Psychosocial factors are associated with sleep disturbances and evening chronotype among women: A brief report from the American Heart Association Go Red for Women Strategically Focused Research Network

Nov 25, 2023Sleep health

Psychosocial factors linked to sleep problems and evening preference in women

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Circadian Biology on OpenScience ↗PubMed ↗DOI ↗

Abstract

Women with depression had ∼3-fold higher odds of experiencing short sleep.

Depression is associated with 2-fold higher odds of poor sleep quality and a risk of obstructive sleep apnea.
Insomnia is linked to a 4-fold increase in odds among women with depression.
Low social support is associated with insomnia and a greater likelihood of having an evening chronotype.
Caregiving is linked to an increased likelihood of short sleep and obstructive sleep apnea risk.

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OBJECTIVES: To evaluate associations between psychosocial factors and sleep characteristics commonly linked to cardiovascular disease risk among racially/ethnically diverse women.

METHODS: Women from the AHA Go Red for Women cohort (N = 506, 61% racial/ethnic minority, 37 ± 16years) were assessed using self-reported questionnaires. Logistic regression models were adjusted for age, race, ethnicity, education, and insurance.

RESULTS: Women with depression had ∼3-fold higher odds of short sleep (95%CI=1.69-4.61), 2-fold higher odds of poor sleep quality and obstructive sleep apnea risk (95%CI=1.42-3.70 and 1.34-4.24), 4-fold higher odds of insomnia (95%CI=2.42-6.59), and greater likelihood of having an evening chronotype (OR:2.62, 95%CI=1.41-4.89). Low social support was associated with insomnia (OR:1.79, 95%CI=1.18-2.71) and evening chronotype (OR:2.38, 95%CI=1.35-4.19). Caregiving was associated with short sleep (OR:1.73, 95%CI=1.08-2.77) and obstructive sleep apnea risk (OR:2.46, 95%CI=1.43-4.22).

CONCLUSIONS: Depression, caregiver strain, and low social support are significantly associated with poor sleep and evening chronotype, highlighting a potential mechanism linking these psychosocial factors to cardiovascular disease risk.

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Psychosocial factors are associated with sleep disturbances and evening chronotype among women: A brief report from the American Heart Association Go Red for Women Strategically Focused Research Network

Abstract

Full Text

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