Publications by Author: Beverly, Chloe

2018
Buxton OM, Soomi L, Miguel M, Beverly C, Almeida DM, Berkman LF. Sleep health and predicted cardiometabolic risk scores in employed adults from two industries. J Clin Sleep Med [Internet]. 2018;14 (3) :371–383. Publisher's VersionAbstract

Study Objectives: Sleep disorders and sleep deficiency can increase the risk for cardiovascular disease. Less is known about whether multiple positive attributes of sleep health known as the SATED (satisfaction, alertness, timing, efficiency, and duration) model, can decrease future cardiovascular disease risks. We examined whether and how a variety of indicators of sleep health predicted 10-year estimated cardiometabolic risk scores (CRS) among employed adults.

Methods: Workers in two industries—extended care (n = 1,275) and information technology (IT; n = 577)—reported on habitual sleep apnea symptoms and sleep sufficiency, and provided 1 week of actigraphy data including nighttime sleep duration, wake after sleep onset (WASO), sleep timing, and daytime napping. Workers also provided biomarkers to calculate future cardiometabolic risk.

Results: More sleep apnea symptoms predicted higher CRS in both industries. More sleep sufficiency, less WASO, and less daytime napping (having no naps, fewer naps, and shorter nap duration) were also linked to lower CRS, but only in the extended care workers. There was no effect of sleep duration in both industries. In the IT employee sample, shorter sleep duration (≤ 6 hours versus 6–8 hours) and more naps strengthened the link between sleep apnea and CRS.

Conclusions: Sleep health, measured by both subjective and objective methods, was associated with lower cardiometabolic disease risks among extended care workers (lower to middle wage workers). Sleep apnea was an important predictor of CRS; for the IT workers, the link between sleep apnea and CRS was exacerbated when they had poorer sleep health behaviors.

2016
Buxton OM, Lee S, Beverly C, Berkman LF, Moen P, Kelly EL, Hammer LB, Almeida DM. Work-Family Conflict and Employee Sleep: Evidence from IT Workers in the Work, Family and Health Study. Sleep. 2016.Abstract
STUDY OBJECTIVES: Work-family conflict is a threat to healthy sleep behaviors among employees. This study aimed to examine how Work-to-Family Conflict (demands from work that interfere with one's family/ personal life; WTFC) and Family-to-Work Conflict (demands from family/ personal life that interfere with work; FTWC) are associated with several dimensions of sleep among information technology workers. METHODS: Employees at a U.S. IT firm (N=799) provided self-reports of sleep sufficiency (feeling rested upon waking), sleep quality, and sleep maintenance insomnia symptoms (waking up in the middle of the night or early morning) in the last month. They also provided a week of actigraphy for nighttime sleep duration, napping, sleep timing, and a novel sleep inconsistency measure. Analyses adjusted for work conditions (job demands, decision authority, schedule control, and family-supportive supervisor behavior), and household and sociodemographic characteristics. RESULTS: Employees who experienced higher WTFC reported less sleep sufficiency, poorer sleep quality, and more insomnia symptoms. Higher WTFC also predicted shorter nighttime sleep duration, greater likelihood of napping, and longer nap duration. Furthermore, higher WTFC was linked to greater inconsistency of nighttime sleep duration and sleep clock times, whereas higher FTWC was associated with more rigidity of sleep timing mostly driven by wake time. CONCLUSION: Results highlight the unique associations of WTFC/ FTWC with employee sleep independent of other work conditions and household and sociodemographic characteristics. Our novel methodological approach demonstrates differential associations of WTFC and FTWC with inconsistency of sleep timing. Given the strong associations between WTFC and poor sleep, future research should focus on reducing WTFC.