Purpose: Lack of sleep is a harm that can lead to chronic diseases ranging from diabetes to heart disease. We examined the exposure to interpersonal violence and its association with sleep, following the COVID-19 stay-at-home order.
Design: Cross-sectional.
Setting: Surveys were completed online and via paper-and-pencil in English and Spanish (N = 2049; RR = 68.4%).
Subjects: Respondents were 18+ and residing in Chicago.
Measures: The Chicago Department of Public Health's "2022 Healthy Chicago Survey COVID-19 Social Impact Survey".
Analysis: We developed two weighted models. Model 1 examined the effects of neighborhood violence on meeting the national sleep recommendation. Model 2 examined the effects of violence in the home among friends or family on meeting the sleep recommendation, incorporating additional predictors: victimization, stress, gender, race/ethnicity, household income, and general health. Odds ratios were estimated using multivariate logistic regression.
Results: Exposure to neighborhood violence and sleep was not significant, but knowing a friend or family member who experienced violence or mistreatment in their home affected the odds of meeting the sleep recommendation (OR = .61, 95% CI = .44-.84). Non-Hispanic Blacks had 52% lower odds of meeting sleep recommendations (OR = .48, 95% CI = .37-.63).
Conclusion: Addressing the harms to sleep that followed COVID-19 should engage diverse stakeholders in implementing culturally responsive interventions to promote adequate sleep and prevent chronic disease.
Keywords: COVID-19; chronic disease; domestic violence; health status disparities; sleep.