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Sleep Symptoms, Race/Ethnicity, and Socioeconomic Position
Open accessAbstract
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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In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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 citing paper
“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]
In the citing paper
“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]
In the citing paper
“Overall, in the general population, women report shorter sleep duration,150 more sleep symptoms,31 greater rates of insomnia,151 and lower rates of sleep apnea.152”
From Sleep, Health, and Society (2017) · cites this paper as [31]
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Metadata
- 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
- Published
- 2013-09-01
- Volume
- 9
- Issue
- 9
- Pages
- 897-905
- ISSN
- 1550-9389 (ISSN-L)
- 1550-9397
- 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
- green
- europepmc.org
- 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 (medical) › 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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