English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Chronic pain is linked with sleep disturbances, which worsen pain experiences. The nature of the bi-directional relationship between sleep and chronic pain has not been explored at the population level, especially among racial/ethnic minorities, a group disproportionately burdened by chronic pain. To address this gap, we investigated the relationship between sleep and chronic pain experiences in the US population and conducted race-stratified analyses. Methods Data from the CDC National Health Interview Survey (NHIS) was used, from 2007-2016. Sleep duration was categorized as &amp;lt;=4hrs, 5-6hrs, 7-8hrs, 9hrs, or 10+hrs. N=298,698 provided data for analysis. Chronic pain outcomes included arthritis, joint pain, neck pain, back pain, jaw/face pain, and migraines/headaches. Covariates included age, sex, body mass index, and employment status. Race/ethnicity was included as a covariate and interaction term, categorized as Non-Hispanic White, Black/African-American, Mexican-American, Other Hispanic/Latino, Asian/Pacific-Islander, Indian/Subcontinent, American Indian/Alaskan Native, and Multiracial/Other. Weighted logistic regression analyses examined sleep as predictor and pain as outcome, adjusted for covariates. Post-hoc analyses examined sleep-by-race/ethnicity interactions. Results Prevalence in the population was 24.7%, 40.0%, 4.8%, 15.7%, 29.5%, and 15.0% for arthritis and joint, jaw/face, neck, back, and migraine/headache pain. In adjusted analyses compared to 7-8hrs, arthritis was more likely among &amp;lt;=4hrs (OR=2.6,p&amp;lt;0.0005), 5-6hrs (OR=1.5,p&amp;lt;0.0005), 9hrs (OR=1.1,p=0.002), and 10+hrs (OR=1.2,p&amp;lt;0.0005). Joint pain was also more likely among &amp;lt;=4hrs (OR=2.8,p&amp;lt;0.0005), 5-6hrs (OR=1.6,p&amp;lt;0.0005), 9hrs (OR=1.1,p=0.002), and 10+hrs (OR=1.2,p&amp;lt;0.0005). Jaw/face pain was also more likely among &amp;lt;=4hrs (OR=3.0,p&amp;lt;0.0005), 5-6hrs (OR=1.6,p&amp;lt;0.0005), 9hrs (OR=1.2,p=0.001), and 10+hrs (OR=1.4,p&amp;lt;0.0005). Neck pain was more likely among &amp;lt;=4hrs (OR=3.0,p&amp;lt;0.0005), 5-6hrs (OR=1.6,p&amp;lt;0.0005), and 10+hrs (OR=1.2,p&amp;lt;0.0005). Back pain was also more likely among &amp;lt;=4hrs (OR=3.1,p&amp;lt;0.0005), 5-6hrs (OR=1.7,p&amp;lt;0.0005), and 10+hrs (OR=1.3,p&amp;lt;0.0005). Migraines/headaches were also more likely among &amp;lt;=4hrs (OR=3.6,P&amp;lt;0.0005), 5-6hrs (OR=1.8,P&amp;lt;0.0005), and 10+hrs (OR=1.4,P&amp;lt;0.0005). Significant sleep-by-race/ethnicity interactions were seen for joint (p=0.002), jaw (p&amp;lt;0.0005), and neck (p=0.002) pain, but not back pain (p=0.08), migraines/headaches (p=0.28), or arthritis (p=0.45). Conclusion Habitual short and long sleep are associated with a wide range of chronic pain conditions. Bidirectional relationships should be explored as a public health priority. Race/ethnicity interactions suggest that the sleep/pain experience differs by group (reasons should be explored). Support (if any) R01MD011600, R01DA051321, K24AG055602, R01AG041783

171 Habitual Sleep Duration and Chronic Pain in the US Population Over A 10-Year Period: Implications for Sleep Health Disparities