Financial Hardship and Sleep Quality Among Black American Women With and Without Systemic Lupus Erythematosus

Khadijah Abdallah; Shivika Udaipuria; Raphiel Murden; Izraelle I. McKinnon; Christy L. Erving; Nicole Fields; Reneé Moore; Bianca Booker; Taylor Burey; Charmayne Dunlop-Thomas; Cristina Drenkard; Dayna A. Johnson; Viola Vaccarino; S. Sam Lim; Tené T. Lewis

doi:10.1097/PSY.0000000000001296

Financial Hardship and Sleep Quality Among Black American Women With and Without Systemic Lupus Erythematosus

Khadijah Abdallah, Shivika Udaipuria, Raphiel Murden, Izraelle I. McKinnon, Christy L. Erving, Nicole Fields, Reneé Moore, Bianca Booker, Taylor Burey, Charmayne Dunlop-Thomas, Cristina Drenkard, Dayna A. Johnson, Viola Vaccarino, S. Sam Lim, Tené T. Lewis^*

^*Corresponding author for this work

Preventive Medicine

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Objective To compare dimensions of financial hardship and self-reported sleep quality among Black women with versus 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 =.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.

Original language	English (US)
Pages (from-to)	315-323
Number of pages	9
Journal	Psychosomatic medicine
Volume	86
Issue number	4
DOIs	https://doi.org/10.1097/PSY.0000000000001296
State	Published - May 1 2024

Funding

Source of Funding and Conflicts of Interest: The authors report no conflicts of interest. Funding for this manuscript was provided by the National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, with grant number R01AR070898. Khadijah Abdallah and Nicole Fields received additional support from T32 HL130025; Ten\u00E9 T. Lewis received additional support from K24HL163696, and Raphiel Murden received support from R01HL158141. Data collection for the GOAL study was funded under the following cooperative agreements: Georgia Lupus Registry: DP08806. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Keywords

Black women's health
chronic stress
financial stress
health inequities
sleep disparities
systemic lupus erythematosus

ASJC Scopus subject areas

Applied Psychology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1097/PSY.0000000000001296

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Abdallah, K., Udaipuria, S., Murden, R., McKinnon, I. I., Erving, C. L., Fields, N., Moore, R., Booker, B., Burey, T., Dunlop-Thomas, C., Drenkard, C., Johnson, D. A., Vaccarino, V., Lim, S. S., & Lewis, T. T. (2024). Financial Hardship and Sleep Quality Among Black American Women With and Without Systemic Lupus Erythematosus. Psychosomatic medicine, 86(4), 315-323. https://doi.org/10.1097/PSY.0000000000001296

@article{6da0280762da4572a7218ffb36c895a4,

title = "Financial Hardship and Sleep Quality Among Black American Women With and Without Systemic Lupus Erythematosus",

abstract = "Objective To compare dimensions of financial hardship and self-reported sleep quality among Black women with versus 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 =.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.",

keywords = "Black women's health, chronic stress, financial stress, health inequities, sleep disparities, systemic lupus erythematosus",

author = "Khadijah Abdallah and Shivika Udaipuria and Raphiel Murden and McKinnon, {Izraelle I.} and Erving, {Christy L.} and Nicole Fields and Rene{\'e} Moore and Bianca Booker and Taylor Burey and Charmayne Dunlop-Thomas and Cristina Drenkard and Johnson, {Dayna A.} and Viola Vaccarino and Lim, {S. Sam} and Lewis, {Ten{\'e} T.}",

note = "Publisher Copyright: {\textcopyright} Lippincott Williams & Wilkins.",

year = "2024",

month = may,

day = "1",

doi = "10.1097/PSY.0000000000001296",

language = "English (US)",

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pages = "315--323",

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Abdallah, K, Udaipuria, S, Murden, R, McKinnon, II, Erving, CL, Fields, N, Moore, R, Booker, B, Burey, T, Dunlop-Thomas, C, Drenkard, C, Johnson, DA, Vaccarino, V, Lim, SS & Lewis, TT 2024, 'Financial Hardship and Sleep Quality Among Black American Women With and Without Systemic Lupus Erythematosus', Psychosomatic medicine, vol. 86, no. 4, pp. 315-323. https://doi.org/10.1097/PSY.0000000000001296

TY - JOUR

T1 - Financial Hardship and Sleep Quality Among Black American Women With and Without Systemic Lupus Erythematosus

AU - Abdallah, Khadijah

AU - Udaipuria, Shivika

AU - Murden, Raphiel

AU - McKinnon, Izraelle I.

AU - Erving, Christy L.

AU - Fields, Nicole

AU - Moore, Reneé

AU - Booker, Bianca

AU - Burey, Taylor

AU - Dunlop-Thomas, Charmayne

AU - Drenkard, Cristina

AU - Johnson, Dayna A.

AU - Vaccarino, Viola

AU - Lim, S. Sam

AU - Lewis, Tené T.

PY - 2024/5/1

Y1 - 2024/5/1

N2 - Objective To compare dimensions of financial hardship and self-reported sleep quality among Black women with versus 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 =.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.

AB - Objective To compare dimensions of financial hardship and self-reported sleep quality among Black women with versus 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 =.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.

KW - Black women's health

KW - chronic stress

KW - financial stress

KW - health inequities

KW - sleep disparities

KW - systemic lupus erythematosus

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SN - 0033-3174

VL - 86

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JO - Psychosomatic medicine

JF - Psychosomatic medicine

IS - 4

ER -

Financial Hardship and Sleep Quality Among Black American Women With and Without Systemic Lupus Erythematosus

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Keywords

ASJC Scopus subject areas

UN SDGs

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