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Article Reference Troff document (with manpage macros)Changes in sleep duration associated with retirement transitions: The role of naps
This study examined the changes in sleep duration (total sleep time, night‐time sleep and daytime naps) after retirement transitions in China using a panel dataset of the China Health and Retirement Longitudinal Study in 2011, 2013 and 2015 with a total of 48,458 respondents. Linear regression analysis with generalized estimating equations was employed to examine the changes in sleep duration after transitions between different types of employment status. After controlling for the confounders, the results showed that the retired population and the population working in agricultural sectors slept 8.02 ( p  < .01) and 5.19 ( p  < .01) minutes longer than the population working in non‐agricultural sectors, respectively. Employment transition also had significant effects on sleep duration. Transition from non‐agricultural sectors to retirement increased total sleep time by 13.58 ( p  < .01) minutes and also raised the probability of daytime naps by 18% (OR = 1.18,  p  < .01). Transition from agricultural employment to retirement did not significantly affect the total sleep time, but significantly increased the probability of daytime naps (OR = 1.12,  p  = .02). Reentering the non‐agricultural sectors for the retirees did not significantly affect night‐time sleep, but decreased the probability of daytime naps (OR = 0.73,  p  < .01) and daytime nap duration (by 5.26 min,  p  = .01). In conclusion, people in China increased their sleep duration after transitions to retirement, but the magnitudes were much smaller than those in Western countries. Differences may be attributed to an abundant amount of Chinese people working in agricultural sectors, the high volume of retired people reentering the work force and the large proportion of people in China that had daytime naps at baseline.
Located in MPRC People / Jie Chen, Ph.D. / Jie Chen Publications
Article Reference Troff document (with manpage macros)Everyday and major experiences of racial/ethnic discrimination and sleep health in a multiethnic population of U.S. women: Findings from the Sister Study
Background Perceived racial/ethnic discrimination and poor sleep occur across all races/ethnicities in the U.S., though both are most common among racial/ethnic minorities. Few studies have investigated associations between perceived racial/ethnic discrimination and various sleep dimensions in a multiethnic population. Methods We analyzed cross-sectional associations among 40,038 eligible Sister Study participants (enrollment: 2003-2009) who reported ever/never experiencing specific types of everyday (e.g., treated unfairly at a store or restaurant) or major (e.g., unfairly stopped, threatened, or searched by police) discrimination attributed to their race/ethnicity during a follow-up survey in 2008-2012. Participants also reported short sleep duration (<7 hours), sleep debt (≥2-hour difference between longest and shortest sleep duration), frequent napping (≥3 times/week), and insomnia. Poisson regression with robust variance estimation, adjusted for sociodemographic and health characteristics, estimated prevalence ratios (PRs) and 95% confidence intervals (CIs) for the association between each type of racial/ethnic discrimination and each sleep dimension, overall and by race/ethnicity. Results Mean age was 55 ± 8.9 years, 89% were NH-white, 8% NH-black, and 3% Hispanic/Latina. NH-black participants were the most likely to report everyday (76% vs. 4% [NH-whites] and 36% [Hispanics/Latinas]) and major racial/ethnic discrimination (52% vs. 2% [NH-whites] and 18% [Hispanics/Latinas]). Participants who experienced both types versus neither were more likely to report short sleep duration (PR=1.17 [95% CI: 1.09-1.25]) and insomnia symptoms (PR=1.10 [1.01-1.20]) but not other poor sleep dimensions. Conclusions Racial/ethnic minority women were most likely to experience racial/ethnic discrimination, which was associated with certain poor sleep dimensions among women of all races/ethnicities.
Located in Retired Persons / Natalie Slopen, Sc.D. / Natalie Slopen Publications