Sociodemographic and cultural determinants of sleep deficiency: implications for cardiometabolic disease risk
Open accessAbstract
Sleep is a biological imperative associated with cardiometabolic disease risk. As such, a thorough discussion of the sociocultural and demographic determinants of sleep is warranted, if not overdue. This paper begins with a brief review of the laboratory and epidemiologic evidence linking sleep deficiency, which includes insufficient sleep and poor sleep quality, with increased risk of chronic cardiometabolic diseases such as obesity, diabetes and hypertension. Identification of the determinants of sleep deficiency is the critical next step to understanding the role sleep plays in human variation in health and disease. Therefore, the majority of this paper describes the different biopsychosocial determinants of sleep, including age, gender, psychosocial factors (depression, stress and loneliness), socioeconomic position and race/ethnicity. In addition, because sleep duration is partly determined by behavior, it will be shaped by cultural values, beliefs and practices. Therefore, possible cultural differences that may impact sleep are discussed. If certain cultural, ethnic or social groups are more likely to experience sleep deficiency, then these differences in sleep could increase their risk of cardiometabolic diseases. Furthermore, if the mechanisms underlying the increased risk of sleep deficiency in certain populations can be identified, interventions could be developed to target these mechanisms, reduce sleep differences and potentially reduce cardiometabolic disease risk.
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Non-systematic reviews have identified associations between social isolation/loneliness and changes to brain structure and processes, sympathetic neural tone, vascular stress responses, altered sleep and reduced sleep quality, cortisol secretion patterns, impaired cellular and humoral immunity, and reduced inflammatory responses.
“a number of non-systematic reviews have identified associations with changes to brain structure and processes, sympathetic neural tone, vascular stress responses, altered sleep and reduced sleep quality, cortisol secretion patterns, impaired cellular and humoral immunity, and reduced inflammatory responses 61, 80, 96, 102-106 .”
From An overview of systematic reviews on the public health consequences of social isolation and loneliness (2017) · cites this paper as [105]
Many other studies have shown increased prevalence of habitual short sleep duration among racial/ethnic minority groups.
“These findings are mirrored in many other studies, which have shown increased prevalence of habitual short sleep duration among racial/ethnic minority groups(221-225).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [223]
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Sleep Quality and Sexual Function in Patients Under Methadone Maintenance Treatment
Kheradmand, A., Amini-Ranjbar, Z., Zeynali, Z., Sabahi, A., & Nakhaee, N. (2015) · international journal high risk behaviors & addiction · doi:10.5812/ijhrba.23550 · Cited by 21 · see citing works
SLEEP QUALITY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
Andrechuk, C. R. S., & Ceolim, M. F. (2015) · Texto & Contexto - Enfermagem · doi:10.1590/0104-0707201500002970014 · Cited by 22 · see citing works
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Sleep disturbances and risk of sick leave: systematic review and meta-analysis
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False beliefs about sleep and their associations with sleep-related behavior
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Unhealthy Diet Is Associated With Poor Sleep in Preschool-Aged Children
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- Authors
- Knutson, K. L.
- Affiliations
- University of Chicago (US)
- Corresponding author
- Knutson, Kristen L.
- ORCID
- Knutson, Kristen L.
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2013-02
- Volume
- 79
- Pages
- 7-15
- ISSN
- 0277-9536 (ISSN-L)
- PMC
- PMC3443287
- OpenAlex
- W2082861512
- Cited by
- 228
- References
- 107
- Citations by year
- 2026: 7 · 2025: 16 · 2024: 12 · 2023: 15 · 2022: 20 · 2021: 27 · 2020: 20 · 2019: 20 · 2018: 14 · 2017: 17 · 2016: 14 · 2015: 17 · 2014: 21 · 2013: 5 · 2012: 3
- FWCI
- 2.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Heart, Lung, and Blood Institute (P30HL101859)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- insufficient sleep, poor sleep quality, cardiometabolic disease, obesity, diabetes mellitus, hypertension, sociodemographic factors, biopsychosocial model, depression, stress, loneliness, socioeconomic position, race and ethnicity, age and gender differences, health disparities
- MeSH terms
- Adult, Cardiovascular Diseases, Child, Cultural Characteristics, Female, Humans, Male, Metabolic Diseases, Risk Factors, Sleep Deprivation, Socioeconomic Factors, Meta-Analysis as Topic
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