Quantitative Exposure Metrics for Sleep Disturbance and Their Association With Breast Cancer Risk

Purpose It has been acknowledged by those in the field of sleep epidemiology that the current measures of sleep used in many epidemiological studies do not adequately capture the complexity and variability of sleep. A number of ways to improve the measurement of sleep have been proposed. This study...

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Main Authors: Girschik, J., Fritschi, Lin, Erren, T., Heyworth, J.
Format: Journal Article
Published: Kluwer Academic Publishers 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/5914
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author Girschik, J.
Fritschi, Lin
Erren, T.
Heyworth, J.
author_facet Girschik, J.
Fritschi, Lin
Erren, T.
Heyworth, J.
author_sort Girschik, J.
building Curtin Institutional Repository
collection Online Access
description Purpose It has been acknowledged by those in the field of sleep epidemiology that the current measures of sleep used in many epidemiological studies do not adequately capture the complexity and variability of sleep. A number of ways to improve the measurement of sleep have been proposed. This study aimed to assess the relationship between novel ‘sleep disturbance’ metrics, as expanded measures of sleep, and breast cancer risk.Methods Data for this study were derived from a population-based case–control study conducted in Western Australia between 2009 and 2011. Participants completed a self-administered questionnaire that included questions about demographic, reproductive, and lifestyle factors in addition to questions on sleep. Four metrics of exposure to sleep disturbance (cumulative, average, duration, and peak)were developed. Unconditional logistic regression was used to examine the association between metrics of sleep disturbance and breast cancer risk.Results There was no evidence to support an association between any of the sleep disturbance metrics and breast cancer risk. Compared with the reference group of unexposed women, the fully adjusted ORs for cumulative sleep disturbance (harm) metric were as follows: 1st tertile 0.90 (95 % CI: 0.72–1.13); OR for the 2nd tertile 1.04 (95 % CI: 0.84–1.29); and OR for the 3rd tertile 1.02 (95 % CI:0.82–1.27).Conclusions This study found no association between several metrics of sleep disturbance and risk of breast cancer. Our experience with developing metrics of sleep disturbance may be of use to others in sleep epidemiology wishing to expand their scope of sleep measurement.
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spelling curtin-20.500.11937-59142017-02-28T01:30:23Z Quantitative Exposure Metrics for Sleep Disturbance and Their Association With Breast Cancer Risk Girschik, J. Fritschi, Lin Erren, T. Heyworth, J. Epidemiology Sleep Exposure metrics Breast cancer Case–control Purpose It has been acknowledged by those in the field of sleep epidemiology that the current measures of sleep used in many epidemiological studies do not adequately capture the complexity and variability of sleep. A number of ways to improve the measurement of sleep have been proposed. This study aimed to assess the relationship between novel ‘sleep disturbance’ metrics, as expanded measures of sleep, and breast cancer risk.Methods Data for this study were derived from a population-based case–control study conducted in Western Australia between 2009 and 2011. Participants completed a self-administered questionnaire that included questions about demographic, reproductive, and lifestyle factors in addition to questions on sleep. Four metrics of exposure to sleep disturbance (cumulative, average, duration, and peak)were developed. Unconditional logistic regression was used to examine the association between metrics of sleep disturbance and breast cancer risk.Results There was no evidence to support an association between any of the sleep disturbance metrics and breast cancer risk. Compared with the reference group of unexposed women, the fully adjusted ORs for cumulative sleep disturbance (harm) metric were as follows: 1st tertile 0.90 (95 % CI: 0.72–1.13); OR for the 2nd tertile 1.04 (95 % CI: 0.84–1.29); and OR for the 3rd tertile 1.02 (95 % CI:0.82–1.27).Conclusions This study found no association between several metrics of sleep disturbance and risk of breast cancer. Our experience with developing metrics of sleep disturbance may be of use to others in sleep epidemiology wishing to expand their scope of sleep measurement. 2013 Journal Article http://hdl.handle.net/20.500.11937/5914 Kluwer Academic Publishers restricted
spellingShingle Epidemiology
Sleep
Exposure metrics
Breast cancer
Case–control
Girschik, J.
Fritschi, Lin
Erren, T.
Heyworth, J.
Quantitative Exposure Metrics for Sleep Disturbance and Their Association With Breast Cancer Risk
title Quantitative Exposure Metrics for Sleep Disturbance and Their Association With Breast Cancer Risk
title_full Quantitative Exposure Metrics for Sleep Disturbance and Their Association With Breast Cancer Risk
title_fullStr Quantitative Exposure Metrics for Sleep Disturbance and Their Association With Breast Cancer Risk
title_full_unstemmed Quantitative Exposure Metrics for Sleep Disturbance and Their Association With Breast Cancer Risk
title_short Quantitative Exposure Metrics for Sleep Disturbance and Their Association With Breast Cancer Risk
title_sort quantitative exposure metrics for sleep disturbance and their association with breast cancer risk
topic Epidemiology
Sleep
Exposure metrics
Breast cancer
Case–control
url http://hdl.handle.net/20.500.11937/5914