TY - JOUR
T1 - Associations of cumulative violence and structural vulnerability with restless sleep among female sex workers in Baltimore, Maryland
AU - Urquhart, Glenna J.
AU - Sisson, Laura N.
AU - Spira, Adam P.
AU - Rojo-Wissar, Darlynn M.
AU - Park, Ju Nyeong
AU - White, Rebecca Hamilton
AU - Sherman, Susan G.
N1 - Funding Information:
This work was supported by the National Institute on Drug Abuse (R01DA038499-01). During the study period, Laura Sisson was supported on a NIMH T32 training grant (T32MH122357; PI: Stuart). Darlynn M. Rojo-Wissar is supported by the National Institute of Mental Health's Psychiatric Epidemiology Training Program (5T32MH014592-39; PI: Zandi, Peter). Drs. Park and Sherman were supported in part by the Johns Hopkins University Center for AIDS Research (P30AI094189). The funders had no role in the study design, data collection, or in analysis and interpretation of the results, and this article does not necessarily reflect the views or opinions of the funders.
Publisher Copyright:
© 2020 National Sleep Foundation
PY - 2021/2
Y1 - 2021/2
N2 - Objective: To investigate correlates of restless sleep among street-based female sex workers (FSW) in the United States, an understudied population experiencing high rates of structural vulnerabilities (e.g., homelessness, food insecurity) and trauma. Methods: Using data from a cohort of street-based cisgender FSW (n = 236; median age = 35 years, 68% non-Hispanic White), we examined cross-sectional associations of individual, interpersonal, and structural factors with frequent restless sleep over the past week (5-7 vs. <5 days). Results: Participants reported a high prevalence of homelessness (62%), food insecurity (61%), daily heroin injection (53%), lifetime sexual or physical violence (81%), and frequent restless sleep (53%). Older age, food insecurity, poor self-rated health, and cumulative violence exposure were independently associated with frequent restless sleep. Conclusion: Frequent restless sleep was prevalent among FSW with higher odds among those experiencing intersecting vulnerabilities and multiple exposures to violence. Further research on sleep health in this population is needed to understand its role in health risks.
AB - Objective: To investigate correlates of restless sleep among street-based female sex workers (FSW) in the United States, an understudied population experiencing high rates of structural vulnerabilities (e.g., homelessness, food insecurity) and trauma. Methods: Using data from a cohort of street-based cisgender FSW (n = 236; median age = 35 years, 68% non-Hispanic White), we examined cross-sectional associations of individual, interpersonal, and structural factors with frequent restless sleep over the past week (5-7 vs. <5 days). Results: Participants reported a high prevalence of homelessness (62%), food insecurity (61%), daily heroin injection (53%), lifetime sexual or physical violence (81%), and frequent restless sleep (53%). Older age, food insecurity, poor self-rated health, and cumulative violence exposure were independently associated with frequent restless sleep. Conclusion: Frequent restless sleep was prevalent among FSW with higher odds among those experiencing intersecting vulnerabilities and multiple exposures to violence. Further research on sleep health in this population is needed to understand its role in health risks.
KW - Restless sleep
KW - Street-based female sex workers
KW - Structural vulnerability
KW - Trauma
KW - Violence
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U2 - 10.1016/j.sleh.2020.10.004
DO - 10.1016/j.sleh.2020.10.004
M3 - Article
C2 - 33221254
AN - SCOPUS:85096443791
SN - 2352-7218
VL - 7
SP - 10
EP - 13
JO - Sleep Health
JF - Sleep Health
IS - 1
ER -