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Sleep Disorders in African Americans and Caucasian Americans: A Meta-Analysis
Abstract
Previous research suggests that ethnic groups differ in the prevalence and severity of disordered sleep symptoms. This study used meta-analysis to determine the magnitude of ethnic differences between African Americans (AAs) and Caucasian Americans (CAs) in insomnia symptoms and sleep-disordered breathing (SDB). It also used moderator analyses to explore the variability in these effect sizes. Thirteen studies measuring insomnia symptoms and 10 studies measuring SDB met inclusion criteria and represented thousands of adult AAs and CAs. Results indicate AAs have a higher prevalence and greater severity of SDB, but CAs report more insomnia symptoms. These results indicate a need for a multi-ethnic approach to the assessment and treatment of sleep disorders.
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“Regarding sleep disorders, Ruiter and colleagues(226) found that African-Americans were more likely to have sleep disordered breathing, of greater severity, compared to Whites.”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [226]
In the citing paper
“sleep disorders such as obstructive sleep apnea (OSA) may be more common, go undiagnosed more frequently and may be treated less efficaciously in African American patients [18, 19]”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [18]
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Carnethon, M. R., Pu, J., Howard, G., Albert, M. A., Anderson, C. A. M., Bertoni, A. G., Mujahid, M. S., Palaniappan, L., Taylor, H. A., Willis, M., et al. (2017) · Circulation · doi:10.1161/cir.0000000000000534 · Cited by 1,147
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“A second meta-analysis by Ruiter and colleagues also examined differences in sleep disorders by race/ethnicity [68].”
Metadata
- Authors
- Ruiter, M. E., DeCoster, J., Jacobs, L., & Lichstein, K. L.
- Affiliations
- University of Alabama (US)
- ORCID
- DeCoster, Jamie
- Venue
- Behavioral Sleep Medicine
- Publisher
- Informa UK Limited
- Published
- 2010-09-23
- Volume
- 8
- Issue
- 4
- Pages
- 246-259
- ISSN
- 1540-2002 (ISSN-L)
- 1540-2010
- OpenAlex
- W2023920590
- Semantic Scholar
- dc94d393d30af63cfbc65de9320a9f0738cc95b5
- Cited by
- 152
- References
- 44
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 16 · 2023: 10 · 2022: 12 · 2021: 10 · 2020: 7 · 2019: 14 · 2018: 9 · 2017: 13 · 2016: 10 · 2015: 15 · 2014: 7 · 2013: 11 · 2012: 4
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioral Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep disorders, ethnic differences, African Americans, White Americans, insomnia symptoms, sleep-disordered breathing, prevalence, symptom severity, racial disparities
- MeSH terms
- Adult, Aged, Black or African American, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Severity of Illness Index, Sleep Apnea Syndromes, Sleep Wake Disorders, United States, Prevalence, White People
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