Association between sleep hygiene practices scale and sleep quality in Black and Latinx patients with uncontrolled type 2 diabetes

Alana Biggers; Isaye Barton; Julia Henkins; Hajwa Kim; Rose Perez; Jason Ong; Lisa K Sharp; Ben S Gerber

doi:10.1016/j.sleepx.2023.100066

Association between sleep hygiene practices scale and sleep quality in Black and Latinx patients with uncontrolled type 2 diabetes

Sleep Med X. 2023 Mar 2:5:100066. doi: 10.1016/j.sleepx.2023.100066. eCollection 2023 Dec.

Authors

Alana Biggers¹, Isaye Barton², Julia Henkins³, Hajwa Kim⁴, Rose Perez⁵, Jason Ong⁶, Lisa K Sharp⁵, Ben S Gerber⁷

Affiliations

¹ University of Illinois at Chicago College of Medicine, 1747 West Roosevelt Road, Chicago, IL, 60608, USA.
² University of Washington, Department of Medicine - Division of Metabolism, Endocrinology and Nutrition, 1959 NE Pacific St. Box 356426, Seattle, Washington, 98195, USA.
³ University of Illinois Hospital and Health Sciences System, UIC Medical Center, Patient Accounts, 809 S. Marshfield Avenue, Chicago, IL, 60612, USA.
⁴ Center for Clinical and Translational Science, University of Illinois at Chicago, Chicago, IL, 60612, USA.
⁵ University of Illinois at Chicago College of Nursing, 845 South Damen St, Chicago, IL, 60612, USA.
⁶ Nox Health, Inc., 100 Kimball Place, Suite 100, Alpharetta, GA, 30009, USA.
⁷ UMass Chan Medical School, 368 Plantation Street, Worcester, MA, 01605, USA.

Abstract

Objective: We explored the relationship between the Sleep Hygiene Practices Scale (SHPS) and sleep quality and sleep-related impairment in Black and Latinx adults with type 2 diabetes (T2DM).

Methods: Forty Black and Latinx adults with T2DM participated. Self-reported measures include the Pittsburg Sleep Quality Index (PSQI), Patient Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance (SD) and Sleep-Related Impairment (SRI) measures, and SHPS (domains include sleep schedule and timing, arousal-related behaviors, poor eating/drinking habits prior to sleep, and poor sleep environment).

Results: SHPS Cronbach's alpha coefficients were 0.58 (schedule), 0.78 (arousal), 0.29 (eating), 0.81 (environment) and 0.88 (overall for four domains). SHPS scores correlated with PSQI (Pearson correlation r = 0.67, 95% CI [0.44, 0.81], PROMIS-SD (r = 0.61 [0.36-0.77]), and PROMIS-SRI (r = 0.43, [0.13-0.65]). There remained a significant relationship between sleep hygiene and both sleep quality and sleep-related impairment adjusting for hemoglobin A1c, age, and body mass index in regression models.

Conclusions: We observed moderate correlations between sleep quality and sleep-related impairment with sleep hygiene using the SHPS in Black and Latinx adults with T2DM.

Keywords: Black/African Americans; Latinx; Sleep hygiene; Sleep quality; Type 2 diabetes.

Grants and funding

K01 HL149775/HL/NHLBI NIH HHS/United States