Sleep Complaints in Older Blacks: Do Demographic and Health Indices Explain Poor Sleep Quality and Duration?

Gamaldo, Alyssa A.; Gamaldo, Charlene E.; Allaire, Jason C.; Aiken‐Morgan, Adrienne T.; Salas, Rachel E.; Szanton, Sarah L.; Whitfield, Keith E.

doi:10.5664/jcsm.3858

Cited by 16 publications

(13 citation statements)

References 33 publications

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“…We found that participants who dropped out of the study did not significantly differ by sex, education, depressive symptoms, or perceived stress level from those who completed both waves. These findings were similar to what other studies have reported ( Aiken-Morgan et al, 2015 ; Gamaldo et al, 2014 ). However, there were significant differences between completers and dropouts by age categories (Pearson χ 2 (3) = 20.33, p = .000) and family income ( t (576) = −2.09, p = .037), such that those who remained in the study were older and had higher monthly incomes versus those who dropped out.…”

Section: Methodssupporting

confidence: 93%

“…Each testing session lasted approximately 2.5 h and consisted of a face-to-face interview in which participants completed a battery of cognitive tests, three blood pressure and lung functioning measurements, as well as measures that assessed demographic and other health-related factors. Data collection lasted 18 months and took place between 2006 and 2008 ( Aiken-Morgan, Gamaldo, Sims, Allaire, & Whitfield, 2015 ; Gamaldo et al, 2014 ; Sims et al, 2015 ; Thorpe, Clay, Szanton, Allaire, & Whitfield, 2011 ).…”

Section: Methodsmentioning

confidence: 99%

“…The present study consisted of 450 community-dwelling, independently living Black adults (aged 51–96 years; M = 71.4; SD = 9.2) who completed both waves of the BSBA-PCA institutional review board approval obtained from Duke University #1610) ( Aiken-Morgan et al, 2015 ; Gamaldo et al, 2014 ). These data are not publicly accessible (principal investigator: K. E. Whitefield).…”

Section: Methodsmentioning

confidence: 99%

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Do Depressive Symptoms Shape Blacks’ Perceptions of Stress Over Time?

Byrd

Thorpe

Whitfield

2020

Innovation in Aging

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Background and Objectives Previous studies have linked stress to multiple negative mental health outcomes, including depression. This established stress-depression association is typically examined in one direction and cross-sectionally. This study examined the bi-directional relationships between depressive symptoms and changes in perceived stress over time in Blacks. Research Design and Methods The present study uses a community-dwelling sample of 450 Black adults, ages 51-96 years old, who participated in the Baltimore Study of Black Aging—Patterns of Cognitive Aging. Perceived stress—measured by the Perceived Stress Scale—and depressive symptoms—measured using the Center for Epidemiologic Studies Depression Scale—were both assessed at baseline and follow-up 33 months later. OLS regression was used to examine two bi-directional longitudinal relationships between (1) stress-depression and (2) depression-stress; and whether these associations are modified by age. Results Initial analyses testing the typical stress-depression relationship showed an effect in the expected direction, that is stress leading to more depressive symptoms over time, adjusting for model covariates but the effect was not statistically significant (b= 0.014, p= 0.642). After accounting for baseline perceived stress level, age, sex, education, and chronic health conditions depressive symptoms were positively associated with follow-up stress (b= 0.210, p< 0.000). The depression-stress association further varied by age group such that the impact of baseline depression on changes in perceived stress was greatest in Blacks in their 60’s versus those in their 50’s (b= 0.267, p= 0.001), controlling for model covariates. Discussion and Implications Contrary to previous work, the results suggest that an individual’s mental health shapes his/her perception of stressful events and this relationship varies by age group. While the typical finding (stress impacting depression) was not significant, the findings reported here highlight the importance of considering the possible bi-directional nature of the relationships between psychosocial measures of stress and mental health in later life among Blacks.

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Section: Methodssupporting

confidence: 93%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Do Depressive Symptoms Shape Blacks’ Perceptions of Stress Over Time?

Byrd

Thorpe

Whitfield

2020

Innovation in Aging

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“…Decreased sleep duration has been shown to be associated with increased morbidity and mortality [ 1 – 3 ]. Research suggests that factors such as socio-demographic and comorbid health factors [ 4 ], psychosocial stress [ 5 ], and lifestyle [ 6 ] are associated with sleep quality and duration. Hence, sleep duration and quality are not only medicine issue but also a socio-demographic issue.…”

Section: Introductionmentioning

confidence: 99%

Sleep Duration and Quality among Different Occupations--China National Study

Sun

Yuan³

et al. 2015

PLoS ONE

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ObjectiveTo examine the associations between occupation, sleep duration and sleep quality.MethodsThe data for this study was extracted from data collected from the 2008 Chinese Sub-optimal Health Study. Our study sample consisted of 18,316 Chinese subjects aged 18-65. Occupation and other relevant characteristics to sleep were collected. We used the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality and multiple logistic regression models to examine the association of occupation with shortened sleep duration and poor sleep quality.ResultsFarmers had the longest sleep duration (mean=8.22 hours) while the civil servants had the shortest sleep duration (mean=7.85 hours). Farmers also had the best sleep quality (mean score=3.74) while professional workers had the worst sleep quality (mean score=4.87). Compared to civil servants, the OR of shortened sleep duration and poor sleep quality for blue collar workers is 1.39 (95%CI: 1.11-1.73) and 1.28 (95%-CI: 1.15-1.42), respectively, after adjusting for age, sex, marital status, education, area, smoking, drinking, pain, and health status.Conclusionsleep duration and quality varied among different Chinese occupation populations. The blue collar workers are more likely to have shortened sleep duration and poor sleep quality.

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“…However this finding was in agreement with previous work. 58,59 While there are some data suggesting that African American women are more likely to report poorer sleep quality than African American men, 28 other studies have observed no significant gender differences among African Americans for sleep quality and/ or sleep duration. 58,59 In the current study, African American women were significantly older and reported more chronic conditions than African American men.…”

Section: Discussionmentioning

confidence: 99%