200 COVID-19 Pandemic Sleep Changes Related to Social and Financial Impacts at the US-Mexico Border. (3rd May 2021)

• Record Type: Journal Article
• Authors: Arce, Ruya; Valencia, Dora; Ghani, Sadia; Delgadillo, Marcos; Madhivanan, Purnima; Krupp, Karl; Ruiz, John; Seixas, Azizi; Jean-Louis, Giardin; Killgore, William; Wills, Chloe; Grandner, Michael
• Is Part Of: Sleep. Volume 44(2021)Supplement 2
• Page Start: A80
• Page End: A81
• Publication Date: 2021-05-03
• Subjects: Sleep -- Physiological aspects -- Periodicals; Sleep disorders -- Periodicals; Sommeil -- Aspect physiologique -- Périodiques; Sommeil, Troubles du -- Périodiques; Sleep disorders; Sleep -- Physiological aspects; Sleep -- physiological aspects; Sleep Wake Disorders; Psychophysiology; Electronic journals; Periodicals; 616.8498
• DOI: 10.1093/sleep/zsab072.199
• Languages: English
• ISSNs: 0161-8105

Abstract

Abstract: Introduction: The COVID-19 pandemic has caused major impacts to social and financial status for many people, including those living in the vulnerable US-Mexico border region. This study examined relationships between changes in sleep and perceived impacts to social and financial stability due to the pandemic. Methods: Participants were 155 individuals who completed the Nogales Cardiometabolic Health and Sleep (NOCHES) and were contacted about completing a COVID sub-study (95% Hispanic/Latino). Participants were asked if the COVID-19 pandemic was causing them to feel more socially isolated, negatively impacting their finances, causing increased worry about finances, affecting their primary job, causing a job loss, and impacting their belief life will one day return to normal. In addition, they were asked to report the degree to which they experienced pandemic-related changes to sleep, including a regularity, overall improvement/worsening, initial and middle-of-the-night insomnia, daytime sleepiness, and napping. Logistic regression analyses were adjusted for age, sex, socioeconomics, and mental health (PHQ4). Results: Those who kept a more regular schedule had lower odds of endorsing isolation (OR=0.32, p<0.0005) and higher odds of believing things will return to normal (OR=1.67, p=0.041). Those whose sleep improved also had lower odds of feeling isolated (OR=0.40, p=0.005). Those with worsened sleep had increased odds of feeling isolated (OR=2.14, p=0.023), experiencing a financial impact (OR=1.85, p=0.016) and increased financial worry (OR=1.71, p=0.033), and lower odds of believing things will return to normal (OR=0.53, p=0.012). More initial insomnia was associated with isolation (OR=3.62, p=0.001), financial impact, (OR=1.89, p=0.015), financial worry (OR=1.87, p=0.016) and job impact (OR=1.95, p=0.010). More middle-of-the-night insomnia was associated with financial worry (OR=1.82, p=0.016) and job impact (OR=1.93, p=0.009). More sleepiness was associated with job loss (OR=1.84, p=0.043). More napping was associated with financial impact (OR=1.89, p=0.017) and worry (OR=1.88, p=0.017), impact to job (OR=1.89, p=0.016) or lost job (OR=1.81, p=0.041), and decreased likelihood of believing things will return to normal (OR=0.45, p=0.003). Conclusion: Pandemic-related stress was linked with sleep disturbances. Worse sleep was indicative of increased social isolation, greater financial fears, more job-related impacts and less of a general sense that things would return to normal. Support (if any): Supported by T32HL007249, R01MD011600, R01DA051321