Sleep disparity, race/ethnicity, and socioeconomic position

Grandner, Michael A.; Williams, Natasha J.; Knutson, Kristen L.; Roberts, Dorothy; Jean-Louis, Girardin

doi:10.1016/j.sleep.2015.01.020

Cited by 481Sleep and related disordersHealth disparities and outcomesRacial and Ethnic Identity Research

Sleep disparity, race/ethnicity, and socioeconomic position

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Grandner, Michael A., Williams, Natasha J., Knutson, Kristen L., Roberts, Dorothy, Jean-Louis, Girardin·2016·Sleep Medicine

DOI 10.1016/j.sleep.2015.01.020PMC PMC4631795

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Abstract

Sleep represents a set of biological functions necessary for the maintenance of life. Performing these functions, though, requires that an individual engage in behaviors, which are affected by social and environmental factors. Race/ethnicity and socioeconomic position represent categories of factors that likely play a role in the experience of sleep in the community. Previous studies have suggested that racial/ethnic minorities and the socioeconomically disadvantaged may be more likely to experience sleep patterns that are associated with adverse health outcomes. It is possible that disparities in sleep represent a pathway by which larger disparities in health emerge. This review (1) contextualizes the concept of race/ethnicity in biomedical research, (2) summarizes previous studies that describe patterns of sleep attainment across race/ethnicity groups, (3) discusses several pathways by which race/ethnicity may be associated with sleep, (4) introduces the potential role of socioeconomic position in the patterning of sleep, and (5) proposes future research directions to address this issue.

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Many studies have documented a 'sleep disparity' in the population, such that racial/ethnic minorities, especially in the context of socioeconomic disadvantage, achieve less quality sleep.
“Many studies have documented a “sleep disparity” in the population,19,39 such that racial/ethnic minorities, especially in the context of socioeconomic disadvantage, achieve less quality sleep.”
From Sleep, Health, and Society (2017) · cites this paper as [19]
Most studies in this area have shown that, overall, blacks/African Americans are more likely to experience short sleep duration compared with non-Hispanic whites.
“Most studies in this area have shown that, overall, blacks/African Americans are more likely to experience short sleep duration compared with non-Hispanic whites.19,39”
From Sleep, Health, and Society (2017) · cites this paper as [19]

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Reverse First Night Effect in Insomnia
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Short and long sleep duration and risk of drowsy driving and the role of subjective sleep insufficiency
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Ethnic Disparities in CPAP Adherence in New Zealand: Effects of Socioeconomic Status, Health Literacy and Self-Efficacy
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Sleep and sleepiness among first‐time postpartum parents: A field‐ and laboratory‐based multimethod assessment
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Negative acculturation in sleep duration among Mexican immigrants and Mexican Americans
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Addressing sleep disturbances: an opportunity to prevent cardiometabolic disease?
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Geographic distribution of insufficient sleep across the United States: a county-level hotspot analysis
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Effects of long work hours and poor sleep characteristics on workplace injury among full-time male employees of small- and medium-scale businesses: Work hours, sleep and workplace injury
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Social determinants of self-reported sleep problems in South Korea and Taiwan
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Sleep in Spousal Alzheimer Caregivers: A Longitudinal Study with a Focus on the Effects of Major Patient Transitions on Sleep
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Circadian Effects of Light No Brighter Than Moonlight
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Evolutionary perspectives on mother-infant sleep proximity and breastfeeding in a laboratory setting
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Determinants of continuous positive airway pressure adherence in a sleep clinic cohort of South Florida Hispanic veterans
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Insomnia, Daytime Sleepiness and Cardio-Cerebrovascular Diseases in the Elderly: A 6-Year Prospective Study
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Obesity, diabetes, and exercise associated with sleep-related complaints in the American population
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From sleep duration to mortality: implications of meta‐analysis and future directions
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Beliefs and Attitudes Toward Obstructive Sleep Apnea Evaluation and Treatment Among Blacks
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Ethnic Differences in Continuous Positive Airway Pressure (CPAP) Adherence in Veterans With and Without Psychiatric Disorders
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Is the Relationship between Race and Continuous Positive Airway Pressure Adherence Mediated by Sleep Duration?
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State and Regional Prevalence of Sleep Disturbance and Daytime Fatigue
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Socioeconomic disparities in behavioral risk factors and health outcomes by gender in the Republic of Korea
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Discrimination, Chronic Stress, and Mortality Among Black Americans: A Life Course Framework
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Sleep Disturbance Partially Mediates the Relationship Between Intimate Partner Violence and Physical/Mental Health in Women and Men
Lalley-Chareczko, L., Segal, A. G., Perlis, M. L., Nowakowski, S., Tal, J. Z., & Grandner, M. A. (2015) · Journal of Interpersonal Violence · doi:10.1177/0886260515592651 · Cited by 39 · see citing works
Sleep budgets in a globalizing world: Biocultural interactions influence sleep sufficiency among Egyptian families
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Complaints of insomnia among midlife employed people: The contribution of childhood and present socioeconomic circumstances
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Subjective sleep disturbance during a smoking cessation program: Associations with relapse
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Evening ambient light exposure can reduce circadian phase advances to morning light independent of sleep deprivation
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Predictors of slow-wave sleep in a clinic-based sample
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Insomnia in Alcohol Dependence: Predictors of Symptoms in a Sample of Veterans Referred from Primary Care
Chakravorty, S., Grandner, M. A., Kranzler, H. R., Mavandadi, S., Kling, M. A., Perlis, M. L., & Oslin, D. W. (2013) · American Journal on Addictions · doi:10.1111/j.1521-0391.2012.12009.x · Cited by 25 · see citing works
Healthy People 2020 Objective Topic Areas
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Encyclopedia of Sleep
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The Quality of Data on “Race” and “Ethnicity”: Implications for Health Researchers, Policy Makers, and Practitioners
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Does Race-Ethnicity Moderate the Relationship between CPAP Adherence and Functional Outcomes of Sleep in US Veterans with Obstructive Sleep Apnea Syndrome?
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Shiftwork in the hot environment.
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Sleep and mortality: cause, consequence, or symptom?
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Priming affects poor sleepers but not normal sleepers on an Insomnia Ambiguity Task
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A retrospective study on infant bed-sharing in a clinical practice population
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The relationship among smoking, sleep, and chronic rheumatic conditions commonly associated with pain in the national health interview survey
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Bed sharing in school-age children–clinical and social implications
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Sleep reduction in night-shift workers: is it sleep deprivation or a sleep disturbance disorder?
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Sleep deprivation and postpartum mental health
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Sleep disturbances in two-month-old infants sharing the bed with parent(s).
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Creating an Optimal Sleep Environment
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All Work and No Play Makes Jack Lose Sleep
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Worlds of Sleep
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T-I-071 SHORT SLEEP AND DYSFUNCTIONAL BELIEFS AND ATTITUDES TOWARD SLEEP AMONG BLACK MEN
Pandey, A., Gekhman, D., Odigie, P., & Jean‐Louis, G. (2011) · Sleep Medicine · doi:10.1016/s1389-9457(11)70284-2 · Cited by 8 · see citing works

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[154]Grandner MA Petrov MER Rattanaumpawan P Jackson N Platt A Patel NP Sleep symptoms, race/ethnicity, and socioeconomic position J Clin Sleep Med 2013 9 897 905 23997702 PMC3746717
[155]Whinnery J Jackson N Rattanaumpawan P Grandner MA Sleep symptoms, race/ethnicity, and socioeconomic position Sleep 2014 37 601 11 24587584 PMC3920327

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Environmental Determinants of Insufficient Sleep and Sleep Disorders: Implications for Population Health
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Disparities in Sleep Health and Potential Intervention Models
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A workshop report on the causes and consequences of sleep health disparities
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The translational neuroscience of sleep: A contextual framework
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Sleep Duration and Diabetes Risk: Population Trends and Potential Mechanisms
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The Contribution of Psychosocial Stressors to Sleep among African Americans in the Jackson Heart Study
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Past, Present, and Future of Multisensory Wearable Technology to Monitor Sleep and Circadian Rhythms
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Urban health inequities and healthy longevity: traditional and emerging risk factors across the cities and policy implications
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Racial disparities in sleep: the role of neighborhood disadvantage
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Evaluation of Temporal Trends in Racial and Ethnic Disparities in Sleep Duration Among US Adults, 2004-2018
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Cognitive Behavioral Therapy for Insomnia (CBT-I): A Primer
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Factors associated with poor sleep quality in the Korean general population: Providing information from the Korean version of the Pittsburgh Sleep Quality Index
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Sleep and cardiovascular disease: Emerging opportunities for psychology.
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What Are the Health Consequences of Upward Mobility?
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Sleep duration trends and trajectories among youth in the COMPASS study
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Cross-sectional association between outdoor artificial light at night and sleep duration in middle-to-older aged adults: The NIH-AARP Diet and Health Study
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Why Sleep is Key: Poor Sleep Quality is a Mechanism for the Bidirectional Relationship between Major Depressive Disorder and Generalized Anxiety Disorder Across 18 Years
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Obstructive Sleep Apnea and Cardiometabolic Disease: Obesity, Hypertension, and Diabetes
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Tracking Sleep, Temperature, Heart Rate, and Daily Symptoms Across the Menstrual Cycle with the Oura Ring in Healthy Women
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Sleep During Pregnancy: The nuMoM2b Pregnancy and Sleep Duration and Continuity Study
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A scoping review of racial/ethnic disparities in sleep
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Relationship between sleep and obesity among U.S. and South Korean college students
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Sleep disturbances in HIV-infected patients associated with depression and high risk of obstructive sleep apnea
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Sleep and Organizational Behavior: Implications for Workplace Productivity and Safety
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Sleep duration and multimorbidity in Luxembourg: results from the European Health Examination Survey in Luxembourg, 2013–2015
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Religion, Combat Casualty Exposure, and Sleep Disturbance in the US Military
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Sociodemographic Differences in Young Children Meeting 24-Hour Movement Guidelines
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Neighborhood socioeconomic status and child sleep duration: A systematic review and meta-analysis
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Racial discrimination as a mediator of racial disparities in insomnia disorder
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Antimony and sleep health outcomes: NHANES 2009-2016
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Racial/ethnic disparities in self-reported short sleep duration among US-born and foreign-born adults
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The effects of sleep disruption on metabolism, hunger, and satiety, and the influence of psychosocial stress and exercise: A narrative review
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Everyday and major experiences of racial/ethnic discrimination and sleep health in a multiethnic population of U.S. women: findings from the Sister Study
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The prevalence and impact of pre-existing sleep disorder diagnoses and objective sleep parameters in patients hospitalized for COVID-19
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Hypoxic Burden Based on Automatically Identified Desaturations Is Associated with Adverse Health Outcomes
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Bridging the Reciprocal Gap between Sleep and Fruit and Vegetable Consumption: A Review of the Evidence, Potential Mechanisms, Implications, and Directions for Future Work
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Digital phenotyping by consumer wearables identifies sleep-associated markers of cardiovascular disease risk and biological aging
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Trends in prevalence of short sleep duration and trouble sleeping among US adults, 2005–2018
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Socioeconomic status and sleep in adolescence: The role of family chaos.
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The Importance of Monitoring Sleep within Adolescent Athletes: Athletic, Academic, and Health Considerations
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Sleep Duration and Diabetes Risk in American Indian and Alaska Native Participants of a Lifestyle Intervention Project
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Sleep and obesity risk in adults: possible mechanisms; contextual factors; and implications for research, intervention, and policy
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Anger tendencies and sleep: Poor anger control is associated with objectively measured sleep disruption
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Sleep Quality and the Stress‐Buffering Role of Religious Involvement: A Mediated Moderation Analysis
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The association between sleep chronotype and obesity among black and white participants of the Bogalusa Heart Study
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Sleep loss leads to the withdrawal of human helping across individuals, groups, and large-scale societies
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Racial/Ethnic and Sex/Gender Differences in Sleep Duration Trajectories From Adolescence to Adulthood in a US National Sample
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Multiple poor sleep characteristics and metabolic abnormalities consistent with metabolic syndrome among white, black, and Hispanic/Latina women: modification by menopausal status
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Poor Postpartum Sleep Quality Predicts Subsequent Postpartum Depressive Symptoms in a High-Risk Sample
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Racial disparities in sleep health between Black and White young adults: The role of neighborhood safety in childhood
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Adverse Childhood Experiences and Insufficient Sleep Among U.S. Children and Adolescents
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Toddler Bedtime Routines and Associations With Nighttime Sleep Duration and Maternal and Household Factors
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How much does sleep vary from night‐to‐night? A quantitative summary of intraindividual variability in sleep by age, gender, and racial/ethnic identity across eight‐pooled datasets
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The relationship between sleep quality and all-cause, CVD and cancer mortality: the Southall and Brent REvisited study (SABRE)
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Social determinants and health disparities affecting sleep
Jean‐Louis, G., Grandner, M. A., & Seixas, A. A. (2022) · The Lancet Neurology · doi:10.1016/s1474-4422(22)00347-7 · Cited by 37 · see citing works
Short Sleep Duration: Children’s Mental, Behavioral, and Developmental Disorders and Demographic, Neighborhood, and Family Context in a Nationally Representative Sample, 2016–2019
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Emergence of racial/ethnic differences in infant sleep duration in the first six months of life
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Race/ethnic differences in educational gradients in sleep duration and quality among U.S. adults
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Predicting sleep problems in children with autism spectrum disorders
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Racial differences in sleep duration intersect with sex, socioeconomic status, and U.S. geographic region: The REGARDS study
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Cancer Epidemiology in Hispanic Populations: What Have We Learned and Where Do We Need to Make Progress?
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Parental socioeconomic status and childhood sleep: A systematic review and meta-analysis
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Sleep and Resistant Hypertension
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Examining social capital in relation to sleep duration, insomnia, and daytime sleepiness
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Sleep health in young children living with socioeconomic adversity
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Rising cardiovascular mortality among obstructive sleep apnea patients: United States epidemiological trends (1999–2019)
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Differences in morning–evening type and sleep duration between Black and White adults: Results from a propensity-matched UK Biobank sample
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Self-reported short sleep duration among US adults by disability status and functional disability type: Results from the 2016 Behavioral Risk Factor Surveillance System
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Associations Between Self-Reported Sleep Duration and Mortality in Employed Individuals: Systematic Review and Meta-Analysis
Pienaar, P. R., Kolbe-Alexander, T. L., van Mechelen, W., Boot, C. R. L., Roden, L. C., Lambert, E. V., & Rae, D. E. (2021) · American Journal of Health Promotion · doi:10.1177/0890117121992288 · Cited by 35 · see citing works
Sleep deficiency among Native Hawaiian/Pacific Islander, Black, and White Americans and the association with cardiometabolic diseases: analysis of the National Health Interview Survey Data
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Dietary behaviors and poor sleep quality among young adult women: watch that sugary caffeine!
Young, D. R., Sidell, M. A., Grandner, M. A., Koebnick, C., & Troxel, W. (2020) · Sleep Health · doi:10.1016/j.sleh.2019.12.006 · Cited by 35 · see citing works
Age Trends in Actigraphy and Self-Report Sleep Across the Life Span: Findings From the Pittsburgh Lifespan Sleep Databank
Wallace, M. L., Kissel, N., Hall, M. H., Germain, A., Matthews, K. A., Troxel, W. M., Franzen, P. L., Buysse, D. J., Reynolds, C., Roecklein, K. A., et al. (2022) · Psychosomatic Medicine · doi:10.1097/psy.0000000000001060 · Cited by 33 · see citing works
Gender differences in the prevalence of and trends in sleep patterns and prescription medications for insomnia among US adults, 2005 to 2018
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A systematic review of acculturation and sleep health among adult immigrants in the United States
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Quantifying impact of real-world barriers to sleep: The Brief Index of Sleep Control (BRISC)
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Authors: Grandner, M. A., Williams, N. J., Knutson, K. L., Roberts, D., & Jean-Louis, G.
Affiliations: University of Pennsylvania (US)
NYU Langone Health (US)
University of Chicago (US)
Corresponding author: Grandner, Michael A.
ORCID: Grandner, Michael A.
Williams, Natasha J.
Knutson, Kristen L.
Venue: Sleep Medicine
Publisher: Elsevier BV
Published: 2016-02
Volume: 18
Pages: 7-18
ISSN: 1389-9457 (ISSN-L)
DOI: 10.1016/j.sleep.2015.01.020
PMC: PMC4631795
OpenAlex: W2002880735
Cited by: 481
References: 174
Citations by year: 2026: 47 · 2025: 79 · 2024: 49 · 2023: 49 · 2022: 79 · 2021: 35 · 2020: 49 · 2019: 45 · 2018: 20 · 2017: 19 · 2016: 10
FWCI: 2.11
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Sleep Medicine (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Penn Carey Law Legal Scholarship Repository (University of Pennsylvania) (submittedVersion)
Funders: National Heart, Lung, and Blood Institute (K23HL110216, R01HL095799)
National Institute of Environmental Health Science (R21ES022931)
University of Pennsylvania Clinical and Translational Research Center (UL1RR024134)
National Institute for Diabetes and Digestive and Kidney Diseases (R01DK095207)
National Institute of Minority Health and Health Disparities (R01MD004113)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Health › Health disparities and outcomes
Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
Keywords: sleep disparities, race and ethnicity, socioeconomic position, racial and ethnic minorities, sleep patterns, health disparities
MeSH terms: Humans, Sleep Wake Disorders, Socioeconomic Factors, Racial Groups, Health Status Disparities

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