Details:

Alternative Title:
BMC Public Health
Publisher's site:
http://dx.doi.org/10.1186/1471-2458-13-3
Personal Author:
Chapman, Daniel P. ; Liu, Yong ; Presley-Cantrell, Letitia R. ; Edwards, Valerie J. ; Wheaton, Anne G. ; ... More +
Chapman, Daniel P. ; Liu, Yong ; Presley-Cantrell, Letitia R. ; Edwards, Valerie J. ; Wheaton, Anne G. ; Perry, Geraldine S. ; Croft, Janet B. Less -
Description:
Background

Although adverse childhood experiences (ACEs) have previously been demonstrated to be adversely associated with a variety of health outcomes in adulthood, their specific association with sleep among adults has not been examined. To better address this issue, this study examines the relationship between eight self-reported ACEs and frequent insufficient sleep among community-dwelling adults residing in 5 U.S. states in 2009.

Methods

To assess whether ACEs were associated with frequent insufficient sleep (respondent did not get sufficient rest or sleep ≥14 days in past 30 days) in adulthood, we analyzed ACE data collected in the 2009 Behavioral Risk Factor Surveillance System, a random-digit-dialed telephone survey in Arkansas, Louisiana, New Mexico, Tennessee, and Washington. ACEs included physical abuse, sexual abuse, verbal abuse, household mental illness, incarcerated household members, household substance abuse, parental separation/divorce, and witnessing domestic violence before age 18. Smoking status and frequent mental distress (FMD) (≥14 days in past 30 days when self-perceived mental health was not good) were assessed as potential mediators in multivariate logistic regression analyses of frequent insufficient sleep by ACEs adjusted for race/ethnicity, gender, education, and body mass index.

Results

Overall, 28.8% of 25,810 respondents reported frequent insufficient sleep, 18.8% were current smokers, 10.8% reported frequent mental distress, 59.5% percent reported ≥1 ACE, and 8.7% reported ≥ 5 ACEs. Each ACE was associated with frequent insufficient sleep in multivariate analyses. Odds of frequent insufficient sleep were 2.5 (95% CI, 2.1-3.1) times higher in persons with ≥5 ACEs compared to those with no ACEs. Most relationships were modestly attenuated by smoking and FMD, but remained significant.

Conclusions

Childhood exposures to eight indicators of child maltreatment and household dysfunction were significantly associated with frequent insufficient sleep during adulthood in this population. ACEs could be potential indicators promoting further investigation of sleep insufficiency, along with consideration of FMD and smoking.


Subject:
[+]
Adolescent
Adult
Adult Survivors Of Child Abuse
Aged
Behavioral Risk Factor Surveillance System
Humans
Middle Aged
Retrospective Studies
Sleep Deprivation
Young Adult

Source:
BMC Public Health. 2013; 13:3.
Pubmed ID:
23286392
Pubmed Central ID:
PMC3552999
Document Type:
Journal Article
Funding:
3U50CD300860/CD/ODCDC CDC HHS/United States ; U58/CCU324336-05/PHS HHS/United States
3U50CD300860/CD/ODCDC CDC HHS/United States ; U58/CCU324336-05/PHS HHS/United States Less -
Name as Subject:
Behavioral Risk Factor Surveillance System (U.S.)
Place as Subject:
Arkansas ; Louisiana ; New Mexico ; Tennessee ; Washington
Arkansas ; Louisiana ; New Mexico ; Tennessee ; Washington Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:2a7139220c7f8d51a4107ba9eec9e838fb6a8a4e6b37fbe69391c8c3d2b4f44b
File Type:

Supporting Files

• 	1471-2458-13-3.nxml	txt
  	license.txt	txt

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