To investigate the sociodemographic, health behavior, and psychosocial associations of sleep outcomes among rural Appalachian adults.
Key Findings:
64.9% of participants had clinically significant insomnia.
51.3% had elevated OSA risk.
44.8% reported insufficient sleep.
Insomnia prevalence showed a socioeconomic gradient, declining from 82.9% among low earners to 44.4% among high earners.
Significant associations found between sleep outcomes and factors like sex, employment status, health behaviors, and social support.
Interpretation:
Rural Appalachian adults experience disproportionately high rates of sleep deficiencies, influenced by social determinants such as income and health behaviors.
