Short Sleep Duration Across Income, Education, and Race/Ethnic Groups: Population Prevalence and Growing Disparities During 34 Years of Follow-Up
Open accessAbstract
Purpose Little is known about population determinants of short sleep duration. The authors examined associations between short sleep duration and income, education and race/ethnicity, and assessed changes over time in relative disparities.Methods Questionnaire data from the Alameda County Health and Ways of Living Study (ACS) was obtained at five time-points (1965, 1974, 1983, 1994, and 1999) for short sleep duration (<7 hours sleep per night). Household income, education level, and race/ethnicity were assessed at baseline (n = 6,928). Odds ratios were computed to examine short sleep duration across income, education and race/ethnicity, adjusting for age, sex and time-varying covariates, and to assess changes over time.Results Prevalence of short sleep at baseline was 15.2%. The (age-adjusted) odds of short sleep was increased for the lowest household income quintile (odds ratio [OR], 1.62; 95% confidence interval [CI], 1.34-1.94), those with less than high school education (OR, 1.51; 95% CI, 1.30-1.75), and among African Americans (OR, 1.97; 95% CI, 1.68-2.30). Relative disparities increased over time for African-American and Hispanic, compared with white, participants.Conclusions Socioeconomic position is a robust determinant of short sleep duration, even after adjusting for health-related characteristics linked to short sleep duration.
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Several studies have shown that those of lower socio-economic position are more likely to be short sleepers.
“In addition, several studies have shown that those of lower socio-economic position are more likely to be short sleepers (Stamatakis et al., 2007; Whinnery et al., 2014).”
From Addressing sleep disturbances: an opportunity to prevent cardiometabolic disease? (2014) · cites this paper as Stamatakis et al., 2007
African-American and 'other' race/ethnicities, but not Hispanic, are consistently associated with short sleep duration.
“For example, Stamatakis and colleagues found that African-American and ‘other’ race/ethnicities (but not Hispanic) were consistently associated with short sleep duration (Stamatakis et al., 2007).”
From Addressing sleep disturbances: an opportunity to prevent cardiometabolic disease? (2014) · cites this paper as Stamatakis et al., 2007
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- Authors
- Stamatakis, K. A., Kaplan, G. A., & Roberts, R. E.
- Affiliations
- Johns Hopkins University (US)
- University of Michigan (US)
- The University of Texas Health Science Center at Houston (US)
- Corresponding author
- Stamatakis, Katherine A.
- Venue
- Annals of Epidemiology
- Publisher
- Elsevier BV
- Published
- 2007-12
- Volume
- 17
- Issue
- 12
- Pages
- 948-955
- ISSN
- 1047-2797 (ISSN-L)
- PMC
- PMC2140008
- OpenAlex
- W2056425323
- Cited by
- 377
- References
- 49
- Citations by year
- 2026: 14 · 2025: 19 · 2024: 23 · 2023: 30 · 2022: 29 · 2021: 17 · 2020: 35 · 2019: 31 · 2018: 22 · 2017: 25 · 2016: 18 · 2015: 27 · 2014: 23 · 2013: 20 · 2012: 10
- FWCI
- 11.51
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annals of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- National Institute on Aging (R37AG011375)
- National Heart, Lung, and Blood Institute (R01HL044199)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24HD047861, P50HD038986)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- short sleep duration, insufficient sleep, socioeconomic disparities, household income, educational attainment, race and ethnicity, African Americans, Hispanic Americans, prevalence trends, socioeconomic position
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, California, Educational Status, Female, Humans, Male, Middle Aged, Sleep Wake Disorders, Socioeconomic Factors, Prevalence, Health Status Disparities
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