关键词: Evidence gaps Polysomnography Racial/ethnic disparities Sleep

Mesh : Ethnicity Health Status Disparities Hispanic or Latino Humans Sleep Sleep Apnea Syndromes United States White People

来  源:   DOI:10.1016/j.sleep.2021.02.027   PDF(Sci-hub)

Abstract:
Despite remarkable achievements in ensuring health equity, racial/ethnic disparities in sleep still persist and are emerging as a major area of concern. Accumulating evidence has not yet been well characterized from a broad perspective. We conducted a scoping review of studies on sleep disparities by race/ethnicity to summarize characteristics of existing studies and identify evidence gaps.
We searched PubMed, CINAHL, PsycINFO, and Web of Science databases for studies of racial/ethnic disparities in sleep. Studies that met inclusion criteria were retrieved and organized in a data charting form by study design, sleep measuring methods, sleep features, and racial/ethnic comparisons.
One hundred sixteen studies were included in this review. Most studies focused on disparities between Whites and Blacks. Disproportionately fewer studies examined disparities for Hispanic, Asian, and other racial/ethnic groups. Self-reported sleep was most frequently used. Sleep duration, overall sleep quality, and sleep disordered breathing were frequently studied, whereas other features including sleep efficiency, latency, continuity, and architecture were understudied, particularly in racial minority groups in the US. Current study findings on racial/ethnic disparities in most of sleep features is mixed and inconclusive.
This review identified significant evidence gaps in racial/ethnic disparities research on sleep. Our results suggest a need for more studies examining diverse sleep features using standardized and robust measuring methods for more valid comparisons of sleep health in diverse race/ethnicity groups.
摘要:
尽管在确保卫生公平方面取得了显著成就,睡眠中的种族/族裔差异仍然存在,并正在成为一个令人关注的主要领域。从广泛的角度来看,积累的证据尚未得到很好的表征。我们对按种族/民族划分的睡眠差异研究进行了范围审查,以总结现有研究的特征并确定证据差距。
我们搜索了PubMed,CINAHL,PsycINFO,和WebofScience数据库,用于研究睡眠中的种族/民族差异。根据研究设计,以数据图表形式检索并组织符合纳入标准的研究,睡眠测量方法,睡眠特征,和种族/民族比较。
这篇综述包括116项研究。大多数研究集中在白人和黑人之间的差异。不成比例的研究检查了西班牙裔的差异,亚洲人,和其他种族/族裔群体。自我报告的睡眠是最常用的。睡眠时间,整体睡眠质量,经常研究睡眠呼吸紊乱,而其他功能包括睡眠效率,延迟,连续性,对建筑的研究不足,特别是在美国的少数族裔群体中。当前关于大多数睡眠特征中种族/族裔差异的研究结果是混合且无定论的。
这篇综述发现了关于睡眠的种族/民族差异研究中的重要证据差距。我们的结果表明,需要进行更多的研究,使用标准化和稳健的测量方法来检查不同的睡眠特征,以更有效地比较不同种族/种族群体的睡眠健康状况。
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