眠健康干预措施产生影响。