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. 2022 Nov 3;19(21):14367.
doi: 10.3390/ijerph192114367.

Socioeconomic Deprivation, Sleep Duration, and Mental Health during the First Year of the COVID-19 Pandemic

Affiliations

Socioeconomic Deprivation, Sleep Duration, and Mental Health during the First Year of the COVID-19 Pandemic

Stephanie Griggs et al. Int J Environ Res Public Health. .

Abstract

The coronavirus disease 2019 (COVID-19) has had a rapid and sustained negative impact on sleep and mental health in the United States with disproportionate morbidity and mortality among socioeconomically deprived populations. We used multivariable and logistic regression to evaluate the associations among sleep duration, mental health, and socioeconomic deprivation (social deprivation index) in 14,676 Ohio residents from 1101 zip code tabulation areas from the 2020 Behavioral Risk Factor Surveillance System (BRFSS) survey. Higher socioeconomic deprivation was associated with shorter sleep and poorer mental health after adjusting for covariates (age, sex, race, education, income, and body mass index) in the multivariable linear regression models. Those in the highest socioeconomically deprived areas had 1.6 and 1.5 times higher odds of short sleep (duration < 6 h) and poor mental health (>14 poor mental health days), respectively, in the logistic regression models. Previous researchers have focused on limited socio-environmental factors such as crowding and income. We examined the role of a composite area based measure of socioeconomic deprivation in sleep duration and mental health during the first year of COVID-19. Our results suggest the need for a broader framework to understand the associations among socioeconomic deprivation, sleep duration, and mental health during a catastrophic event.

Keywords: COVID-19; health outcomes; mental health; sleep duration; social deprivation index; socioeconomic deprivation.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Short sleep and poor mental health prevalence % by social deprivation index quartiles.

References

    1. Abedi V., Olulana O., Avula V., Chaudhary D., Khan A., Shahjouei S., Li J., Zand R. Racial, Economic, and Health Inequality and COVID-19 Infection in the United States. J. Racial Ethn. Health Disparities. 2021;8:732–742. doi: 10.1007/s40615-020-00833-4. - DOI - PMC - PubMed
    1. Bhowmik T., Tirtha S.D., Iraganaboina N.C., Eluru N. A comprehensive analysis of COVID-19 transmission and mortality rates at the county level in the United States considering socio-demographics, health indicators, mobility trends and health care infrastructure attributes. PLoS ONE. 2021;16:e0249133. doi: 10.1371/journal.pone.0249133. - DOI - PMC - PubMed
    1. Jalali A.M., Khoury S.G., See J., Gulsvig A.M., Peterson B.M., Gunasekera R.S., Buzi G., Wilson J., Galbadage T. Delayed interventions, low compliance, and health disparities amplified the early spread of COVID-19. medRxiv. 2020 doi: 10.1101/2020.07.31.20165654. - DOI
    1. Robertson L.S. Predictors of COVID-19-confirmed cases and fatalities in 883 US counties with a population of 50,000 or more: Estimated effect of initial prevention policies. J. Urban Health. 2021;98:205–210. doi: 10.1007/s11524-021-00514-5. - DOI - PMC - PubMed
    1. Butler D.C., Petterson S., Phillips R.L., Bazemore A.W. Measures of social deprivation that predict health care access and need within a rational area of primary care service delivery. Health Serv. Res. 2013;48:539–559. doi: 10.1111/j.1475-6773.2012.01449.x. - DOI - PMC - PubMed

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