Sleep Health among Community-Recruited Opioid-Using People Who Inject Drugs in Los Angeles, CA and Denver, CO.

Chronic insufficient and poor-quality sleep are linked to hypertension, diabetes, depression, heart attack, and stroke. While studies on substance use and sleep typically focus on people in or entering treatment, there is a lack of research on sleep health among community-recruited people who inject...

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Publicado en:Journal of Urban Health Vol. 101; no. 5; pp. 1058 - 1068
Autores principales: Ruth, Avaion, Ganesh, Siddhi S., Shah, Pooja, Gould, Erin E., Ninh, Katrina, Ceasar, Rachel Carmen, Duncan, Dustin T., Bluthenthal, Ricky N.
Formato: Artículo
Publicado: Springer Nature Oct2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2024
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      pub: Springer Nature
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        10.1007/s11524-024-00922-3
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        atl: Sleep Health among Community-Recruited Opioid-Using People Who Inject Drugs in Los Angeles, CA and Denver, CO.
      aug:
        au:
          Ruth, Avaion
          Ganesh, Siddhi S.
          Shah, Pooja
          Gould, Erin E.
          Ninh, Katrina
          Ceasar, Rachel Carmen
          Duncan, Dustin T.
          Bluthenthal, Ricky N.
        affil:
          https://ror.org/03taz7m60 Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
          https://ror.org/00hj8s172 Mailman School of Public Health, Department of Epidemiology, Columbia University, New York, NY, USA
      su:
        Somnology
        Sleep duration
        Sleep quality
        Bivariate analysis
        Myocardial infarction
      sug:
        subj:
          Somnology
          Sleep duration
          Sleep quality
          Bivariate analysis
          Myocardial infarction
      keyword:
        People who use drugs
        Sleep health
        Structural vulnerability
        People who use drugs
        Sleep health
        Structural vulnerability
      ab: Chronic insufficient and poor-quality sleep are linked to hypertension, diabetes, depression, heart attack, and stroke. While studies on substance use and sleep typically focus on people in or entering treatment, there is a lack of research on sleep health among community-recruited people who inject drugs (PWID). To address this literature gap, we examined factors associated with insufficient and poor-quality sleep among community-recruited PWID. We recruited and interviewed 472 active opioid-using PWID (injected within the last 30 days) in Los Angeles, CA and Denver, CO between 2021 and 2022. Participants completed computer-assisted interviews covering demographics, subsistence measures, drug use patterns, injection-related behaviors, health risks, and sleep duration and quality in the last 3 months. Descriptive statistics were used to analyze all variables for subjects with complete responses to sleep items (n = 464). Bivariate analyses determined factors associated with sleep measures using chi-square and t-tests. Collinear variables were removed, and binomial linear multivariable regression calculated risk ratios (RR) for insufficient and poor-quality sleep in the last 3 months. Participants exhibited low sleep duration (mean = 4.99, standard deviation (SD) = 2.70), with 76% reporting insufficient sleep and 62% poor-quality sleep. Bivariate analyses associated both sleep measures with drug use, high subsistence scores, violent victimization, and poor health outcomes. Multivariable analyses showed a high subsistence score predicting insufficient (RR = 1.31) and poor-quality sleep (RR = 1.69) compared to low subsistence. Poor sleep health is common among structurally vulnerable community-recruited PWID, as measured by subsistence index associated with adverse sleep outcomes. Further research on structural interventions to address sleep and subsequent health outcomes among PWID is imperative.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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