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Table 2 Cross-sectional associations between income inequality and odds for obtaining inadequate (< 7 h of sleep) and very inadequate (< 5 h of sleep), among participants in the 2018 Behavioral Risk Factor Surveillance System (BRFSS)

From: Sleepless in inequality: findings from the 2018 behavioral risk factor surveillance system, a cross-sectional study

 

< 7 h of sleep

< 5 h of sleep

 

Crude Bivariate

Adjusted*

Adjusted + Interaction**

Crude Bivariate

Adjusted*

Adjusted + Interaction**

 

OR

95%CI

OR

95%CI

OR

95%CI

OR

95%CI

OR

95%CI

OR

95%CI

Intercept

0.56

(0.54, 0.58)

0.43

(0.36, 0.50)

0.43

(0.36, 0.50)

0.05

(0.04, 0.05)

0.03

(0.03, 0.04)

0.03

(0.03, 0.04)

State Characteristics

            

Gini (Z-Score)

1.06

(1.01, 1.11)

1.06

(1.00, 1.13)

1.05

(0.99, 1.12)

1.08

(0.99, 1.17)

1.11

(1.03, 1.20)

1.08

(0.99, 1.16)

State Median Income (Z-Score)

0.96

(0.91,1.01)

0.98

(0.93, 1.03)

0.98

(0.93, 1.03)

0.90

(0.84,0.97)

0.96

(0.88, 1.05)

0.96

(0.88, 1.05)

Population Size (Z-Score)

1.00

(0.98,1.01)

0.99

(0.96, 1.02)

0.99

(0.96, 1.02)

0.97

(0.93,1.01)

0.96

(0.92, 1.01)

0.96

(0.92, 1.01)

Proportion Black (Z-Score)

1.08

(1.05,1.11)

1.00

(0.96, 1.05)

1.00

(0.96, 1.05)

1.13

(1.07,1.20)

1.01

(0.95, 1.08)

1.01

(0.95, 1.08)

Proportion in Poverty (Z-Score)

1.05

(0.98,1.12)

0.99

(0.93, 1.05)

0.99

(0.93, 1.05)

1.09

(1.01,1.19)

0.96

(0.86, 1.08)

0.96

(0.86, 1.08)

Individual Characteristics

            

Gender (ref: male)

      

Female

0.95

(0.93,0.97)

0.94

(0.92, 0.96)

0.93

(0.91, 0.95)

0.95

(0.89,1.03)

0.91

(0.84, 0.98)

0.88

(0.82, 0.94)

Gini Z-Score

    

1.01

(0.99, 1.03)

    

1.07

(1.01, 1.13)

Age (ref: 18 to 24 years)

        

25 to 44 years

1.19

(1.13,1.26)

1.40

(1.31, 1.49)

1.40

(1.31, 1.49)

1.16

(1.05,1.27)

0.50

(1.35, 1.68)

1.50

(1.35, 1.68)

45 to 64 years

1.11

(1.06,1.16)

1.31

(1.22, 1.41)

1.31

(1.22,1.49)

1.20

(1.09,1.32)

1.58

(1.41, 1.78)

1.58

(1.41, 1.78)

65 years and older

0.68

(0.63,0.75)

0.78

(0.69, 0.87)

0.78

(0.69, 0.87)

0.79

(0.68,0.93)

0.91

(0.75, 1.10)

0.91

(0.75, 1.10)

Household Income (ref:: high)

        

Medium

1.15

(1.11,1.20)

1.08

(1.04, 1.13)

1.08

(1.04, 1.13)

1.53

(1.40,1.68)

1.33

(1.21, 1.46)

1.33

(1.21, 1.46)

Low

1.29

(1.20,1.38)

1.14

(1.07, 1.21)

1.14

(1.07,1.21)

2.85

(2.56,3.18)

2.10

(1.88, 2.34)

2.10

(1.88, 2.34)

Education (ref: no high school)

        

High school

1.06

(0.96,1.16)

1.07

(0.99, 1.15)

1.07

(0.99, 1.15)

0.70

(0.50,0.73)

0.77

(0.65, 0.92)

0.77

(0.65, 0.92)

Attended college

1.08

(0.96,1.21)

1.10

(1.00, 1.20)

1.10

(1.00, 1.20)

0.60

(0.50,0.73)

0.73

(0.62, 0.87)

0.73

(0.62, 0.87)

College Graduate

0.75

(0.66,0.86)

0.78

(0.70, 0.86)

0.78

(0.70, 0.86)

0.31

(0.24,0.38)

0.45

(0.37, 0.54)

0.45

(0.37, 0.54)

Race (ref: White, Non-Hispanic)

        

Black, Non-Hispanic

1.71

(1.60,1.82)

1.49

(1.39, 1.61)

1.49

(1.39, 1.61)

1.77

(1.63,1.92)

1.28

(1.17, 1.40)

1.28

(1.17, 1.40)

Asian, Non-Hispanic

1.27

(1.02,1.60)

1.32

(1.02, 1.69)

1.32

(1.02, 1.69)

1.17

(1.01,1.34)

1.31

(1.14, 1.52)

1.31

(1.14, 1.52)

American Indian/Alaskan Native, Non-Hispanic

1.53

(1.38,1.70)

1.35

(1.20, 1.51)

1.35

(1.20, 1.51)

2.37

(1.93,2.91)

1.67

(1.32, 2.12)

1.67

(1.32, 2.12)

Hispanic

1.08

(1.03,1.14)

0.92

(0.86, 0.98)

0.92

(0.86, 0.98)

1.24

(1.12,1.36)

0.80

(0.71, 0.90)

0.80

(0.71, 0.90)

Other race, Non-Hispanic

1.60

(1.49,1.72)

1.47

(1.36, 1.58)

1.46

(1.36, 1.58)

2.17

(1.98,2.38)

1.85

(1.65, 2.07)

1.85

(1.65, 2.07)

Marital status (ref: coupled)

        

Single

1.26

(1.23,1.29)

1.18

(1.14, 1.22)

1.18

(1.14, 1.22)

1.74

(1.65,1.83)

1.38

(1.28, 1.48)

1.38

(1.28, 1.48)

Setting (ref: Rural)

        

Urban

0.96

(0.90,1.02)

0.96

(0.89, 1.03)

0.96

(0.89, 1.03)

0.77

(0.67,0.87)

0.85

(0.74, 0.98)

0.85

(0.74, 0.98)

  1. * Model includes State-level (Gini Z-score, Median-Income, Population Size, Proportion Black, Population in Poverty) Individual-level (Gender, Age, Household Income, Education, Race, Marital Status, Setting)
  2. ** Model includes State-level (Gini Z-score, Median-Income, Population Size, Proportion Black, Population in Poverty) Individual-level (Gender, Age, Household Income, Education, Race, Marital Status, Setting) and Gini Coefficient X Gender Cross-level Interaction