Details:

• Alternative Title:
  Psychosom Med
• Personal Author:
  Abdallah, Khadijah ; Udaipuria, Shivika ; Murden, Raphiel ; McKinnon, Izraelle I. ; Erving, Christy L. ; ... More +

  Abdallah, Khadijah ; Udaipuria, Shivika ; Murden, Raphiel ; McKinnon, Izraelle I. ; Erving, Christy L. ; Fields, Nicole ; Moore, Renee ; Booker, Bianca ; Burey, Taylor ; Dunlop-Thomas, Charmayne ; Drenkard, Cristina ; Johnson, Dayna A. ; Vaccarino, Viola ; Lim, S. Sam ; Lewis, Tené T. Less -
• Description:
  Objective:
  
  To compare dimensions of financial hardship and self-reported sleep quality among Black women with vs. without Systemic Lupus Erythematosus (SLE).
  
  Methods:
  
  Participants were 402 Black women (50% with validated diagnosis of SLE) living in Georgia between 2017 and 2020. Black women with SLE were recruited from a population-based cohort established in Atlanta, and Black women without SLE were recruited to be of comparable age and from the same geographic areas as SLE women. Financial hardship was measured using three different scales: financial adjustments, financial setbacks, and financial strain. Sleep was assessed continuously using the Pittsburgh Sleep Quality Index (PSQI) scale. Each dimension of financial hardship was analyzed separately in SLE-stratified multivariable linear regression models and adjusted by sociodemographic and health status factors.
  
  Results:
  
  Dimensions of financial hardship were similarly distributed across the two groups. Sleep quality was worse in Black women with, versus without, SLE (p<.001). Among Black women with SLE, financial adjustment was positively associated with a 0.40 unit increase in poor sleep quality (95% CI: 0.12, 0.67, p=0.005 ). When accounting for cognitive depressive symptoms, financial setbacks and strain were somewhat attenuated for Black women with SLE. Overall, no associations between financial hardships and sleep quality were observed for the women without SLE.
  
  Conclusions:
  
  Black women with SLE who experience financial hardships may be more at risk for poor sleep quality than Black women without SLE. Economic interventions targeting this population may help improve their overall health and quality of life.
  
  
• Subjects:
  [+]

  Adult Black Or African American Female Financial Stress Georgia Humans Lupus Erythematosus, Systemic Middle Aged Sleep Quality
• Keywords:
  [+]

  Black Women’s Health Chronic Stress Financial Stress Health Inequities Sleep Disparities Systemic Lupus Erythematosus
• Source:
  Psychosom Med. 86(4):315-323
• Pubmed ID:
  38724039
• Pubmed Central ID:
  PMC11090455
• Document Type:
  Journal Article
• Funding:
  R01 HL158141/HL/NHLBI NIH HHSUnited States/ ; K24 HL163696/HL/NHLBI NIH HHSUnited States/ ; T32 HL130025/HL/NHLBI NIH HHSUnited States/ ; U01 DP006488/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP005119/DP/NCCDPHP CDC HHSUnited States/ ; ... More +

  R01 HL158141/HL/NHLBI NIH HHSUnited States/ ; K24 HL163696/HL/NHLBI NIH HHSUnited States/ ; T32 HL130025/HL/NHLBI NIH HHSUnited States/ ; U01 DP006488/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP005119/DP/NCCDPHP CDC HHSUnited States/ ; R01 AR070898/AR/NIAMS NIH HHSUnited States/ Less -
• Volume:
  86
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  [+]

  urn:sha-512:d2b1424584e3b712382a0f2d2d917b9edde2364df63ca5291abd6141c58f88be99b2896f0c635b310098b0e41fb9bbde209f8c0b62e08b2b3f4617b13bdcbac1
• File Type:

• Supporting Files:
  No Additional Files