Cited by 922Sleep and related disordersObstructive Sleep Apnea ResearchSleep and Work-Related Fatigue

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Racial/Ethnic Differences in Sleep Disturbances: The Multi-Ethnic Study of Atherosclerosis (MESA)

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Chen, Xiaoli, Wang, Rui, Zee, Phyllis, Lutsey, Pamela L., Javaheri, Sogol, Alcántara, Carmela, Jackson, Chandra L., Williams, Michelle A., Redline, Susan·2015·SLEEP

DOI 10.5665/sleep.4732PMC PMC4434554

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Abstract

OBJECTIVES: There is limited research on racial/ethnic variation in sleep disturbances. This study aimed to quantify the distributions of objectively measured sleep disordered breathing (SDB), short sleep duration, poor sleep quality, and self-reported sleep disturbances (e.g., insomnia) across racial/ethnic groups. DESIGN: Cross-sectional study. SETTING: Six US communities. PARTICIPANTS: Racially/ethnically diverse men and women aged 54-93 y in the Multi-Ethnic Study of Atherosclerosis Sleep Cohort (n = 2,230). INTERVENTIONS: N/A. MEASUREMENTS AND RESULTS: Information from polysomnography-measured SDB, actigraphy-measured sleep duration and quality, and self-reported daytime sleepiness were obtained between 2010 and 2013. Overall, 15.0% of individuals had severe SDB (apnea-hypopnea index [AHI] ≥ 30); 30.9% short sleep duration (< 6 h); 6.5% poor sleep quality (sleep efficiency < 85%); and 13.9% had daytime sleepiness. Compared with Whites, Blacks had higher odds of sleep apnea syndrome (AHI ≥ 5 plus sleepiness) (sex-, age-, and study site-adjusted odds ratio [OR] = 1.78, 95% confidence interval [CI]: 1.20, 2.63), short sleep (OR = 4.95, 95% CI: 3.56, 6.90), poor sleep quality (OR = 1.57, 95% CI: 1.00, 2.48), and daytime sleepiness (OR = 1.89, 95% CI: 1.38, 2.60). Hispanics and Chinese had higher odds of SDB and short sleep than Whites. Among non-obese individuals, Chinese had the highest odds of SDB compared to Whites. Only 7.4% to 16.2% of individuals with an AHI ≥ 15 reported a prior diagnosis of sleep apnea. CONCLUSIONS: Sleep disturbances are prevalent among middle-aged and older adults, and vary by race/ethnicity, sex, and obesity status. The high prevalence of sleep disturbances and undiagnosed sleep apnea among racial/ethnic minorities may contribute to health disparities.

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Authors: Chen, X., Wang, R., Zee, P., Lutsey, P. L., Javaheri, S., Alcántara, C., Jackson, C. L., Williams, M. A., & Redline, S.
Affiliations: Harvard University (US)
Brigham and Women's Hospital (US)
Northwestern University (US)
University of Minnesota (US)
Columbia University Irving Medical Center (US)
Corresponding author: Chen, Xiaoli
ORCID: Chen, Xiaoli
Wang, Rui
Zee, Phyllis
Lutsey, Pamela L.
Javaheri, Sogol
Alcántara, Carmela
Jackson, Chandra L.
Williams, Michelle A.
Redline, Susan
Venue: SLEEP
Publisher: Oxford University Press (OUP)
Published: 2015-06-01
Volume: 38
Issue: 6
Pages: 877-88
ISSN: 0161-8105 (ISSN-L)
1550-9109
DOI: 10.5665/sleep.4732
PMC: PMC4434554
OpenAlex: W1937674079
Semantic Scholar: fa71da1fe92b769a3b5f702b98a0bb300e3b10b4
Cited by: 922
References: 58
Citations by year: 2026: 55 · 2025: 121 · 2024: 129 · 2023: 126 · 2022: 139 · 2021: 83 · 2020: 71 · 2019: 65 · 2018: 44 · 2017: 46 · 2016: 37 · 2015: 5
FWCI: 65.66
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: SLEEP (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Columbia Academic Commons (Columbia University)
Funders: National Institutes of Health (n01hc095169-003, 5r01hl115941-03, UL1TR000170)
National Heart, Lung, and Blood Institute (R01HL113338, R21HL108226, R01HL098433, R01HL109493, 3R01HL115941-01S1, R01HL110068, U34HL105277, 1R01HL083075-01, N01 HC95169)
National Institute of Neurological Disorders and Stroke (P20NS076965)
National Center for Advancing Translational Sciences
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, racial and ethnic differences, sleep apnea, sleep-disordered breathing, short sleep duration, poor sleep quality, daytime sleepiness, insomnia, undiagnosed sleep apnea, health disparities, obesity, middle-aged and older adults, Multi-Ethnic Study of Atherosclerosis
MeSH terms: Aged, Aged, 80 and over, Cross-Sectional Studies, Ethnicity, Female, Hispanic or Latino, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Obesity, Sleep Apnea Syndromes, Sleep Wake Disorders, Sleep Stages, United States, Cohort Studies, Prevalence, Odds Ratio, Polysomnography, White People, Asian People, Racial Groups, Atherosclerosis, Actigraphy, Self Report

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Racial/Ethnic Differences in Sleep Disturbances: The Multi-Ethnic Study of Atherosclerosis (MESA)

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