Cited by 388Sleep and related disordersHealth disparities and outcomesObstructive Sleep Apnea Research

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Sleep as a Potential Fundamental Contributor to Disparities in Cardiovascular Health

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Jackson, Chandra L., Redline, Susan, Emmons, Karen M.·2015·Annual Review of Public Health

DOI 10.1146/annurev-publhealth-031914-122838PMC PMC4736723

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Abstract

Optimal sleep is integral to health but is commonly not obtained. Despite its wide-ranging public health impact, sleep health is considered only rarely by policy makers, employers, schools, and others whose policies and structures can adversely affect sleep. An inadequate duration of sleep and poor-quality sleep are prevalent in minority and low-income populations, and may be fundamental to racial and socioeconomic status inequities that contribute to a range of health conditions, including cardiovascular disease (CVD). This review examines the relationship between sleep and disparities in CVD. We describe the public health importance of sleep and the role of sleep duration, as well as the two most common disorders (sleep apnea and insomnia) as risk factors for a number of chronic diseases. We use a multilevel model focused on population health and health disparities, which is based on the notion that individual behaviors, such as sleep, are influenced by complex and dynamic interrelations among individuals and their physical and social environments. We also describe modifiable factors that contribute to insufficient sleep and circadian misalignment, propose potential interventions in various sectors (e.g., neighborhoods, schools, workplaces) that can address social structures that contribute to disparities, and recommend areas for future research. Integrating sleep into public health research will identify novel approaches for closing gaps in health disparities.

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Authors: Jackson, C. L., Redline, S., & Emmons, K. M.
Affiliations: Harvard University (US)
Brigham and Women's Hospital (US)
Kaiser Permanente (US)
ORCID: Jackson, Chandra L.
Redline, Susan
Emmons, Karen M.
Venue: Annual Review of Public Health
Publisher: Annual Reviews
Published: 2015-03-18
Volume: 36
Issue: 1
Pages: 417-440
ISSN: 0163-7525 (ISSN-L)
1545-2093
DOI: 10.1146/annurev-publhealth-031914-122838
PMC: PMC4736723
OpenAlex: W2170276331
Cited by: 388
References: 184
Citations by year: 2026: 18 · 2025: 42 · 2024: 49 · 2023: 51 · 2022: 50 · 2021: 37 · 2020: 42 · 2019: 34 · 2018: 23 · 2017: 22 · 2016: 15 · 2015: 5
FWCI: 2.80
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Annual Review of Public Health (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (TL1TR001101, UL1TR001102)
National Cancer Institute (U54CA155626)
National Center for Advancing Translational Sciences
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Health › Health disparities and outcomes
Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Keywords: sleep, cardiovascular health, health disparities, sleep duration, sleep quality, sleep apnea, insomnia, racial disparities, socioeconomic status, circadian misalignment, social determinants of health, public health policy, workplace interventions, school-based intervention, neighborhood interventions, chronic disease risk factors
MeSH terms: Cardiovascular Diseases, Ethnicity, Humans, Psychology, Risk Factors, Sleep Deprivation, Sleep Wake Disorders, Socioeconomic Factors, Racial Groups, Health Status Disparities

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Sleep as a Potential Fundamental Contributor to Disparities in Cardiovascular Health

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