Cited by 228Sleep and related disordersSleep and Work-Related FatigueHealth disparities and outcomes

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Sociodemographic and cultural determinants of sleep deficiency: Implications for cardiometabolic disease risk

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Knutson, Kristen L.·2013·Social Science & Medicine

DOI 10.1016/j.socscimed.2012.05.002PMC PMC3443287

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Abstract

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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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)
DOI: 10.1016/j.socscimed.2012.05.002
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
FWCI: 2.14
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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Sociodemographic and cultural determinants of sleep deficiency: Implications for cardiometabolic disease risk

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