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Etindele Sosso FA, Torres Silva F, Queiroz Rodrigues R, Carvalho MM, Zoukal S, Zarate GC. Prevalence of Sleep Disturbances in Latin American Populations and Its Association with Their Socioeconomic Status-A Systematic Review and a Meta-Analysis. J Clin Med 2023; 12:7508. [PMID: 38137577 PMCID: PMC10743597 DOI: 10.3390/jcm12247508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 11/20/2023] [Accepted: 11/25/2023] [Indexed: 12/24/2023] Open
Abstract
BACKGROUND The worldwide increase in the prevalence and incidence of sleep disturbances represents a major public health issue. Among multiple determinants affecting sleep health, an individual's socioeconomic status (SES) is the most ignored and underestimated throughout the literature. No systematic review on the relation between SES and sleep health has been previously conducted in Latin America. METHODS PRISMA guidelines were used. RESULTS Twenty articles were included in the final sample (all cross-sectional studies), and twelve among them were rated as fair or poor quality. Among these studies, 80.0% (n = 16) were performed in Brazil, 10.0% (n = 2) were performed in Peru, 5.0% (n = 1) were performed in Chile, and 5.0% (n = 1) were multicentric (11 countries). The combined total number of participants was N = 128.455, comprising 3.7% (n = 4693) children, 16.0% (n = 20,586) adolescents, and 80.3% (n = 103,176) adults. The results show the following: (1) The sleep outcomes analyzed were sleep duration, sleep quality/sleep disturbance, insomnia, excessive daytime sleepiness (EDS), obstructive sleep apnea (OSA)/sleep-disordered breathing (SDB) symptoms, and bruxism. (2) The most used determinants were income, education level, employment status/occupation, wealth/assets, and composite indices. (3) Higher SES was associated with shorter sleep duration. (4) Lower SES was associated with a decrease in sleep quality, less frequent snoring, more prevalent EDS, and sleep bruxism. (5) Lower education was associated with insomnia. (6) Higher education was associated with more sleep bruxism. (7) The pooled prevalence using a meta-analysis of the random effects model was 24.73% (95%CI, 19.98-30.19), with high heterogeneity (I2 = 100%). (8) The prevalence of sleep disturbances decreased with high education (OR, 0.83; 95%CI, [0.69-0.99]; I2 = 79%), while it increased with low income (OR, 1.26; 95%CI, [1.12-1.42]; I2 = 59%), unemployment (OR, 2.84; 95%CI, [2.14-3.76]; I2 = 0%), and being a housewife (OR, 1.72; 95%CI, [1.19-2.48]; I2 = 55%). DISCUSSION This meta-analysis shows that lower SES (education, income, and work) was associated with sleep disturbances in Latin America. Therefore, sleep disturbance management should be addressed with a multidimensional approach, and a significant investment in targeted public health programs to reduce sleep disparities and support research should be made by the government before the situation becomes uncontrollable.
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Affiliation(s)
- F. A. Etindele Sosso
- Department of Global Health and Ecoepidemiology, Redavi Institute, Montréal, QC H4J 1C5, Canada
| | - Filipa Torres Silva
- Pneumonology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, 5000-508 Vila Real, Portugal; (F.T.S.); (R.Q.R.); (M.M.C.)
| | - Rita Queiroz Rodrigues
- Pneumonology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, 5000-508 Vila Real, Portugal; (F.T.S.); (R.Q.R.); (M.M.C.)
| | - Margarida M. Carvalho
- Pneumonology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, 5000-508 Vila Real, Portugal; (F.T.S.); (R.Q.R.); (M.M.C.)
| | - Sofia Zoukal
- Laboratory of Epidemiology, Faculty of Medicine and Pharmacy of Casablanca, University Hassan II, Casablanca 20250, Morocco;
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Lee YL, Yang JM, Kim JH. Influence of job satisfaction on SRH and happiness among Korean disabled workers: findings from the panel survey of employment for the disabled 2016-2018. Front Public Health 2023; 11:1122648. [PMID: 37786784 PMCID: PMC10541949 DOI: 10.3389/fpubh.2023.1122648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Accepted: 08/31/2023] [Indexed: 10/04/2023] Open
Abstract
Background An understanding of the economic life activities of persons with disabilities (PWD) is important. Their ability to perform tasks and an increase in their income are more likely to yield an improvement in their Self-Rated Health (SRH) and happiness. However, there is still a lack of understanding of the specific associations among PWD in South Korea. Thus, this study conducted a longitudinal analysis of the association between job satisfaction and SRH, happiness among the Korean PWD. Methods After excluding missing values, data on 1,637 participants at baseline (1st wave) were analyzed using the chi-square test, t-test, Analysis of Variance (ANOVA) and generalized estimating equation (GEE) model for data from 1st to 3rd Panel Survey of Employment for the Disabled (PSED). All analyses were conducted using the SAS statistical software package, version 9.4. Results Compared to very high job satisfaction group, low job satisfaction group was more likely to experience negative SRH [odds ratio (OR): 3.497, value of p: <0.0001] and experience low happiness (B: -0.291, value of p: <0.0001). Furthermore, in terms of the overall satisfaction with current job among the PWD, compared to the 'very satisfied' group, 'very unsatisfied' group had higher negative SRH (OR: 5.158, value of p: 0.003) and lower happiness (B: -0.327, value of p: <0.0001). Conclusion This study suggests that increasing job satisfaction of PWD possibly leads to decreased negative SRH and to increased happiness, resulting in better SRH and happiness. Furthermore, it suggests the establishment of systemic, policy-oriented measures to enhance the employment opportunities for disabled individuals in Korea and create an inclusive working environment that aligns with their respective job responsibilities.
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Affiliation(s)
- Young Lim Lee
- Department of Psychology and Psychotherapy, Dankook University, Cheonan, Republic of Korea
| | - Jeong Min Yang
- Institute for Digital Life Convergence, Dankook University, Cheonan, Republic of Korea
- Department of Public Health, General Graduate School of Dankook University, Cheonan, Republic of Korea
| | - Jae-Hyun Kim
- Institute for Digital Life Convergence, Dankook University, Cheonan, Republic of Korea
- Department of Health Administration, College of Health Science, Dankook University, Cheonan, Republic of Korea
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Papadopoulos D, Sosso FAE. Socioeconomic status and sleep health: a narrative synthesis of 3 decades of empirical research. J Clin Sleep Med 2023; 19:605-620. [PMID: 36239056 PMCID: PMC9978435 DOI: 10.5664/jcsm.10336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 10/03/2022] [Accepted: 10/04/2022] [Indexed: 12/24/2022]
Abstract
STUDY OBJECTIVES This review aims to assess the association between socioeconomic status (SES) and sleep health in the general population and the mediating effects of lifestyle and mental and physical health in this relationship. METHODS Observational studies testing the independent association between objective or subjective SES indicators and behavioral/physiological or clinical sleep health variables in the general population were included. PubMed/MEDLINE was searched for reports published from January 1990 to December 2019. The direction of effect was used as the primary effect measure, testing the hypothesis that low SES is associated with poor sleep health outcomes. Results are presented in the form of direction effect plots and synthesized as binomial proportions. RESULTS Overall, 336 studies were identified. A high proportion of effects at the expected direction was noted for measures of sleep continuity (100% for sleep latency, 50-100% for awakenings, 66.7-100% for sleep efficiency), symptoms of disturbed sleep (75-94.1% for insomnia, 66.7-100% for sleep-disordered breathing, 60-100% for hypersomnia), and general sleep satisfaction (62.5-100%), while the effect on sleep duration was inconsistent and depended on the specific SES variable (92.3% for subjective SES, 31.7% for employment status). Lifestyle habits, chronic illnesses, and psychological factors were identified as key mediators of the SES-sleep relationship. CONCLUSIONS Unhealthy behaviors, increased stress levels, and limited access to health care in low-SES individuals may explain the SES-sleep health gradient. However, the cross-sectional design of most studies and the high heterogeneity in employed measures of SES and sleep limit the quality of evidence. Further research is warranted due to important implications for health issues and policy changes. CITATION Papadopoulos D, Etindele Sosso FA. Socioeconomic status and sleep health: a narrative synthesis of 3 decades of empirical research. J Clin Sleep Med. 2023;19(3):605-620.
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Majcherek D, Kowalski AM, Lewandowska MS. Lifestyle, Demographic and Socio-Economic Determinants of Mental Health Disorders of Employees in the European Countries. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11913. [PMID: 36231214 PMCID: PMC9565551 DOI: 10.3390/ijerph191911913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Revised: 09/16/2022] [Accepted: 09/18/2022] [Indexed: 06/16/2023]
Abstract
Ensuring the health and well-being of workers should be a top priority for employers and governments. The aim of the article is to evaluate and rank the importance of mental health determinants: lifestyle, demographic factors and socio-economic status. The research study is based on EHIS 2013-2015 data for a sample of N = 140,791 employees from 30 European countries. The results obtained using machine learning techniques such as gradient-boosted trees and SHAPley values show that the mental health of European employees is strongly determined by the BMI, age and social support from close people. The next vital features are alcohol consumption, an unmet need for health care and sports activity, followed by the affordability of medicine or treatment, income and occupation. The wide range of variables clearly indicates that there is an important role for governments to play in order to minimize the risk of mental disorders across various socio-economic groups. It is also a signal for businesses to help boost the mental health of their employees by creating holistic, mentally friendly working conditions, such as offering time-management training, implementing morning briefings, offering quiet areas, making employees feel valued, educating them about depression and burnout symptoms, and promoting a healthy lifestyle.
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Affiliation(s)
- Dawid Majcherek
- Department of International Management, Collegium of World Economy, SGH Warsaw School of Economics, al. Niepodległości 162, 02-554 Warsaw, Poland
| | - Arkadiusz Michał Kowalski
- World Economy Research Institute, Collegium of World Economy, SGH Warsaw School of Economics, al. Niepodległości 162, 02-554 Warsaw, Poland
| | - Małgorzata Stefania Lewandowska
- Department of International Management, Collegium of World Economy, SGH Warsaw School of Economics, al. Niepodległości 162, 02-554 Warsaw, Poland
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Precarious Employment and Self-Rated Health in Young Adults. J Occup Environ Med 2022; 64:470-475. [DOI: 10.1097/jom.0000000000002529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Non-Standard Employment and Unemployment during the COVID-19 Crisis: Economic and Health Findings from a Six-Country Survey Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19105865. [PMID: 35627402 PMCID: PMC9140645 DOI: 10.3390/ijerph19105865] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Revised: 05/06/2022] [Accepted: 05/07/2022] [Indexed: 02/05/2023]
Abstract
The COVID-19 crisis is a global event that has created and amplified social inequalities, including an already existing and steadily increasing problem of employment and income insecurity and erosion of workplace rights, affecting workers globally. The aim of this exploratory study was to review employment-related determinants of health and health protection during the pandemic, or more specifically, to examine several links between non-standard employment, unemployment, economic, health, and safety outcomes during the COVID-19 pandemic in Sweden, Belgium, Spain, Canada, the United States, and Chile, based on an online survey conducted from November 2020 to June 2021. The study focused on both non-standard workers and unemployed workers and examined worker outcomes in the context of current type and duration of employment arrangements, as well as employment transitions triggered by the COVID-19 crisis. The results suggest that COVID-19-related changes in non-standard worker employment arrangements, or unemployment, are related to changes in work hours, income, and benefits, as well as the self-reported prevalence of suffering from severe to extreme anxiety or depression. The results also suggest a link between worker type, duration of employment arrangements, or unemployment, and the ability to cover regular expenses during the pandemic. Additionally, the findings indicate that the type and duration of employment arrangements are related to the provision of personal protective equipment or other COVID-19 protection measures. This study provides additional evidence that workers in non-standard employment and the unemployed have experienced numerous and complex adverse effects of the pandemic and require additional protection through tailored pandemic responses and recovery strategies.
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Roohafza H, Sattari N, Nouri F, Talaei M, Masoumi G, Sarrafzadegan N, Sadeghi M. Do any kinds of perceived stressors lead to hypertension? A longitudinal cohort study. Hypertens Res 2022; 45:1058-1066. [DOI: 10.1038/s41440-022-00895-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 01/24/2022] [Accepted: 02/21/2022] [Indexed: 11/10/2022]
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Simonelli G, Petit D, Delage JP, Michaud X, Lavoie MD, Morin CM, Godbout R, Robillard R, Vallières A, Carrier J, Bastien C. Sleep in times of crises: A scoping review in the early days of the COVID-19 crisis. Sleep Med Rev 2021; 60:101545. [PMID: 34571477 PMCID: PMC8461524 DOI: 10.1016/j.smrv.2021.101545] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 08/09/2021] [Accepted: 08/30/2021] [Indexed: 01/14/2023]
Abstract
During the early days of the pandemic and in the context of a seemingly unknown global threat, several potential major sleep disruptors were identified by sleep researchers and practitioners across the globe. The COVID-19 pandemic combined several features that, individually, had been shown to negatively affect sleep health in the general population. Those features included state of crisis, restrictions on in-person social interactions, as well as financial adversity. To address the lack of a comprehensive summary of sleep research across these three distinctive domains, we undertook three parallel systematic reviews based on the following themes: 1) Sleep in times of crises; 2) Sleep and social isolation; and 3) Sleep and economic uncertainty. Using a scoping review framework, we systematically identified and summarized findings from these three separated bodies of works. Potential moderating factors such as age, sex, ethnicity, socioeconomic status, psychological predisposition, occupation and other personal circumstances are also discussed. To conclude, we propose novel lines of research necessary to alleviate the short- and long-term impacts of the COVID-19 crises and highlight the need to prepare the deployment of sleep solutions in future crises.
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Affiliation(s)
- Guido Simonelli
- Center for Advanced Research in Sleep Medicine, Centre Intégré Universitaire de Santé et de Services Sociaux Du Nord-de-l'île-de-Montréal, Montreal (Quebec) Canada; Department of Medicine, Faculty of Medicine, Université de Montréal, Montreal (Quebec), Canada; Department of Psychology, Université de Montréal, Montreal (Quebec), Canada
| | - Dominique Petit
- Center for Advanced Research in Sleep Medicine, Centre Intégré Universitaire de Santé et de Services Sociaux Du Nord-de-l'île-de-Montréal, Montreal (Quebec) Canada; Department of Psychiatry and Addictology, Université de Montréal, Montreal (Quebec), Canada
| | | | - Xavier Michaud
- Center for Advanced Research in Sleep Medicine, Centre Intégré Universitaire de Santé et de Services Sociaux Du Nord-de-l'île-de-Montréal, Montreal (Quebec) Canada; Department of Psychology, Université de Montréal, Montreal (Quebec), Canada
| | | | - Charles M Morin
- École de Psychologie, Université Laval, Québec (Québec), Canada; CERVO Brain Research Center, Université Laval, Canada
| | - Roger Godbout
- Department of Psychiatry and Addictology, Université de Montréal, Montreal (Quebec), Canada; Sleep Laboratory & Clinic, Hôpital en Santé Mentale Rivière-des-Prairies, Montreal (Quebec), Canada
| | - Rebecca Robillard
- Sleep Research Unit, Royal Ottawa Institute of Mental Health Research, Ottawa (Ontario), Canada
| | - Annie Vallières
- École de Psychologie, Université Laval, Québec (Québec), Canada; CERVO Brain Research Center, Université Laval, Canada
| | - Julie Carrier
- Center for Advanced Research in Sleep Medicine, Centre Intégré Universitaire de Santé et de Services Sociaux Du Nord-de-l'île-de-Montréal, Montreal (Quebec) Canada; Department of Psychology, Université de Montréal, Montreal (Quebec), Canada
| | - Célyne Bastien
- École de Psychologie, Université Laval, Québec (Québec), Canada; CERVO Brain Research Center, Université Laval, Canada.
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Does Young Adults' Neighborhood Environment Affect Their Depressive Mood? Insights from the 2019 Korean Community Health Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18031269. [PMID: 33572580 PMCID: PMC7908501 DOI: 10.3390/ijerph18031269] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Revised: 01/27/2021] [Accepted: 01/28/2021] [Indexed: 12/30/2022]
Abstract
The rates of depression among young adults have been increasing in high-income countries and have emerged as a social problem in South Koreans aged 19–34. However, the literature is unclear on whether the neighborhood environment that young adults live in affects the onset and severity of their depressive symptoms. This study analyzed data from the 2019 Korean Community Health Survey (KCHS) using the Tobit model to identify the effect of the neighborhood environment on young adults’ depressive moods. Controlling for other corresponding factors, young adults’ neighborhood environment satisfaction affected their depression, and natural environment satisfaction (32.5%), safety level satisfaction (31.0%), social overhead capital (SOC), environment satisfaction (30.2%), trust between neighbors satisfaction (20.1%), and public transportation environmental satisfaction (12.2%) affected young adults’ depressive moods. Of these, natural environment satisfaction (32.5%), safety level environment satisfaction (31.0%), and SOC environment satisfaction (30.2%) affected young adults’ depressive mood to a similar extent. This implies that many young adults in South Korea live in inadequate neighborhood conditions. This research contributes to the literature by identifying the specific environmental factors that affect young adults’ depressive moods.
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