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01-12-2018 | Brief Report

Disparities in Sleep Problems by Sexual Orientation among New York City Adults: an Analysis of the New York City Health and Nutrition Examination Survey, 2013–2014

Authors: Dustin T. Duncan, Rania Kanchi, Lawrence Tantay, Marta Hernandez, Carl Letamendi, Claudia Chernov, Lorna Thorpe

Published in: Journal of Urban Health | Issue 6/2018

Abstract

We examined disparities in sleep problems by sexual orientation among a population-based sample of adults, using data from the New York City (NYC) Health and Nutrition Examination Survey (NYC HANES), a population-based, cross-sectional survey conducted in 2013–2014 (n = 1220). Two log binomial regression models were created to assess the relative prevalence of sleep problems by sexual orientation. In model 1, heterosexual adults served as the reference category, controlling for gender, age, race/ethnicity, education, marital status, and family income. And in model 2, heterosexual men served as the reference category, controlling for age, race/ethnicity, education, marital status, and family income. We found that almost 42% of NYC adults reported sleep problems in the past 2 weeks. Bisexual adults had 1.4 times the relative risk of sleep problems compared to heterosexual adults (p = 0.037). Compared to heterosexual men, heterosexual and bisexual women had 1.3 and 1.6 times the risk of sleep problems, respectively (p < 0.05). Overall, adults who self-identified as bisexual had a significantly greater risk of sleep problems than adults who self-identified as heterosexual.

Institute of Medicine Committee on Sleep: Research, The National Academies Collection: reports funded by National Institutes of Health. In: Colten HR, Altevogt BM, editors. Sleep disorders and sleep deprivation: an unmet public health problem. Washington (DC): National Academies Press (US) National Academy of Sciences; 2006.

Buxton OM, Marcelli E. Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States. Soc Sci Med. 2010;71(5):1027–36.CrossRef

Duncan DT, Goedel WC, Mayer KH, Safren SA, Palamar JJ, Hagen D, et al. Poor sleep health and its association with mental health, substance use, and condomless anal intercourse among gay, bisexual, and other men who have sex with men. Sleep Health. 2016;2(4):316–21.CrossRefPubMedPubMedCentral

Jiao L, Duan Z, Sangi-Haghpeykar H, Hale L, White D, El-Serag H. Sleep duration and incidence of colorectal cancer in postmenopausal women. Br J Cancer. 2013;108(1):213–21.CrossRefPubMedPubMedCentral

Rahman Q, Silber K. Sexual orientation and the sleep–wake cycle: a preliminary investigation. Arch Sex Behav. 2000;29(2):127–34.CrossRefPubMed

Downing MJ, Houang ST, Scheinmann R, Yoon IS, Chiasson MA, Hirshfield S. Engagement in care, psychological distress, and resilience are associated with sleep quality among HIV-positive gay, bisexual, and other men who have sex with men. Sleep Health. 2016;2(4):322–9.CrossRefPubMedPubMedCentral

Duncan DT, Park SH, Goedel WC, Kreski NT, Morganstein JG, Hambrick HR, et al. Perceived neighborhood safety is associated with poor sleep health among gay, bisexual, and other men who have sex with men in Paris, France. J Urban Health. 2017;94:399–407.CrossRefPubMedPubMedCentral

Blosnich JR, Farmer GW, Lee JG, Silenzio VM, Bowen DJ. Health inequalities among sexual minority adults: evidence from ten US states, 2010. Am J Prev Med. 2014;46(4):337–49.CrossRefPubMedPubMedCentral

Chen J-H, Shiu C-S. Sexual orientation and sleep in the US: a National Profile. Am J Prev Med. 2017;52(4):433–42.CrossRefPubMed

10.

Jackson CL, Agénor M, Johnson DA, Austin SB, Kawachi I. Sexual orientation identity disparities in health behaviors, outcomes, and services use among men and women in the United States: a cross-sectional study. BMC Public Health. 2016;16(1):807.CrossRefPubMedPubMedCentral

11.

Thorpe LE, Greene C, Freeman A, Snell E, Rodriguez-Lopez JS, Frankel M, et al. Rationale, design and respondent characteristics of the 2013–2014 New York City Health and Nutrition Examination Survey (NYC HANES 2013–2014). Prev Med Rep. 2015;2:580–5.CrossRefPubMedPubMedCentral

12.

Kroenke K, Spitzer RL, Williams JBW. The PHQ-9. J Gen Intern Med. 2001;16(9):606–13.CrossRefPubMedPubMedCentral

13.

Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129(5):674–97.CrossRefPubMedPubMedCentral

14.

Tskhay KO, Rule NO. Internalized homophobia influences perceptions of men’s sexual orientation from photos of their faces. Arch Sex Behav. 2017;46(3):755–61.CrossRefPubMed

15.

Duncan DT, Park SH, Al-Ajlouni YA, Hale L, Jean-Louis G, Goedel WC, et al. Association of financial hardship with poor sleep health outcomes among men who have sex with men. SSM Popul Health. 2017;3:594–9.CrossRefPubMedPubMedCentral

Title: Disparities in Sleep Problems by Sexual Orientation among New York City Adults: an Analysis of the New York City Health and Nutrition Examination Survey, 2013–2014
Authors: Dustin T. Duncan
Rania Kanchi
Lawrence Tantay
Marta Hernandez
Carl Letamendi
Claudia Chernov
Lorna Thorpe
Publication date: 01-12-2018
Publisher: Springer US
Published in: Journal of Urban Health / Issue 6/2018
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI: https://doi.org/10.1007/s11524-018-0268-0

At a glance: The STEP trials

Springer Medicine

Disparities in Sleep Problems by Sexual Orientation among New York City Adults: an Analysis of the New York City Health and Nutrition Examination Survey, 2013–2014

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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