Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints
Open accessAbstract
Objectives Lower socioeconomic status is associated with short or long sleep duration and sleep disturbance (e.g., sleep apnea), which are all related to increased mortality risk. General sleep complaints, however, which may better approximate symptoms as they are experienced, have not been examined in a large population sample.Methods Sample consisted of n=159,856 participants from the Behavioral Risk Factor Surveillance System, representing 36 states/regions across the US. Sleep complaints were measured with a telephone survey item that assessed "trouble falling asleep," "staying asleep" or "sleeping too much." Data analysis utilized hierarchical logistic regression and Rao-Schott chi(2).Results Asian respondents reported the least complaints, and Hispanic/Latino and Black/African-American individuals reported fewer complaints than Whites. Lower income and educational attainment was associated with more sleep complaints. Employment was associated with less sleep complaints and unemployment with more. Married individuals reported the least sleep complaints. Significant interactions with race/ethnicity indicate that the relationship between sleep complaints and marital status, income and employment differs among groups for men, and the relationship with education differs among groups for women.Conclusions Rates of sleep complaints in African-American, Hispanic/Latino and Asian/Other groups were similar to Whites. Lower socioeconomic status was associated with higher rates of sleep complaint.
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Some studies have found that sleep quality is worse among racial/ethnic minorities, while others have not.
“Although some studies have found that sleep quality is worse among racial/ethnic minorities(229-232), others have not(233-235).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [234]
Unemployment is associated with more sleep problems.
“Unemployment, on the other hand, is associated with more sleep problems.28,30”
From Sleep, Health, and Society (2017) · cites this paper as [28]
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- Authors
- Grandner, M. A., Patel, N. P., Gehrman, P. R., Xie, D., Sha, D., Weaver, T., & Gooneratne, N.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Grandner, Michael A.
- ORCID
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 11
- Issue
- 5
- Pages
- 470-478
- ISSN
- 1389-9457 (ISSN-L)
- PMC
- PMC2861987
- OpenAlex
- W2001828497
- Cited by
- 562
- References
- 43
- Citations by year
- 2026: 23 · 2025: 54 · 2024: 36 · 2023: 41 · 2022: 50 · 2021: 45 · 2020: 52 · 2019: 52 · 2018: 35 · 2017: 23 · 2016: 32 · 2015: 35 · 2014: 24 · 2013: 26 · 2012: 23
- FWCI
- 24.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Pennsylvania
- Centers for Disease Control and Prevention
- National Heart, Lung, and Blood Institute (T32HL007713)
- 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
- sleep complaints, sleep disorders, socioeconomic status, race and ethnicity, income, educational attainment, employment, marital status, racial disparities, Hispanics/Latinos, African Americans, Asians, Behavioral Risk Factor Surveillance System
- MeSH terms
- Adult, Aged, Asian, Black or African American, Employment, Ethnicity, Female, Health Surveys, Hispanic or Latino, Humans, Income, Male, Marriage, Middle Aged, Risk Factors, Sleep, Sleep Apnea Syndromes, Sleep Wake Disorders, Socioeconomic Factors, United States, Logistic Models, White People
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