背景压力对黑人母亲自我报告和actigraph估计产后睡眠的影响
Ariel R Hart1, Steven R H Beach1,2, Chantelle N Hart3
1Department of Psychology, University of Georgia, Athens, GA, USA.
Sleep
|March 4, 2025
概括
诸如种族歧视和经济压力之类的环境压力因素对黑人母亲的产后睡眠有负面影响. 这些因素影响了自我报告的睡眠和客观睡眠模式,独立于婴儿睡眠.
科学领域:
- 围产期心理健康问题
- 健康社会学健康的社会学.
- 睡眠科学 睡眠科学
背景情况:
- 产后睡眠障碍很常见,但不成比例地影响到边缘化人口.
- 背景压力因素,如种族歧视和经济压力,是黑人母亲在分娩后期的重大担忧.
- 了解这些压力因素对母亲睡眠的独特影响对于有针对性的干预至关重要.
研究的目的:
- 调查种族歧视与经济压力以及黑人母亲的孕产妇睡眠结果之间的关联.
- 在分娩后早期 (1,8,16周) 的多个时间点检查这些关联.
- 为了区分这些压力因素与婴儿睡眠相关因素的影响.
主要方法:
- 采用了前性观察性研究设计.
- 参与者包括212名非西班牙裔黑人母亲.
- 种族歧视和经济压力在分娩后一周被评估. 在产后1,8周和16周使用自我报告问卷和动态图评估了母亲的睡眠.
主要成果:
- 产后1周的种族歧视与同时自我报告的睡眠状况较差以及8周的动图测量睡眠时间变化增加有关.
- 产后1周的财务压力预测了16周更多的自我报告的睡眠困难,以及8周的更多的动图测量睡眠时间变化.
- 即使控制了包括婴儿睡眠在内的共变量,这些关联仍然很重要.
结论:
- 种族歧视和经济压力是黑人母亲产后睡眠障碍的重要独立风险因素.
- 这些发现凸显了解决系统性压力因素的必要性,以改善母亲的睡眠健康.
- 干预措施应考虑影响黑人母亲福祉的更广泛的社会和经济背景.
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