Associations between fears related to safety during sleep and self-reported sleep in men and women living in a low-socioeconomic status setting

Abstract South Africans living in low socioeconomic areas have self-reported unusually long sleep durations (approximately 9–10 h). One hypothesis is that these long durations may be a compensatory response to poor sleep quality as a result of stressful environments. This study aimed to investigate...

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Main Authors: Arron T. L. Correia, Philippa E. Forshaw, Laura C. Roden, Gosia Lipinska, H. G. Laurie Rauch, Estelle V. Lambert, Brian T. Layden, Sirimon Reutrakul, Stephanie J. Crowley, Amy Luke, Lara R. Dugas, Dale E. Rae
Format: Article
Language:English
Published: Nature Portfolio 2024-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-54032-w
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author Arron T. L. Correia
Philippa E. Forshaw
Laura C. Roden
Gosia Lipinska
H. G. Laurie Rauch
Estelle V. Lambert
Brian T. Layden
Sirimon Reutrakul
Stephanie J. Crowley
Amy Luke
Lara R. Dugas
Dale E. Rae
author_facet Arron T. L. Correia
Philippa E. Forshaw
Laura C. Roden
Gosia Lipinska
H. G. Laurie Rauch
Estelle V. Lambert
Brian T. Layden
Sirimon Reutrakul
Stephanie J. Crowley
Amy Luke
Lara R. Dugas
Dale E. Rae
author_sort Arron T. L. Correia
collection DOAJ
description Abstract South Africans living in low socioeconomic areas have self-reported unusually long sleep durations (approximately 9–10 h). One hypothesis is that these long durations may be a compensatory response to poor sleep quality as a result of stressful environments. This study aimed to investigate whether fear of not being safe during sleep is associated with markers of sleep quality or duration in men and women. South Africans (n = 411, 25–50 y, 57% women) of African-origin living in an urban township, characterised by high crime and poverty rates, participated in this study. Participants are part of a larger longitudinal cohort study: Modelling the Epidemiologic Transition Study (METS)–Microbiome. Customised questions were used to assess the presence or absence of fears related to feeling safe during sleep, and the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index were used to assess daytime sleepiness, sleep quality and insomnia symptom severity respectively. Adjusted logistic regression models indicated that participants who reported fears related to safety during sleep were more likely to report poor sleep quality (PSQI > 5) compared to participants not reporting such fears and that this relationship was stronger among men than women. This is one of the first studies outside American or European populations to suggest that poor quality sleep is associated with fear of personal safety in low-SES South African adults.
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spelling doaj.art-97c71ae3b4154fccbdf287c6045933ba2024-03-05T18:48:07ZengNature PortfolioScientific Reports2045-23222024-02-0114111010.1038/s41598-024-54032-wAssociations between fears related to safety during sleep and self-reported sleep in men and women living in a low-socioeconomic status settingArron T. L. Correia0Philippa E. Forshaw1Laura C. Roden2Gosia Lipinska3H. G. Laurie Rauch4Estelle V. Lambert5Brian T. Layden6Sirimon Reutrakul7Stephanie J. Crowley8Amy Luke9Lara R. Dugas10Dale E. Rae11Health Through Physical Activity, Lifestyle and Sport (HPALS) Research Centre and Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape TownHealth Through Physical Activity, Lifestyle and Sport (HPALS) Research Centre and Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape TownCentre for Health and Life Sciences, Coventry UniversityDepartment of Psychology, Humanities Faculty, University of Cape TownHealth Through Physical Activity, Lifestyle and Sport (HPALS) Research Centre and Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape TownHealth Through Physical Activity, Lifestyle and Sport (HPALS) Research Centre and Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape TownDivision of Endocrinology, Diabetes and Metabolism, University of Illinois ChicagoDivision of Endocrinology, Diabetes and Metabolism, University of Illinois ChicagoDepartment of Psychiatry and Behavioral Sciences, Biological Rhythms Research Laboratory, Rush University Medical CenterPublic Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University ChicagoPublic Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University ChicagoHealth Through Physical Activity, Lifestyle and Sport (HPALS) Research Centre and Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape TownAbstract South Africans living in low socioeconomic areas have self-reported unusually long sleep durations (approximately 9–10 h). One hypothesis is that these long durations may be a compensatory response to poor sleep quality as a result of stressful environments. This study aimed to investigate whether fear of not being safe during sleep is associated with markers of sleep quality or duration in men and women. South Africans (n = 411, 25–50 y, 57% women) of African-origin living in an urban township, characterised by high crime and poverty rates, participated in this study. Participants are part of a larger longitudinal cohort study: Modelling the Epidemiologic Transition Study (METS)–Microbiome. Customised questions were used to assess the presence or absence of fears related to feeling safe during sleep, and the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index were used to assess daytime sleepiness, sleep quality and insomnia symptom severity respectively. Adjusted logistic regression models indicated that participants who reported fears related to safety during sleep were more likely to report poor sleep quality (PSQI > 5) compared to participants not reporting such fears and that this relationship was stronger among men than women. This is one of the first studies outside American or European populations to suggest that poor quality sleep is associated with fear of personal safety in low-SES South African adults.https://doi.org/10.1038/s41598-024-54032-wPersonal safetySleep environmentInsomniaSleep quality
spellingShingle Arron T. L. Correia
Philippa E. Forshaw
Laura C. Roden
Gosia Lipinska
H. G. Laurie Rauch
Estelle V. Lambert
Brian T. Layden
Sirimon Reutrakul
Stephanie J. Crowley
Amy Luke
Lara R. Dugas
Dale E. Rae
Associations between fears related to safety during sleep and self-reported sleep in men and women living in a low-socioeconomic status setting
Scientific Reports
Personal safety
Sleep environment
Insomnia
Sleep quality
title Associations between fears related to safety during sleep and self-reported sleep in men and women living in a low-socioeconomic status setting
title_full Associations between fears related to safety during sleep and self-reported sleep in men and women living in a low-socioeconomic status setting
title_fullStr Associations between fears related to safety during sleep and self-reported sleep in men and women living in a low-socioeconomic status setting
title_full_unstemmed Associations between fears related to safety during sleep and self-reported sleep in men and women living in a low-socioeconomic status setting
title_short Associations between fears related to safety during sleep and self-reported sleep in men and women living in a low-socioeconomic status setting
title_sort associations between fears related to safety during sleep and self reported sleep in men and women living in a low socioeconomic status setting
topic Personal safety
Sleep environment
Insomnia
Sleep quality
url https://doi.org/10.1038/s41598-024-54032-w
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