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. 2021 Sep 2;11(9):e047834. doi: 10.1136/bmjopen-2020-047834

Table 5.

Fully adjusted prevalence ratios of sleep characteristics for Hispanic/Latino heritage groups of adults compared with foreign-born non-Hispanic White adults, National Health Interview Survey, 2004–2017 (N=56 372)

Group (n) Prevalence ratio (95% CI)
Sleep duration
(reference: recommended (7–9 hours))
Sleep quality in the past week
Very short (≤5 hours)
(n=4115)
Short
(<7 hours)
(n=14 048)
Long
(>9 hours)
(n=1586)
Trouble falling asleep
(≥3 nights)
(n=3431)
Trouble staying asleep
(≥3 nights)
(n=3520)
Non-restorative sleep
(≥3 days)
(n=7734)
Sleep medication use
(≥3 nights)
(n=1073)
Foreign-born non-Hispanic White adults
(n=8857)
Ref Ref Ref Ref Ref Ref Ref
Mexican adults
Overall
(n=30 100)
1.10
(0.96 to 1.26)
1.12
(1.05 to 1.18)
1.06
(0.86 to 1.31)
0.92
(0.81 to 1.05)
0.87
(0.78 to 0.97)
1.06
(0.99 to 1.14)
0.92
(0.73 to 1.14)
US-born (yes)
(n=14 282)
1.17
(1.02 to 1.34)
1.19
(1.12 to 1.26)
1.04
(0.84 to 1.29)
1.00
(0.87 to 1.14)
0.97
(0.86 to 1.10)
1.07
(0.99 to 1.15)
0.98
(0.78 to 1.23)
US-born (no)
(n=15 818)
0.89
(0.73 to 1.08)
0.98
(0.90 to 1.06)
1.05
(0.81 to 1.36)
0.78
(0.66 to 0.94)
0.72
(0.62 to 0.84)
1.02
(0.93 to 1.12)
0.68
(0.48 to 0.96)
Puerto Rican adults
Overall
(n=5077)
1.75
(1.51 to 2.02)
1.34
(1.25 to 1.44)
1.13
(0.88 to 1.44)
1.19
(1.03 to 1.39)
1.14
(0.99 to 1.31)
1.06
(0.96 to 1.16)
1.33
(1.07 to 1.64)
US-born (yes)
(n=2544)
1.85
(1.54 to 2.22)
1.39
(1.27 to 1.51)
1.33
(0.95 to 1.85)
1.20
(0.99 to 1.46)
1.22
(1.02 to 1.46)
1.06
(0.95 to 1.18)
1.32
(1.01 to 1.73)
US-born (no)
(n=2533)
1.58
(1.32 to 1.90)
1.27
(1.16 to 1.39)
1.02
(0.77 to 1.35)
1.22
(1.01 to 1.46)
1.09
(0.91 to 1.30)
1.06
(0.94 to 1.20)
1.41
(1.09 to 1.83)
Cuban adults
Overall
(n=2518)
0.97
(0.76 to 1.22)
0.98
(0.88 to 1.10)
0.69
(0.49 to 0.97)
0.92
(0.70 to 1.20)
0.93
(0.76 to 1.15)
1.03
(0.90 to 1.18)
1.09
(0.77 to 1.55)
US-born (yes)
(n=559)
1.03
(0.69 to 1.53)
1.15
(0.96 to 1.37)
0.83
(0.39 to 1.75)
1.14
(0.79 to 1.65)
1.17
(0.84 to 1.65)
1.05
(0.85 to 1.29)
1.63
(0.91 to 2.93)
US-born (no)
(n=1959)
0.94
(0.72 to 1.22)
0.92
(0.81 to 1.05)
0.66
(0.46 to 0.94)
0.82
(0.59 to 1.14)
0.85
(0.65 to 1.10)
1.04
(0.89 to 1.21)
0.96
(0.63 to 1.45)
Dominican adults
Overall
(n=1658)
1.12
(0.89 to 1.43)
1.02
(0.90 to 1.16)
0.91
(0.57 to 1.45)
0.88
(0.68 to 1.13)
0.94
(0.72 to 1.23)
1.00
(0.87 to 1.15)
1.03
(0.67 to 1.59)
US-born (yes)
(n=264)
1.40
(0.82 to 2.41)
1.24
(0.97 to 1.60)
1.80
(0.68 to 4.79)
0.82
(0.51 to 1.31)
1.25
(0.81 to 1.93)
1.01
(0.78 to 1.32)
0.97
(0.42 to 2.20)
US-born (no)
(n=1394)
1.06
(0.84 to 1.34)
0.96
(0.84 to 1.10)
0.73
(0.45 to 1.20)
0.88
(0.68 to 1.16)
0.87
(0.65 to 1.18)
0.99
(0.84 to 1.18)
1.02
(0.64 to 1.63)
Central/South American adults
Overall
(n=8162)
1.00
(0.86 to 1.17)
1.10
(1.02 to 1.17)
0.76
(0.57 to 1.02)
0.94
(0.78 to 1.13)
0.89
(0.76 to 1.04)
1.02
(0.95 to 1.11)
0.69
(0.51 to 0.91)
US-born (yes)
(n=1113)
1.42
(1.06 to 1.92)
1.30
(1.13 to 1.49)
1.02
(0.59 to 1.75)
1.27
(0.96 to 1.67)
1.14
(0.86 to 1.52)
1.08
(0.94 to 1.25)
0.95
(0.56 to 1.62)
US-born (no)
(n=7049)
0.92
(0.78 to 1.08)
1.05
(0.98 to 1.13)
0.77
(0.56 to 1.05)
0.84
(0.69 to 1.02)
0.84
(0.72 to 0.99)
1.00
(0.92 to 1.09)
0.64
(0.47 to 0.88)

Adjusted for age (18–30, 31–49, 50–64, 65+ years), sex/gender (male, female), annual household income (<$35 000, $35 000–$74 999, $75 000+), educational attainment (<high school, high school graduate, some college, ≥college), unemployed/not in the labour force (yes, no), occupational class (professional/management, support services, labourers), marital/cohabitating status (married/cohabitating, divorced/widowed, single), region of residence (Northeast, Midwest, South, West), alcohol consumption (never, former, current), serious psychological distress (Kessler-6 Psychological Distress Scale score ≥13), ‘ideal’ cardiovascular health (never smoking/quit >12 months prior to interview, BMI <25 kg/m2, meeting physical activity guidelines, and no prior diagnosis of dyslipidaemia, hypertension, or diabetes/pre-diabetes), and cancer.

All estimates are weighted for the survey’s complex sampling design. Very short and short sleep are non-mutually exclusive sleep duration categories. Trouble falling asleep, trouble staying asleep, sleep medication use and non-restorative sleep were measured during the survey years 2013–2017.

Bold values indicate statistical significance at a two-sided p-value of 0.05.

BMI, body mass index; Ref, reference.