Race/ethnicity, sleep duration, and diabetes mellitus: analysis of the National Health Interview Survey
Open accessAbstract
Background The effect of race/ethnicity on the risk of diabetes associated with sleep duration has not been systematically investigated. This study assessed whether blacks reporting short (<6 hours) or long (>8 hours) sleep durations were at greater risk for diabetes than their white counterparts. In addition, this study also examined whether the influence of race/ethnicity on associations between abnormal sleep durations and the presence of diabetes were independent of individuals' sociodemographic and medical characteristics.Methods A total of 29,818 Americans (age range: 18-85 years) enrolled in the 2005 National Health Interview Survey, a cross-sectional household interview survey, provided complete data for this analysis.Results Of the sample, 85% self-ascribed their ethnicity as white and 15% as black. The average age was 47.4 years, and 56% were female. Results of univariate regression analysis adjusting for medical comorbidities showed that black and white participants who reported short sleep duration (<6 hours) were more likely to have diabetes than individuals who reported sleeping 6 to 8 hours (odds ratios 1.66 and 1.87, respectively). Likewise, black and white participants reporting long sleep duration (>8 hours) had a greater likelihood of reporting diabetes compared with those sleeping 6 to 8 hours (odds ratios 1.68 and 2.33, respectively). Significant interactions of short and long sleep with black and white race were observed. Compared with white participants, greater diabetes risk was associated with being short or long sleepers of black race.Conclusion The present findings suggest that American short and long sleepers of black race may be at greater risk for diabetes independently of their sociodemographic profile or the presence of comorbid medical conditions, which have been shown to influence habitual sleep durations. Among black individuals at risk for diabetes, healthcare providers should stress the need for adequate sleep.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Self-reported short and long sleep duration have been associated with diabetes.
“diabetes[4, 11, 12]”
From Habitual sleep duration associated with self-reported and objectively determined cardiometabolic risk factors (2014) · cites this paper as [11]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Screening for serious mental illness in the general population
Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., Howes, M. J., Normand, S.-L. T., Manderscheid, R. W., Walters, E. E., et al. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.2.184 · Cited by 5,692 · see citing works
Basevi, V., Mario, S. D., Morciano, C., Nonino, F., & Magrini, N. (2011) · Diabetes Care · doi:10.2337/dc11-0174 · Cited by 3,058 · see citing works
Standards of medical care in diabetes—2011
American Diabetes Association (2011) · Diabetes Care · doi:10.2337/dc11-s011 · Cited by 2,880 · see citing works
Harris, M. I., Flegal, K. M., Cowie, C. C., Eberhardt, M. S., Goldstein, D. E., Little, R. R., Wiedmeyer, H.-M., & Byrd-Holt, D. D. (1998) · Diabetes Care · doi:10.2337/diacare.21.4.518 · Cited by 2,703 · see citing works
Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies
Cappuccio, F. P., D'Elia, L., Strazzullo, P., & Miller, M. A. (2010) · Sleep · doi:10.1093/sleep/33.5.585 · Cited by 2,224 · see citing works
National Health and Nutrition Examination Survey
Rothwell, C. J. (2009) · Springer eBooks · doi:10.1007/978-0-387-78665-0_6177 · Cited by 2,087 · see citing works
Quantity and Quality of Sleep and Incidence of Type 2 Diabetes
Cappuccio, F. P., D'Elia, L., Strazzullo, P., & Miller, M. A. (2010) · Diabetes Care · doi:10.2337/dc09-1124 · Cited by 1,670 · see citing works
Mortality Associated With Sleep Duration and Insomnia
Kripke, D. F., Garfinkel, L., Wingard, D. L., Klauber, M. R., & Marler, M. R. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.2.131 · Cited by 1,614 · see citing works
Kessler, R. C., Green, J. G., Gruber, M. J., Sampson, N. A., Bromet, E., Cuitan, M., Furukawa, T. A., Gureje, O., Hinkov, H., Hu, C., et al. (2010) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.310 · Cited by 1,434 · see citing works
Association of sleep time with diabetes mellitus and impaired glucose tolerance
Gottlieb, D. J., Punjabi, N. M., Newman, A. B., Resnick, H. E., Redline, S., Baldwin, C. M., & Nieto, F. J. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.8.863 · Cited by 927 · see citing works
A prospective study of self-reported sleep duration and incident diabetes in women
Ayas, N. T., White, D. P., Al-Delaimy, W. K., Manson, J. E., Stampfer, M. J., Speizer, F. E., Patel, S., & Hu, F. B. (2003) · Diabetes Care · doi:10.2337/diacare.26.2.380 · Cited by 883 · see citing works
Effects of poor and short sleep on glucose metabolism and obesity risk
Spiegel, K., Tasali, E., Leproult, R., & Van Cauter, E. (2009) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2009.23 · Cited by 857 · see citing works
Sleep duration as a risk factor for the development of type 2 diabetes
Yaggi, H. K., Araujo, A. B., & McKinlay, J. B. (2006) · Diabetes Care · doi:10.2337/diacare.29.03.06.dc05-0879 · Cited by 790 · see citing works
Design and estimation for the National Health Interview Survey, 1995-2004
Botman, S., & Moriarity, C. L. (2000) · Cited by 785 · see citing works
Role of Sleep Duration and Quality in the Risk and Severity of Type 2 Diabetes Mellitus
Knutson, K. L. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.16.1768 · Cited by 641 · see citing works
Racial Differences in Sleep-Disordered Breathing in African-Americans and Caucasians
Redline, S., Tishler, P. V., Hans, M. G., Tosteson, T. D., Strohl, K. P., & Spry, K. (1997) · American journal of respiratory and critical care medicine · doi:10.1164/ajrccm.155.1.9001310 · Cited by 605 · see citing works
Objectively Measured Sleep Characteristics among Early-Middle-Aged Adults
Lauderdale, D. S., Knutson, K. L., Yan, L. L., Rathouz, P. J., Hulley, S. B., Sidney, S., & Liu, K. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj199 · Cited by 581 · see citing works
Sleep Duration as a Risk Factor for Diabetes Incidence in a Large US Sample
Gangwisch, J. E., Heymsfield, S. B., Boden-Albala, B., Buijs, R. M., Kreier, F., Pickering, T. G., Rundle, A. G., Zammit, G. K., & Malaspina, D. (2007) · Sleep · doi:10.1093/sleep/30.12.1667 · Cited by 573 · see citing works
Racial and ethnic differences in cardiovascular disease risk factors: a systematic review.
Kurian, A. K., & Cardarelli, K. (2007) · PubMed · doi:10.13016/rsqw-ztls · Cited by 557 · see citing works
Racial differences in self-reports of sleep duration in a population-based study
Hale, L., & Do, D. P. (2007) · SLEEP · doi:10.1093/sleep/30.9.1096 · Cited by 523 · see citing works
Health, United States, 2010; with special feature on death and dying
Bernstein, A. B., Bilheimer, L. T., & Makuc, D. M. (2011) · Cited by 498 · see citing works
The importance of assessing the fit of logistic regression models: a case study.
Hosmer, D. W., Taber, S., & Lemeshow, S. (1991) · American Journal of Public Health · doi:10.2105/ajph.81.12.1630 · Cited by 496 · see citing works
Prevalence of Symptoms and Risk of Sleep Apnea in the US Population
Hiestand, D. M., Britz, P., Goldman, M., & Phillips, B. A. (2006) · CHEST Journal · doi:10.1378/chest.130.3.780 · Cited by 450 · see citing works
Stamatakis, K. A., Kaplan, G. A., & Roberts, R. E. (2007) · Annals of Epidemiology · doi:10.1016/j.annepidem.2007.07.096 · Cited by 377 · see citing works
Design and estimation for the National Health Interview Survey, 1995-2004.
Parsons, V. L., Moriarity, C. L., Jonas, K., Moore, T. F., Davis, K. E., & Tompkins, L. (2000) · PubMed · Cited by 347 · see citing works
Sleep Duration as a Risk Factor for Incident Type 2 Diabetes in a Multiethnic Cohort
Beihl, D. A., Liese, A. D., & Haffner, S. M. (2009) · Annals of Epidemiology · doi:10.1016/j.annepidem.2008.12.001 · Cited by 219 · see citing works
Socioeconomic and Ethnic Disparities in Cardiovascular Risk In the United States, 2001–2006
Karlamangla, A. S., Merkin, S. S., Crimmins, E. M., & Seeman, T. E. (2010) · Annals of Epidemiology · doi:10.1016/j.annepidem.2010.05.003 · Cited by 204 · see citing works
Insulin resistance after oral glucose tolerance testing in patients with major depression
Winokur, A., Maislin, G., Phillips, J. L., & Amsterdam, J. D. (1988) · American Journal of Psychiatry · doi:10.1176/ajp.145.3.325 · Cited by 203 · see citing works
Jean-Louis, G., Kripke, D. F., Ancoli-Israel, S., Klauber, M. R., & Sepulveda, R. S. (2000) · Biological Psychiatry · doi:10.1016/s0006-3223(99)00169-9 · Cited by 202 · see citing works
Self-citationAdaptation of the 24-h growth hormone profile to a state of sleep debt
Spiegel, K., Leproult, R., Colecchia, E. F., L'Hermite-Balériaux, M., Nie, Z., Copinschi, G., & Van Cauter, E. (2000) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.2000.279.3.r874 · Cited by 183 · see citing works
The U-Shaped Association Between Sleep and Health: The 2 Peaks Do Not Mean the Same Thing
Knutson, K. L., & Turek, F. W. (2006) · Sleep · doi:10.1093/sleep/29.7.878 · Cited by 178 · see citing works
Sharma, S., Malarcher, A. M., Giles, W. H., & Myers, G. L. (2004) · PubMed · Cited by 173 · see citing works
Sleep Duration among Black and White Americans: Results of the National Health Interview Survey
Nunes, J., Jean‐Louis, G., Zizi, F., Casimir, G. J., von Gizycki, H., Brown, C. D., & McFarlane, S. I. (2008) · Journal of the National Medical Association · doi:10.1016/s0027-9684(15)31244-x · Cited by 159 · see citing works
Self-citationSleep Heart Health Study (SHHS) Investigators, O’Connor, G. T., Lind, B. K., Lee, E. T., Nieto, F. J., Redline, S. S., Samet, J. M., Boland, L. L., Walsleben, J. A., & Foster, G. L. (2003) · SLEEP · doi:10.1093/sleep/26.1.74 · Cited by 156 · see citing works
Link, C. L., & McKinlay, J. B. (2009) · PubMed · doi:10.13016/i93r-i8sh · Cited by 132 · see citing works
Reduced Sleep Duration or Quality: Relationships With Insulin Resistance and Type 2 Diabetes
Tasali, E., Leproult, R., & Spiegel, K. (2009) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2008.10.002 · Cited by 129 · see citing works
Rafalson, L., Donahue, R. P., Stranges, S., Lamonte, M. J., Dmochowski, J., Dorn, J., & Trevisan, M. (2010) · Annals of Epidemiology · doi:10.1016/j.annepidem.2010.05.002 · Cited by 118 · see citing works
Zizi, F., Jean‐Louis, G., Brown, C. D., Ogedegbe, G. G., Boutin‐Foster, C., & McFarlane, S. I. (2010) · Current Diabetes Reports · doi:10.1007/s11892-009-0082-x · Cited by 99 · see citing works
Self-citationEvaluation of sleep apnea in a sample of black patients
Jean-Louis, G., von Gizycki, H., Zizi, F., Dharawat, A., Lazar, J. M., & Brown, C. D. (2008) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27276 · Cited by 66 · see citing works
Self-citationResistant Hypertension and Obstructive Sleep Apnea in the Primary-Care Setting
Demede, M., Pandey, A. K., Zizi, F., Bachmann, R., Donat, M., McFarlane, S. I., Jean‐Louis, G., & Ogedegbe, G. G. (2011) · International Journal of Hypertension · doi:10.4061/2011/340929 · Cited by 49 · see citing works
Self-citationGooneratne, N. S., Bellamy, S. L., Pack, F. M., Staley, B. A., Schutte-Rodin, S., Dinges, D. F., & Pack, A. I. (2010) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2010.00889.x · Cited by 36 · see citing works
Sleep Apnea and Diabetes: Insights into the Emerging Epidemic
Pandey, A. K., Demede, M., Zizi, F., Haija, O. A. A., Nwamaghinna, F., Jean‐Louis, G., & McFarlane, S. I. (2010) · Current Diabetes Reports · doi:10.1007/s11892-010-0164-9 · Cited by 29 · see citing works
Self-citationChiu, C., Wray, L. A., & Beverly, E. A. (2010) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.1095 · Cited by 9 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Short sleep duration and health outcomes: a systematic review, meta-analysis, and meta-regression
Itani, O., Jike, M., Watanabe, N., & Kaneita, Y. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2016.08.006 · Cited by 1,252 · see citing works
Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., et al. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4950 · Cited by 568 · see citing works
Sleep disparity, race/ethnicity, and socioeconomic position
Grandner, M. A., Williams, N. J., Knutson, K. L., Roberts, D., & Jean-Louis, G. (2016) · Sleep Medicine · doi:10.1016/j.sleep.2015.01.020 · Cited by 481 · see citing works
Whinnery, J., Jackson, N., Rattanaumpawan, P., & Grandner, M. A. (2014) · SLEEP · doi:10.5665/sleep.3508 · Cited by 423 · see citing works
Sleep as a Potential Fundamental Contributor to Disparities in Cardiovascular Health
Jackson, C. L., Redline, S., & Emmons, K. M. (2015) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031914-122838 · Cited by 388 · see citing works
Sleep symptoms, race/ethnicity, and socioeconomic position
Grandner, M. A., Petrov, M. E. R., Rattanaumpawan, P., Jackson, N., Platt, A., & Patel, N. P. (2013) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2990 · Cited by 336 · see citing works
Grandner, M. A., Chakravorty, S., Perlis, M. L., Oliver, L., & Gurubhagavatula, I. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2013.09.012 · Cited by 300 · see citing works
“For example, the relationship between very short sleep and self-reported hypertension was seen for all groups except Mexican-Americans and Asians/others, with the strongest effect seen among Hispanics/Latinos.”
InfluentialSocial and behavioral determinants of perceived insufficient sleep
Grandner, M. A., Jackson, N. J., Izci-Balserak, B., Gallagher, R. A., Murray-Bachmann, R., Williams, N. J., Patel, N. P., & Jean-Louis, G. (2015) · Frontiers in Neurology · doi:10.3389/fneur.2015.00112 · Cited by 202 · see citing works
Self-citationSleep in America: role of racial/ethnic differences
Adenekan, B., Pandey, A., McKenzie, S., Zizi, F., Casimir, G. J., & Jean-Louis, G. (2013) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2012.07.002 · Cited by 197 · see citing works
Self-citationCedernaes, J., Schiöth, H. B., & Benedict, C. (2015) · Diabetes · doi:10.2337/db14-1475 · Cited by 103 · see citing works
Association between sleep duration and diabetes in black and white adults
Jackson, C. L., Redline, S., Kawachi, I., & Hu, F. B. (2013) · Diabetes Care · doi:10.2337/dc13-0777 · Cited by 101 · see citing works
Habitual sleep as a contributor to racial differences in cardiometabolic risk
Curtis, D. S., Fuller-Rowell, T. E., El-Sheikh, M., Carnethon, M. R., & Ryff, C. D. (2017) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1618167114 · Cited by 89 · see citing works
Jackson, C. L., Hu, F. B., Redline, S., Williams, D. R., Mattei, J., & Kawachi, I. (2014) · Social Science & Medicine · doi:10.1016/j.socscimed.2014.07.059 · Cited by 77 · see citing works
- Authors
- Zizi, F., Pandey, A., Murrray-Bachmann, R., Vincent, M., McFarlane, S., Ogedegbe, G., & Jean-Louis, G.
- Affiliations
- State University of New York (US)
- SUNY Downstate Health Sciences University (US)
- NYU Langone Health (US)
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 2012-02
- Volume
- 125
- Issue
- 2
- Pages
- 162-167
- ISSN
- 0002-9343 (ISSN-L)
- PMC
- PMC3266551
- OpenAlex
- W2067772857
- Cited by
- 147
- References
- 43
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 5 · 2023: 12 · 2022: 8 · 2021: 13 · 2020: 8 · 2019: 13 · 2018: 9 · 2017: 12 · 2016: 5 · 2015: 28 · 2014: 9 · 2013: 10 · 2012: 4
- FWCI
- 21.85
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- The American Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R25HL105444)
- National Institute on Minority Health and Health Disparities (R01MD004113)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep duration, diabetes mellitus, race and ethnicity, racial disparities, short sleepers, long sleepers, black-white disparities, National Health Interview Survey, comorbidities, sociodemographic factors
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Black or African American, Cross-Sectional Studies, Diabetes Mellitus, Female, Health Surveys, Humans, Male, Middle Aged, Risk Factors, Sleep Wake Disorders, Time Factors, United States, Comorbidity, White People, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review