Food insecurity and sleep health by race/ethnicity in the United States
Food insecurity, poised to increase with burgeoning concerns related to climate change, may influence sleep, yet few studies examined the food security-sleep association among racially/ethnically diverse populations with multiple sleep dimensions. We determined overall and racial/ethnic-specific ass...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | Journal of Nutritional Science |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2048679023000186/type/journal_article |
| _version_ | 1797824633009864704 |
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| author | Dana M. Alhasan Nyree M. Riley W. Braxton Jackson II Chandra L. Jackson |
| author_facet | Dana M. Alhasan Nyree M. Riley W. Braxton Jackson II Chandra L. Jackson |
| author_sort | Dana M. Alhasan |
| collection | DOAJ |
| description | Food insecurity, poised to increase with burgeoning concerns related to climate change, may influence sleep, yet few studies examined the food security-sleep association among racially/ethnically diverse populations with multiple sleep dimensions. We determined overall and racial/ethnic-specific associations between food security and sleep health. Using National Health Interview Survey data, we categorised food security as very low, low, marginal and high. Sleep duration was categorised as very short, short, recommended and long. Sleep disturbances included trouble falling/staying asleep, insomnia symptoms, waking up feeling unrested and using sleep medication (all ≥3 d/times in the previous week). Adjusting for socio-demographic characteristics and other confounders, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95 % confidence intervals (95 % CIs) for sleep dimensions by food security. Among 177 435 participants, the mean age of 47⋅2 ± 0⋅1 years, 52⋅0 % were women, and 68⋅4 % were non-Hispanic (NH)-White. A higher percent of NH-Black (7⋅9 %) and Hispanic/Latinx (5⋅1 %) lived in very low food security households than NH-White (3⋅1 %) participants. Very low v. high food security was associated with a higher prevalence of very short (PR = 2⋅61 [95 % CI 2⋅44–2⋅80]) sleep duration as well as trouble falling asleep (PR = 2⋅21 [95 % CI 2⋅12–2⋅30]). Very low v. high food security was associated with a higher prevalence of very short sleep duration among Asian (PR = 3⋅64 [95 % CI 2⋅67–4⋅97]) and NH-White (PR = 2⋅73 [95 % CI 2⋅50–2⋅99]) participants compared with NH-Black (PR = 2⋅03 [95 % CI 1⋅80–2⋅31]) and Hispanic/Latinx (PR = 2⋅65 [95 % CI 2⋅30–3⋅07]) participants. Food insecurity was associated with poorer sleep in a racially/ethnically diverse US sample. |
| first_indexed | 2024-03-13T10:41:53Z |
| format | Article |
| id | doaj.art-428c5e31621b4605a9b81677c8385a50 |
| institution | Directory Open Access Journal |
| issn | 2048-6790 |
| language | English |
| last_indexed | 2024-03-13T10:41:53Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Nutritional Science |
| spelling | doaj.art-428c5e31621b4605a9b81677c8385a502023-05-18T04:32:55ZengCambridge University PressJournal of Nutritional Science2048-67902023-01-011210.1017/jns.2023.18Food insecurity and sleep health by race/ethnicity in the United StatesDana M. Alhasan0https://orcid.org/0000-0002-6388-6035Nyree M. Riley1W. Braxton Jackson II2Chandra L. Jackson3Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC, USAEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC, USASocial & Scientific Systems, Inc., a DLH Holdings Company, Durham, NC, USAEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC, USA Intramural Program, National Institute on Minority Health and Health Disparities, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USAFood insecurity, poised to increase with burgeoning concerns related to climate change, may influence sleep, yet few studies examined the food security-sleep association among racially/ethnically diverse populations with multiple sleep dimensions. We determined overall and racial/ethnic-specific associations between food security and sleep health. Using National Health Interview Survey data, we categorised food security as very low, low, marginal and high. Sleep duration was categorised as very short, short, recommended and long. Sleep disturbances included trouble falling/staying asleep, insomnia symptoms, waking up feeling unrested and using sleep medication (all ≥3 d/times in the previous week). Adjusting for socio-demographic characteristics and other confounders, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95 % confidence intervals (95 % CIs) for sleep dimensions by food security. Among 177 435 participants, the mean age of 47⋅2 ± 0⋅1 years, 52⋅0 % were women, and 68⋅4 % were non-Hispanic (NH)-White. A higher percent of NH-Black (7⋅9 %) and Hispanic/Latinx (5⋅1 %) lived in very low food security households than NH-White (3⋅1 %) participants. Very low v. high food security was associated with a higher prevalence of very short (PR = 2⋅61 [95 % CI 2⋅44–2⋅80]) sleep duration as well as trouble falling asleep (PR = 2⋅21 [95 % CI 2⋅12–2⋅30]). Very low v. high food security was associated with a higher prevalence of very short sleep duration among Asian (PR = 3⋅64 [95 % CI 2⋅67–4⋅97]) and NH-White (PR = 2⋅73 [95 % CI 2⋅50–2⋅99]) participants compared with NH-Black (PR = 2⋅03 [95 % CI 1⋅80–2⋅31]) and Hispanic/Latinx (PR = 2⋅65 [95 % CI 2⋅30–3⋅07]) participants. Food insecurity was associated with poorer sleep in a racially/ethnically diverse US sample.https://www.cambridge.org/core/product/identifier/S2048679023000186/type/journal_articleAfrican AmericansFood assistanceFood insecurityHispanic AmericansMinority groupsSleepSleep initiation and maintenance disordersSocio-economic factors |
| spellingShingle | Dana M. Alhasan Nyree M. Riley W. Braxton Jackson II Chandra L. Jackson Food insecurity and sleep health by race/ethnicity in the United States Journal of Nutritional Science African Americans Food assistance Food insecurity Hispanic Americans Minority groups Sleep Sleep initiation and maintenance disorders Socio-economic factors |
| title | Food insecurity and sleep health by race/ethnicity in the United States |
| title_full | Food insecurity and sleep health by race/ethnicity in the United States |
| title_fullStr | Food insecurity and sleep health by race/ethnicity in the United States |
| title_full_unstemmed | Food insecurity and sleep health by race/ethnicity in the United States |
| title_short | Food insecurity and sleep health by race/ethnicity in the United States |
| title_sort | food insecurity and sleep health by race ethnicity in the united states |
| topic | African Americans Food assistance Food insecurity Hispanic Americans Minority groups Sleep Sleep initiation and maintenance disorders Socio-economic factors |
| url | https://www.cambridge.org/core/product/identifier/S2048679023000186/type/journal_article |
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