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Sleep characteristics among black cisgender sexual minority men and black transgender women during the COVID-19 pandemic: The role of multi-level COVID-19-related stressors

Dustin T. Duncan Orcid Logo, Su Hyun Park, Yen-Tyng Chen Orcid Logo, Hayden Mountcastle, Jade Pagkas-Bather, Liadh Timmins Orcid Logo, Byoungjun Kim Orcid Logo, Hillary Hanson, Kangkana Koli, Mainza Durrell, Nour Makarem Orcid Logo, Rebecca Eavou, Kevalyn Bharadwaj, John A. Schneider

Sleep Health, Volume: 8, Issue: 5, Pages: 440 - 450

Swansea University Author: Liadh Timmins Orcid Logo

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Abstract

Objectives: To determine the association between individual, network, and structural COVID-19-related stressors and changes in sleep duration and quality among Black cisgender sexual minority men (SMM) and Black transgender women during the COVID-19 peak infectivity rate in Chicago. Methods: From Ap...

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Published in: Sleep Health
ISSN: 2352-7218
Published: Elsevier BV 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa64169
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Abstract: Objectives: To determine the association between individual, network, and structural COVID-19-related stressors and changes in sleep duration and quality among Black cisgender sexual minority men (SMM) and Black transgender women during the COVID-19 peak infectivity rate in Chicago. Methods: From April 20, 2020 to July 31, 2020, we conducted the N2 COVID Study in Chicago (n = 226). The survey included questions regarding multi-level COVID-19-related stressors (eg, food unavailability, partner violence, housing instability, concern about neighborhood COVID-19), sleep duration, and sleep quality. Results: About 19.5% of our sample reported a shorter duration of sleep during the initial peak COVID-19 infectivity, while 41.2% reported more sleep and 38.9% reported about the same. Compared to the prepandemic period, 16.8% reported that their sleep quality worsened in the COVID-19 pandemic, while 27.9% reported their sleep quality had improved and 55.3% reported it was about the same. In multivariable models, we found that ≥1 day of physical stress reaction, worrying about being infected with COVID-19, traveling during COVID-19 being a financial burden, not having enough medication, knowing someone who was diagnosed with COVID-19, partner violence and housing instability were associated with poor sleep health in the COVID-19 pandemic (adjusted risk ratio: 1.82-3.90, p < .05). Conclusions: These data suggest that COVID-19-related stressors impacted poor sleep duration and quality during the pandemic among this cohort. Multi-level interventions to reduce COVID-19-related stressors (eg, meditation, intimate partner violence prevention and housing programs) may be useful for improving sleep health among Black cisgender sexual minority men and Black transgender women.
Keywords: Sleep, Black cisgender sexual minority men, Black transgender women, COVID-19 pandemic, Multilevel COVID-19 stressors
College: Faculty of Medicine, Health and Life Sciences
Issue: 5
Start Page: 440
End Page: 450