The Relationship between Alcohol Drinking Patterns and Sleep Duration among Black and White Men and Women in the United States

Chandra L. Jackson, Symielle A. Gaston, Rui Liu, Kenneth Mukamal and Eric B. Rimm
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Chandra L. Jackson: Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, 111 TW Alexander Drive, Research Triangle Park, NC 27709, USA
Symielle A. Gaston: Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, 111 TW Alexander Drive, Research Triangle Park, NC 27709, USA
Rui Liu: Social & Scientific Systems, Inc., Research Triangle Park, NC 27703, USA
Kenneth Mukamal: Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Eric B. Rimm: Nutrition Department, Harvard T.H. Chan School of Public Health, Boston, MA 02215, USA

IJERPH, 2018, vol. 15, issue 3, 1-16

Abstract: In the United States, racial minorities generally experience poorer cardiovascular health compared to whites, and differences in alcohol consumption and sleep could contribute to these disparities. With a nationally representative sample of 187,950 adults in the National Health Interview Survey from 2004 to 2015, we examined the relationship between alcohol-drinking patterns and sleep duration/quality by race and sex. Using Poisson regression models with robust variance, we estimated sex-specific prevalence ratios for each sleep duration/quality category among blacks compared to whites within categories of alcohol-drinking pattern, adjusting for socioeconomic status and other potential confounders. Across alcohol drinking patterns, blacks were less likely than whites to report recommended sleep of 7–<9 h/day. Short (PR = 1.30 [95% CI: 1.22–1.39]) and long (PR = 1.30 [95% CI: 1.07–1.58]) sleep were 30% more prevalent among black-male infrequent heavy drinkers compared to white-male infrequent heavy drinkers. Short (PR = 1.27 [95% CI: 1.21–1.34]) sleep was more prevalent among black-female infrequent heavy drinkers compared to white-female infrequent heavy drinkers, but there was no difference for long sleep (PR = 1.09 [95% CI: 0.97–1.23]). Black female infrequent moderate drinkers, however, had a 16% higher (PR = 1.16 [95% CI: 1.01–1.33]) prevalence of long sleep compared to their white counterparts. Environmental, social, and biological factors contributing to these findings, along with their impact on disparate health outcomes, should be studied in greater detail.

Keywords: alcohol drinking; sleep; sleep deprivation; sleep initiation and maintenance disorders; health status disparities; minority health; sex (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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