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Associations between fears related to safety during sleep and self-reported sleep in men and women living in a low-socioeconomic status setting

  • Arron T. L. Correia
  • , Philippa E. Forshaw
  • , Laura C. Roden
  • , Gosia Lipinska
  • , H. G. Laurie Rauch
  • , Estelle V. Lambert
  • , Brian T. Layden
  • , Sirimon Reutrakul
  • , Stephanie J. Crowley
  • , Amy Luke
  • , Lara R. Dugas
  • , Dale E. Rae
    • University of Cape Town
    • University of Illinois at Chicago
    • Jesse Brown Veterans Affairs Medical Center
    • Rush University Medical Center
    • Loyola University Chicago

    Research output: Contribution to journalArticlepeer-review

    47 Downloads (Pure)

    Abstract

    South Africans living in low socioeconomic areas have self-reported unusually long sleep durations (approximately 9–10 h). One hypothesis is that these long durations may be a compensatory response to poor sleep quality as a result of stressful environments. This study aimed to investigate whether fear of not being safe during sleep is associated with markers of sleep quality or duration in men and women. South Africans (n = 411, 25–50 y, 57% women) of African-origin living in an urban township, characterised by high crime and poverty rates, participated in this study. Participants are part of a larger longitudinal cohort study: Modelling the Epidemiologic Transition Study (METS)–Microbiome. Customised questions were used to assess the presence or absence of fears related to feeling safe during sleep, and the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index were used to assess daytime sleepiness, sleep quality and insomnia symptom severity respectively. Adjusted logistic regression models indicated that participants who reported fears related to safety during sleep were more likely to report poor sleep quality (PSQI > 5) compared to participants not reporting such fears and that this relationship was stronger among men than women. This is one of the first studies outside American or European populations to suggest that poor quality sleep is associated with fear of personal safety in low-SES South African adults.
    Original languageEnglish
    Article number3609
    Number of pages10
    JournalScientific Reports
    Volume14
    Issue number1
    Early online date13 Feb 2024
    DOIs
    Publication statusPublished - Dec 2024

    Bibliographical note

    This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

    Funder

    This work was supported by the National Institute of Health (R01 DK111848 and R01 HL148271) and the National Research Foundation of South Africa (Grant Nos. 122508, PMDS22070431438 and PMDS22052514438).

    Funding

    This work was supported by the National Institute of Health (R01 DK111848 and R01 HL148271) and the National Research Foundation of South Africa (Grant Nos. 122508, PMDS22070431438 and PMDS22052514438).

    FundersFunder number
    National Institutes of HealthR01 DK111848, R01 HL148271
    National Research FoundationPMDS22052514438, PMDS22070431438, 122508

      UN SDGs

      This output contributes to the following UN Sustainable Development Goals (SDGs)

      1. SDG 16 - Peace, Justice and Strong Institutions
        SDG 16 Peace, Justice and Strong Institutions

      Keywords

      • Insomnia
      • Sleep environment
      • Sleep quality
      • Personal safety
      • Humans
      • Self Report
      • Male
      • Social Class
      • Sleep Initiation and Maintenance Disorders - epidemiology
      • Fear
      • Adult
      • Female
      • Surveys and Questionnaires
      • Sleep - physiology
      • Longitudinal Studies

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