Impact of childhood abuse on adult sleep quality among low-income women after Hurricane Ike
被引:13
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作者:
Hoag, Jessica R.
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机构:
Univ Connecticut, Hlth Ctr, Publ Hlth, Dept Community Med & Hlth Care, 263 Farmington Ave, Farmington, CT 06030 USAUniv Connecticut, Hlth Ctr, Publ Hlth, Dept Community Med & Hlth Care, 263 Farmington Ave, Farmington, CT 06030 USA
Hoag, Jessica R.
[1
]
Wu, Helen
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机构:
Univ Connecticut, Hlth Ctr, Dept Psychiat, Farmington, CT 06030 USAUniv Connecticut, Hlth Ctr, Publ Hlth, Dept Community Med & Hlth Care, 263 Farmington Ave, Farmington, CT 06030 USA
Wu, Helen
[3
]
Grady, James J.
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机构:
Univ Connecticut, Hlth Ctr, Dept Community Med & Hlth Care, Farmington, CT 06030 USAUniv Connecticut, Hlth Ctr, Publ Hlth, Dept Community Med & Hlth Care, 263 Farmington Ave, Farmington, CT 06030 USA
Grady, James J.
[2
]
机构:
[1] Univ Connecticut, Hlth Ctr, Publ Hlth, Dept Community Med & Hlth Care, 263 Farmington Ave, Farmington, CT 06030 USA
[2] Univ Connecticut, Hlth Ctr, Dept Community Med & Hlth Care, Farmington, CT 06030 USA
Objective: The objective was to investigate the association between childhood abuse and poor sleep quality in the month following adulthood exposure to a natural disaster. Design: Cross-sectional. Setting: Six University of Texas Medical Blanch family planning clinics located in Southeast Texas. Participants: A subgroup of 375 low-income women aged 18 to 31 years who experienced Hurricane Ike while participating in the Stress and Health Longitudinal Study (2006-2012). Measurements: Risk profiles considering types and frequency of childhood abuse were identified in latent class analysis performed on the Childhood Trauma Questionnaire, which was measured upon entry to the study. Associations between abuse classes with a global indicator and 7 individual components of sleep quality measured after Hurricane Ike were estimated in adjusted logistic regression models. Results: Prevalence of poor sleep quality in the month following Hurricane Ike was 39.7%. Of the 5 classes of childhood abuse identified, the most extreme abuse class-frequent combined emotional, physical, and sexual abuse-exhibited the strongest associations with poor sleep quality after the hurricane (odds ratio: 4.30, 95% confidence interval: 1.72-10.72). Occasional emotional abuse alone was also significantly associated with poor sleep quality after the hurricane (odds ratio: 2.70; 95% confidence interval:1.48-4.91). Several profiles of childhood abuse were also significantly associated with 6 of the 7 component indicators of sleep quality, including sleep duration, disturbances, onset latency, subjective quality, use of sleep medication, and daytime dysfunction. Conclusions: Low-income women with histories of frequent childhood abuse, or emotional abuse specifically, have increased risk of poor sleep quality following exposure to a hurricane in adulthood. (C) 2015 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
机构:
UCHC, Dept Community Med & Hlth Care, Farmington, CT 06030 USAUCHC, Dept Psychiat, Farmington, CT 06030 USA
Stevens, Richard G.
Tennen, Howard
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UCHC, Dept Community Med & Hlth Care, Farmington, CT 06030 USAUCHC, Dept Psychiat, Farmington, CT 06030 USA
Tennen, Howard
North, Carol S.
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机构:
VA North Texas Hlth Care Syst, Program Trauma & Disaster, Dallas, TX USA
Univ Texas SW Med Ctr Dallas, Dept Psychiat, Med, Dallas, TX USA
Univ Texas SW Med Ctr Dallas, Dept Emergency Med, Med, Dallas, TX USAUCHC, Dept Psychiat, Farmington, CT 06030 USA
机构:
Univ Puerto Rico, Ctr Evaluat & Sociomed Res, POB 365067, San Juan, PR 00936 USA
Univ Puerto Rico, Grad Sch Publ Hlth, Med Sci Campus, San Juan, PR 00936 USAUniv Puerto Rico, Ctr Evaluat & Sociomed Res, POB 365067, San Juan, PR 00936 USA
Vera, Mildred
Alegria, Margarita
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机构:
Harward Med Sch, Ctr Multicultural Mental Hlth Res, Boston, MA 02115 USA
Harward Med Sch, Psychiat, Boston, MA 02115 USAUniv Puerto Rico, Ctr Evaluat & Sociomed Res, POB 365067, San Juan, PR 00936 USA
Alegria, Margarita
Pattatucci-Aragon, Angela M.
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机构:
Univ Puerto Rico, Ctr Evaluat & Sociomed Res, Grad Sch Publ Hlth, Med Sci Campus, San Juan, PR 00936 USAUniv Puerto Rico, Ctr Evaluat & Sociomed Res, POB 365067, San Juan, PR 00936 USA
Pattatucci-Aragon, Angela M.
Pena, Marisol
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机构:
Univ Puerto Rico, Ctr Evaluat & Sociomed Res, Grad Sch Publ Hlth, Med Sci Campus, San Juan, PR 00936 USAUniv Puerto Rico, Ctr Evaluat & Sociomed Res, POB 365067, San Juan, PR 00936 USA