Impact of childhood abuse on adult sleep quality among low-income women after Hurricane Ike

被引:13
|
作者
Hoag, Jessica R. [1 ]
Wu, Helen [3 ]
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
[3] Univ Connecticut, Hlth Ctr, Dept Psychiat, Farmington, CT 06030 USA
基金
美国国家卫生研究院;
关键词
Childhood abuse; Sleep quality; Natural disasters; Women;
D O I
10.1016/j.sleh.2015.09.001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:293 / 299
页数:7
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