Associations of Adverse Childhood Experiences (ACEs) with Sleep Duration and Quality: The BCOPS Study

Details

• Personal Author:
  Andrew, Michael E. ; Charles LE ; Fekedulegn D ; Gu JK ; Mnatsakanova A ; Violanti JM
• Description:
  Background: Adverse Childhood Experiences (ACEs) are associated with numerous adverse health outcomes in adulthood. Our objective was to investigate associations between ACEs and sleep measures among 206 police officers from the Buffalo Cardio-Metabolic Occupational Police Stress study. Methods: ACEs (independent variable) was assessed using the ACE questionnaire. Sleep measures were assessed using the Pittsburgh Sleep Quality Index and actigraphy. ANOVA/ANCOVA were used to investigate associations between ACEs and sleep measures. Results: The mean self-reported sleep duration was significantly lower among participants who reported ≥1 ACEs compared to those who reported no ACEs (6.0 +/- 0.11 vs. 6.4 +/- 0.14 h; multivariate-adjusted p = 0.035). Sleep efficiency was significantly lower among participants who reported =1 ACEs compared to those who reported none (mean = 88.7%, 95% CI = 87.7-89.6 vs. 90.2%, 89.2-91.2; unadjusted p = 0.031) but was slightly attenuated and lost statistical significance after multivariate-adjustment (88.8%, 87.8-89.7 vs. 90.1%, 88.9-91.1; p = 0.094). Compared to participants who reported no ACEs, those who reported ≥1 ACEs had a higher mean activity index score (36.9 +/- 0.96 vs. 31.2 +/- 1.25; multivariate-adjusted p = 0.001); a higher mean wake after sleep onset (WASO) (44.3 +/- 2.24 vs. 35.3 +/- 2.92 min; multivariate-adjusted p = 0.019); and a higher sleep fragmentation index (3.8 +/- 1.65 vs. 3.3 +/- 1.20 unadjusted p = 0.044 and 3.8 +/- 0.13 vs. 3.3 +/- 0.18; multivariate-adjusted p = 0.062). Among men (but not women) who reported ≥1 ACEs, self-reported sleep duration was significantly lower (5.9 +/- 0.13 vs. 6.4 +/- 0.15 h; multivariate-adjusted p = 0.025) and activity index was significantly higher (39.1 +/- 1.3 vs. 33.2 +/- 1.51; multivariate-adjusted p = 0.004) compared to those who reported no ACEs. Conclusion: Exposure to ≥1 ACE was associated with worse sleep measures. [Description provided by NIOSH]
• Subjects:
  Law Enforcement Occupational Health Safety Sleep Sleep Initiation And Maintenance Disorders Stress Disorders, Post-Traumatic Violence
• Keywords:
  ACEs Actigraphy Activity Levels Author Keywords: Adverse Childhood Experiences Cross Sectional Studies Exposure Assessment Law Enforcement Officers Police Officers Sleep Disorders Traumatic Incident Stress
• ISSN:
  1389-9457
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2 ; OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  HELD - Health Effects Laboratory Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  166-175
• Volume:
  89
• NIOSHTIC Number:
  nn:20064414
• Citation:
  Sleep Med 2022 Jan; 89:166-175
• Contact Point Address:
  Luenda E. Charles, U.S. Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, HELD/BB, MS L-4050, 1095 Willowdale Rd., Morgantown, WV 26505-2888, USA
• Email:
  lcharles@cdc.gov
• Federal Fiscal Year:
  2022
• NORA Priority Area:
  Public Safety
• Performing Organization:
  State University of New York at Buffalo
• Peer Reviewed:
  True
• Start Date:
  20100901
• Source Full Name:
  Sleep Medicine
• End Date:
  20150831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:20a8a6e41cea7b55360b83641eaf49b0fb13bdceaa4cc46ca7ff7e8e0741ad001b91fd825d0b302aad0868e2ef05f69a519b95622359f5a5751abfba4a5498d9
• Download URL:
  https://stacks.cdc.gov/view/cdc/222875/cdc_222875_DS1.pdf
• File Type:
  [PDF - 310.68 KB ]