Socioeconomic status influences sleep quality and sleep quantity: A case-control study
Authors
Madsen, Mia Lund ; Lauritsen, Simone Lund
Term
5. Term (Master thesis)
Education
Publication year
2017
Submitted on
2017-01-05
Pages
35
Abstract
Søvn påvirker helbredet, og forskning peger på social ulighed i søvn. Vi undersøgte, om civilstand, beskæftigelse, uddannelse og indkomst hænger sammen med søvnkvalitet og søvnlængde hos voksne, der deltog i sundhedsundersøgelsen "North Denmark Health Profile 2013". Kort søvn blev defineret som under 5 timer pr. nat og lang søvn som over 9 timer. Personer med kroniske fysiske sygdomme, depression eller angst blev udelukket. Oplysninger om socioøkonomiske forhold fra 2010 kom fra danske administrative registre. Vi brugte statistiske modeller og tog højde for alder, køn, BMI, rygning og selvvurderet generelt helbred. Blandt 14.212 deltagere rapporterede 13,93 % dårlig søvnkvalitet, 6,45 % kort søvn og 5,56 % lang søvn. Dårlig søvnkvalitet var forbundet med at være enlig, arbejdsløs og have lav indkomst. Kort søvn var forbundet med arbejdsløshed, kun grundskoleuddannelse og lav indkomst. Lang søvn var forbundet med at være studerende, kun grundskoleuddannelse og lav indkomst. Højere indkomst var forbundet med lavere sandsynlighed for meget kort eller meget lang søvn. Når der blev justeret for selvvurderet helbred, blev sammenhængene svagere. Konklusion: Enlig civilstand og lav socioøkonomisk position var forbundet med dårligere søvnkvalitet og atypisk søvnlængde. Fordi det generelle helbred påvirkede resultaterne, tyder de på, at både sociale forhold og helbred spiller en rolle. Denne viden kan hjælpe med at målrette indsatser for bedre søvnhygiejne (gode søvnvaner) hos grupper med øget risiko.
Sleep affects health, and studies suggest social inequality in sleep. We examined whether marital status, employment, education, and income are linked to sleep quality and sleep length among adults who took part in the "North Denmark Health Profile 2013" survey. We defined short sleep as less than 5 hours per night and long sleep as more than 9 hours. People with chronic physical diseases, depression, or anxiety were excluded. Socioeconomic information from 2010 came from Danish administrative registers. Using statistical models, we tested these associations and adjusted for age, sex, body mass index, smoking, and self-rated general health. Among 14,212 participants, 13.93% reported poor sleep quality, 6.45% short sleep, and 5.56% long sleep. Poor sleep quality was associated with being single, being unemployed, and having low income. Short sleep was associated with unemployment, only basic schooling, and low income. Long sleep was associated with being a student, only basic schooling, and low income. Higher income was linked to lower chances of very short or very long sleep. After adjusting for self-rated health, these links were weaker. Conclusion: Being single and having lower socioeconomic position were associated with worse sleep quality and atypical sleep duration. Because overall health influenced the results, they suggest that both social conditions and health matter. This knowledge can help target sleep hygiene (practical habits that support good sleep) for groups at higher risk.
[This abstract was generated with the help of AI]
Keywords
Documents