0740 Sleep Deficiency among Native Hawaiian/Pacific Islanders: Analysis of the National Health Interview Survey Data. (27th April 2018) - Matthews, E E
Abstract: Introduction: Sleep is a critical determinant of health, yet deficiency in sleep is reported by 30–40% of US adults. Habitual sleep deficiency is linked to cardiometabolic diseases and varies by race/ethnicity. US Native Hawaiians/Pacific Islanders (NHPI) are a fast growing US population with disproportionately high rates of cardiometabolic diseases, but exceedingly underrepresented in health research. Limited data suggest NHPI have disproportionately low rates of healthy sleep. This study systematically investigated NHPI sleep deficiency and associated socioeconomic risk factors; health behaviors, and psychological distress. Methods: Data from the 2014 NHPI National Health Interview Survey household interviews were analyzed, including 2, 222 NHPI adults. Habitual sleep duration, sleep quality, socio-demographic, economic covariates, health behaviors, and psychological distress were self-reported. Sleep duration was coded as very short (VSS; <5 hours), short (SS; 5–6 hours), long (LS; >8 hours). NHPI sleep characteristics were analyzed using population-specific weighted estimates. Associations between relevant factors and sleep duration were calculated using multinomial logistic regression. Results: Over 40% of NHPI reported less than 7 hours of sleep; over one third reported trouble falling asleep and staying asleep; and nearly 65% did not wake up feeling well rested. Compared to 18–34 year olds, NHPI aged 45–54 years were more likely to report SS. Older NHPI (55–64 years) were more likely to report both SS or LS. Males reported more VSS. NHPI who were born outside of US but lived in US ≤ 15 years reported less VSS than those born in the US. There was a trend for reduced likelihood of VSS with higher income. Current smokers had significantly more VSS compared to those who never smoked. Psychological distress was associated with an increased risk of VSS and SS. Conclusion: Compared with other racial/ethnic populations, NHPI have suboptimal sleep duration and poor sleep quality. To improve sleep and health disparities in NHPI, additional research is urgently needed to inform clinical care and sleep promotion efforts. Support (If Any):