The association of goal-striving stress with sleep duration and sleep quality among African Americans in the Jackson Heart Study

Abstract

Background: African Americans (AAs) report a higher frequency of certain stressors over their lifetime which may impact biological processes that can impair sleep. For this reason, goalstriving stress (GSS), the difference between aspiration and achievement, weighted by disappointment, may contribute to poor sleep quality and suboptimal sleep duration among AAs. Methods:We completed a cross-sectional analysis using exam 1 data (2000)(2001)(2002)(2003)(2004) from the Jackson Heart Study (JHS) (n=4943). GSS was self-reported and categorized in tertiles of low, moderate, and high. Participants self-reported the number of hours they slept per night and rated their sleep quality as (1) very poor to (5) excellent. Sleep duration categories included: short sleep (≤6 hours), normal sleep (7-8 hours) and long sleep (≥ 9 hours). Sleep quality was categorized as high (good/very good/excellent) and low (fair/poor). Relative risk ratios (RRR 95% Confidence Intervals-CI) were estimated for sleep duration and sleep quality categories by GSS using logistic regression.Results: After full adjustment, there were no significant associations between GSS and sleep duration categories. However, participants who reported high (versus low) GSS had a 20% greater risk (1.20 95% CI 1.01, 1.43) of low (versus high) sleep quality in the fully adjusted model.

Black American Fathers Employed in Higher-Risk Contexts for Contracting COVID-19: Implications for Individual Wellbeing and Work-Family Spillover

“…Studies examining work-related stress among essential and frontline workers, more broadly and during the COVID-19 pandemic have linked these conditions to greater sleep disturbance and poorer sleep quality ( El-Hage et al, 2020 ; McKibbin & Fernando, 2020 ). Research has indicated that sleep problems can co-occur with other mental health-related disorders ( Cain-Shields et al, 2020 ; Williams, 2008 ). Further, work conditions may contribute to overall health and life expectancy ( Goh et al, 2015 ; Lee et al, 2019 ; Okechukwu et al, 2014 ).…”

#NoJusticeNoSleep: Critical intersections of race-ethnicity, income, education, and social determinants in sleep health disparities

“…Importantly, this special issue contains examples of such critical work, including research investigating clinical, behavioral, and community-related correlates of sleep duration and efficiency among middle-aged Black/African American smokers 32 ; an examination of the link between sleep and physical activity for work and leisure among a sample of Latinx adults in the U.S. 33 ; and the link between goal-striving stress and sleep (duration and quality) among a sample of African American men and women from the Jackson Heart Study. 34 …”

“…Most of the studies in this special issue focus on disparities in sleep duration 30 , 31 , 33 , 35 or a combination of sleep duration and sleep quality. 26 , 27 , 32 , 34 , 40 The most prevalent approach has been the use of subjective assessments of sleep duration and sleep quality, with two studies employing the use of actigraphy to objectively measure sleep duration, sleep efficiency, and wake time after sleep onset. 27 , 32 It will be necessary for future research to extend the scope of sleep health disparities by incorporating comprehensive assessments of sleep across a range of sleep health facets: abnormalities in sleep stages, sleep onset latency, daytime sleepiness, time in bed, night awakenings, inconsistencies in bedtimes and wake times, as well as a various sleep and circadian rhythm disorders.…”

Exploring Psychosocial Stressors as Contributors to Racial Disparity in End-Stage Renal Disease

“…The manuscript ‘ The Association between Goal-Striving Stress and Rapid Kidney Function Decline among African Americans: The Jackson Heart Study ’ 5 published in this issue of Journal of Investigative Medicine aims to address the fact that traditional risk factors do not fully explain the disproportionate risk of ESRD in African Americans. In this study, the authors explore the association between rapid kidney function decline (RKFD) with a non-traditional risk factor, goal-striving stress (GSS), in African Americans with preserved eGFR and no proteinuria at baseline.…”