Perceived racial discrimination as an independent predictor of sleep disturbance and daytime fatigue
Open accessAbstract
Perceived discrimination is a potential cause of racial and ethnic disparities in health. Disturbed sleep may serve as a mechanism linking perceived racism with health consequences. This study investigates data from 7,148 adults from Michigan and Wisconsin who participated in the 2006 Behavioral Risk Factor Surveillance System. Hierarchical logistic regression analyses explored associations between perceived racial discrimination and self-reported sleep disturbance and daytime fatigue. Sleep disturbance and daytime fatigue were reported in 19% and 21% of the sample, respectively. Black/African American respondents (21%) report perceiving worse experiences, compared to people of other races, when seeking health care at higher rates than non-Hispanic White respondents (3%). Results from logistic regression models show that perceived racial discrimination is associated with increased risks of sleep disturbance (odds ratio [OR] = 2.62, p < .0001) and daytime fatigue (OR = 2.07, p < .0001). After adjustment for all covariates, perceived discrimination remains a significant predictor of sleep disturbance (OR = 1.60, p = .04). The interaction between perceived racism and race (Black/African American vs. non-Hispanic White) was nonsignificant. This population-based research adds to the growing body of data, suggesting that perceived racism may impact health via its influence on sleep-wake behaviors.
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A study of residents in Michigan and Wisconsin found that exposure to racial discrimination was associated with sleep disturbances, above the effects of race, sociodemographics, and even depressed mood.
“A study of residents in Michigan and Wisconsin found that exposure to racial discrimination was associated with sleep disturbances, above the effects of race, sociodemographics, and even depressed mood.178”
From Sleep, Health, and Society (2017) · cites this paper as [178]
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- Authors
- Grandner, M. A., Hale, L., Jackson, N., Patel, N. P., Gooneratne, N. S., & Troxel, W. M.
- Affiliations
- University of Pennsylvania (US)
- Stony Brook University (US)
- Reading Hospital (US)
- University of Pittsburgh (US)
- ORCID
- Venue
- Behavioral Sleep Medicine
- Publisher
- Informa UK Limited
- Published
- 2012-10
- Volume
- 10
- Issue
- 4
- Pages
- 235-249
- ISSN
- 1540-2002 (ISSN-L)
- 1540-2010
- PMC
- PMC3434973
- OpenAlex
- W2048521508
- Cited by
- 141
- References
- 44
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 9 · 2023: 12 · 2022: 18 · 2021: 11 · 2020: 10 · 2019: 12 · 2018: 8 · 2017: 10 · 2016: 15 · 2015: 18 · 2014: 6 · 2013: 8
- FWCI
- 33.76
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Behavioral Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Centers for Disease Control and Prevention
- National Heart, Lung, and Blood Institute (T32HL007713, K23HL110216, T32 HL00771, K23HL093220)
- National Center for Research Resources (UL1 RR02413, UL1RR024134)
- National Institute on Minority Health and Health Disparities
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- perceived racial discrimination, perceived racism, sleep disorders, daytime fatigue, racial and ethnic health disparities, Black/African American adults, health care access, sleep-wake behavior
- MeSH terms
- Adult, Aged, Black or African American, Female, Health Services Accessibility, Health Status, Hispanic or Latino, Humans, Disorders of Excessive Somnolence, Male, Michigan, Middle Aged, Population Surveillance, Prejudice, Risk Factors, Sleep Deprivation, Wisconsin, Health Behavior, Prevalence, White People, Health Status Disparities, Young Adult, Racism
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