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Cited by 336Sleep and related disordersObstructive Sleep Apnea ResearchHealth disparities and outcomes

Sleep symptoms, race/ethnicity, and socioeconomic position

Open access
Grandner, Michael A., Petrov, Megan E. Ruiter, Rattanaumpawan, Pinyo, Jackson, Nicholas, Platt, Alec, Patel, Nirav P.·2013·Journal of Clinical Sleep Medicine
DOI 10.5664/jcsm.2990PMC PMC3746717
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Abstract

Study objectives Growing evidence indicates sleep is a major public health issue. Race/ethnicity and socioeconomics may contribute to sleep problems. This study assessed whether sleep symptoms were more prevalent among minorities and/or the socioeconomically disadvantaged.Design Cross-sectional.Setting Epidemiologic survey.Patients or participants 2007-2008 National Health and Nutrition Examination Survey (N = 4,081).Interventions None.Measurements and results Sociodemographics included age, sex, race/ethnicity, marital status, and immigration. Socioeconomics included poverty, education, private insurance, and food insecurity. Sleep symptoms assessed were sleep latency > 30 min, difficulty falling asleep, sleep maintenance difficulties, early morning awakenings, non-restorative sleep, daytime sleepiness, snorting/gasping, and snoring. Decreased reported problems for most symptoms were found among minorities, immigrants, and lower education levels. In general, in fully adjusted models, long sleep latency was associated with female gender, being black/African American, lower education attainment, no private insurance, and food insecurity. Difficulty falling asleep, sleep maintenance difficulties, early morning awakenings, and non-restorative sleep were also associated with female gender and food insecurity. Daytime sleepiness was seen in female and divorced respondents. Snorting/gasping was more prevalent among male, other-Hispanic/Latino, and 9(th)- to 11(th)-grade-level respondents. Snoring was prevalent among male, other-Hispanic/Latino, less-educated, and food-insecure respondents.Conclusions Sleep symptoms were associated with multiple sociodemographic and economic factors, though these relationships differed by predictor and sleep outcome. Also, reports depended on question wording.

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  • Self-reported difficulties initiating or maintaining sleep were reported less frequently among minority groups.

    “but self-reported difficulties initiating or maintaining sleep were all reported less frequently among minority groups”

    From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [227]

  • 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 [221]

  • Data from the 2007-2008 NHANES showed that Blacks/African-Americans were more likely to report sleep latency >30 minutes.

    “Data from the 2007-2008 NHANES(227) also showed that Blacks/African-Americans were more likely to report sleep latency >30 minutes”

    From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [227]

  • In the 2007-2008 NHANES sample, Non-Mexican Hispanics/Latinos were more likely to report choking/gasping during sleep and snoring.

    “In this sample, Non-Mexican Hispanics/Latinos were more likely to report choking/gasping during sleep and snoring(228).”

    From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [228]

  • A nationally representative study found that black/African Americans were 60% more likely than non-Hispanic whites to report sleep latency more than 30 minutes, although they (along with Hispanics/Latinos) were less likely to report 'difficulty falling asleep.'

    “A nationally representative study found that black/African Americans were 60% more likely than non-Hispanic whites to report sleep latency more than 30 minutes, although they (along with Hispanics/Latinos) were less likely to report “difficulty falling asleep.”31”

    From Sleep, Health, and Society (2017) · cites this paper as [31]

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1 of the 46 references couldn’t be matched to a known paper.

Research works printed but not linked: 9

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Authors
Grandner, M. A., Petrov, M. E. R., Rattanaumpawan, P., Jackson, N., Platt, A., & Patel, N. P.
Affiliations
  • University of Pennsylvania (US)
  • University of Alabama at Birmingham (US)
  • Reading Hospital (US)
ORCID
Venue
Journal of Clinical Sleep Medicine
Publisher
Springer Science and Business Media LLC
Published
2013-09-01
Volume
9
Issue
9
Pages
897-905
ISSN
  • 1550-9389 (ISSN-L)
  • 1550-9397
DOI
10.5664/jcsm.2990
PMC
PMC3746717
OpenAlex
W2055549064
Cited by
336
References
46
Citations by year
2026: 6 · 2025: 26 · 2024: 28 · 2023: 48 · 2022: 29 · 2021: 21 · 2020: 32 · 2019: 35 · 2018: 20 · 2017: 21 · 2016: 25 · 2015: 26 · 2014: 16 · 2013: 1
FWCI
30.64
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Clinical Sleep Medicine (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Public Health Service (12S DG9180007)
  • National Heart, Lung, and Blood Institute (K23HL110216)
  • National Institute of Environmental Health Sciences (R21ES022931)
  • National Center for Research Resources (UL1RR024134)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Social Sciences › Health › Health disparities and outcomes
Keywords
sleep symptoms, race and ethnicity, socioeconomic status, sleep latency, difficulty falling asleep, sleep maintenance difficulty, early morning awakening, non-restorative sleep, daytime sleepiness, snoring, food insecurity, educational attainment, insurance status, immigrants, Hispanic/Latino populations, African American population, sex differences, question wording
MeSH terms
Age Factors, Ethnicity, Female, Humans, Income, Male, Middle Aged, Nutrition Surveys, Regression Analysis, Sex Factors, Sleep Wake Disorders, Socioeconomic Factors, United States, Marital Status, Racial Groups, Emigrants and Immigrants

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