The DOI matches its Crossref record; 58 of the 58 references it cites were found in a registry or an index.
Racial/Ethnic Differences in Sleep Disturbances: The Multi-Ethnic Study of Atherosclerosis (MESA)
Open accessAbstract
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“OSA is widely underdiagnosed; 86% to 95% of individuals found in population surveys with clinically significant OSA report no prior OSA diagnosis.5”
From Obstructive Sleep Apnea and Cardiovascular Disease: A Scientific Statement From the American Heart Association (2021) · cites this paper as [5]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
(1998) · PsycEXTRA Dataset · doi:10.1037/e565682010-001 · Cited by 9,453
Increased Prevalence of Sleep-Disordered Breathing in Adults
Peppard, P. E., Young, T., Barnet, J. H., Palta, M., Hagen, E. W., & Hla, K. M. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kws342 · Cited by 4,618
Multi-Ethnic Study of Atherosclerosis: Objectives and Design
Bild, D. E. (2002) · American Journal of Epidemiology · doi:10.1093/aje/kwf113 · Cited by 3,942
(1998) · PubMed · Cited by 2,737
Reliability and factor analysis of the Epworth Sleepiness Scale.
Johns, M. (1992) · Sleep · doi:10.1093/sleep/15.4.376 · Cited by 2,193
Mortality Associated With Sleep Duration and Insomnia
Kripke, D. F., Garfinkel, L., Wingard, D. L., Klauber, M. R., & Marler, M. R. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.2.131 · Cited by 1,614
Young, T. (2002) · Archives of Internal Medicine · doi:10.1001/archinte.162.8.893 · Cited by 1,304
Morgenthaler, T., Alessi, C., Friedman, L., Owens, J., Kapur, V., Boehlecke, B., Brown, T., Chesson, A., Coleman, J., Lee-Chiong, T., et al. (2007) · Sleep · doi:10.1093/sleep/30.4.519 · Cited by 1,142
Association of usual sleep duration with hypertension: the Sleep Heart Health Study
Gottlieb, D. J., Redline, S., Nieto, F. J., Baldwin, C. M., Newman, A. B., Resnick, H. E., & Punjabi, N. M. (2006) · Sleep · doi:10.1093/sleep/29.8.1009 · Cited by 947
Self-citationSlow-wave sleep and the risk of type 2 diabetes in humans
Tasali, E., Leproult, R., Ehrmann, D. A., & Van Cauter, E. (2008) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0706446105 · Cited by 921
Buxton, O. M., & Marcelli, E. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2010.05.041 · Cited by 818
The role of actigraphy in sleep medicine
Sadeh, A., & Acebo, C. (2002) · Sleep Medicine Reviews · doi:10.1053/smrv.2001.0182 · Cited by 743
ROSEN, C. L., Larkin, E. K., Kirchner, H. L., Emancipator, J. L., Bivins, S. F., Surovec, S. A., Martin, R. J., & Redline, S. S. (2003) · The Journal of Pediatrics · doi:10.1067/mpd.2003.28 · Cited by 742
Self-citationSleep disorders and sleep deprivation: an unmet public health problem
(2007) · Choice Reviews Online · doi:10.5860/choice.44-5682 · Cited by 727
Evidence for the validity of a sleep habits survey for adolescents
Wolfson, A. R., Carskadon, M. A., Acebo, C., Seifer, R., Fallone, G., Labyak, S. E., & Martin, J. L. (2003) · Sleep · doi:10.1093/sleep/26.2.213 · Cited by 682
Racial Differences in Sleep-Disordered Breathing in African-Americans and Caucasians
Redline, S., Tishler, P. V., Hans, M. G., Tosteson, T. D., Strohl, K. P., & Spry, K. (1997) · American journal of respiratory and critical care medicine · doi:10.1164/ajrccm.155.1.9001310 · Cited by 605
Self-citationGrandner, M. A., Hale, L., Moore, M., & Patel, N. P. (2010) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2009.07.006 · Cited by 602
Objectively Measured Sleep Characteristics among Early-Middle-Aged Adults
Lauderdale, D. S., Knutson, K. L., Yan, L. L., Rathouz, P. J., Hulley, S. B., Sidney, S., & Liu, K. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj199 · Cited by 581
Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints
Grandner, M. A., Patel, N. P., Gehrman, P. R., Xie, D., Sha, D., Weaver, T., & Gooneratne, N. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2009.10.006 · Cited by 562
Methods for Obtaining and Analyzing Unattended Polysomnography Data for a Multicenter Study
Redline, S. S., SANDERS, M. H., Lind, B. K., Quan, S. F., Iber, C., Gottlieb, D. J., BONEKAT, W. H., Rapoport, D. M., Smith, P. L., & Kiley, J. P. (1998) · SLEEP · doi:10.1093/sleep/21.7.759 · Cited by 534
Self-citationPrevalence of Sleep-disordered Breathing in Middle-aged Korean Men and Women
Kim, J., In, K., Kim, J., You, S., Kang, K., Shim, J., Lee, S., Lee, J., Lee, S., Park, C., et al. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200404-519oc · Cited by 516
Tishler, P. V., Larkin, E. K., Schluchter, M. D., & Redline, S. (2003) · JAMA · doi:10.1001/jama.289.17.2230 · Cited by 504
Self-citationPrevalence of Sleep-disordered Breathing and Sleep Apnea in Middle-aged Urban Indian Men
Udwadia, Z. F., Doshi, A. V., Lonkar, S. G., & Singh, C. I. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200302-265oc · Cited by 388
Stamatakis, K. A., Kaplan, G. A., & Roberts, R. E. (2007) · Annals of Epidemiology · doi:10.1016/j.annepidem.2007.07.096 · Cited by 377
Obstructive Sleep Apnea Syndrome: A Comparison Between Far‐East Asian and White Men
Li, K. K., Kushida, C. A., Powell, N. B., Riley, R. W., & Guilleminault, C. (2000) · The Laryngoscope · doi:10.1097/00005537-200010000-00022 · Cited by 367
Reliability of Scoring Respiratory Disturbance Indices and Sleep Staging
Whitney, C. W., Gottlieb, D. J., Redline, S., Norman, R. G., Dodge, R. R., Shahar, E., Surovec, S., & Nieto, F. J. (1998) · Sleep · doi:10.1093/sleep/21.7.749 · Cited by 327
Self-citationSleep Quality and Elevated Blood Pressure in Adolescents
Javaheri, S., Storfer‐Isser, A., ROSEN, C. L., & Redline, S. S. (2008) · Circulation · doi:10.1161/circulationaha.108.766410 · Cited by 310
Self-citationThe Scoring of Respiratory Events in Sleep: Reliability and Validity
Redline, S. S., Budhiraja, R., Kapur, V. K., Marcus, C. L., Mateika, J. H., Mehra, R., Parthasarthy, S., Somers, V. K., Strohl, K. P., Gozal, D., et al. (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26818 · Cited by 306
Self-citationSleep-Disordered Breathing in African-American Elderly
Ancoli‐Israel, S., Klauber, M. R., Stepnowsky, C. J., Estline, E., Chinn, A., & Fell, R. L. (1995) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.152.6.8520760 · Cited by 294
Reliability and validity of Women's Health Initiative Insomnia Rating Scale.
Levine, D. W., Lewis, M. A., Bowen, D. J., Kripke, D. F., Kaplan, R. M., Naughton, M. J., & Shumaker, S. A. (2003) · Psychological Assessment · doi:10.1037/1040-3590.15.2.137 · Cited by 286
The association between sleep duration and obesity in older adults
Groups, F. T. O. F. I. M. A. T. S. O. O. F. R., Patel, S. R., Blackwell, T., Redline, S., Ancoli-Israel, S., Cauley, J. A., Hillier, T. A., Lewis, C. E., Orwoll, E. S., Stefanick, M. L., et al. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.198 · Cited by 284
Self-citationA Community Study of Sleep-Disordered Breathing in Middle-Aged Chinese Women in Hong Kong
Ip, M., LAM, B. K., Tang, L. C. H., Lauder, I. J., Ip, T. Y., & Lam, W. K. (2004) · CHEST Journal · doi:10.1378/chest.125.1.127 · Cited by 276
Redline, S., Sotres-Alvarez, D., Loredo, J., Hall, M., Patel, S. R., Ramos, A., Shah, N., Ries, A., Arens, R., Barnhart, J., et al. (2014) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201309-1735oc · Cited by 270
Self-citationObesity and craniofacial structure as risk factors for obstructive sleep apnoea: Impact of ethnicity
Sutherland, K., Lee, R. W. W., & Cistulli, P. A. (2011) · Respirology · doi:10.1111/j.1440-1843.2011.02082.x · Cited by 263
BLACKWELL, T. L., Yaffe, K. S., Ancoli‐Israel, S., Redline, S. S., Ensrud, K. E., Stefanick, M. L., Laffan, A. M., Stone, K. L., & for the Osteoporotic Fractures in Men (MrOS) Study Group (2011) · SLEEP · doi:10.5665/sleep.1276 · Cited by 256
Self-citationA Whole-Genome Scan for Obstructive Sleep Apnea and Obesity
Palmer, L. J., Buxbaum, S. G., Larkin, E. K., Patel, S. R., Elston, R. C., Tishler, P. V., & Redline, S. S. (2003) · The American Journal of Human Genetics · doi:10.1086/346064 · Cited by 228
Self-citationMalik, S., Kanwar, A., Sim, L. A., Prokop, L. J., Wang, Z., Benkhadra, K., & Murad, M. H. (2014) · Systematic Reviews · doi:10.1186/2046-4053-3-18 · Cited by 206
Racial Disparities in Short Sleep Duration by Occupation and Industry
Jackson, C. L., Redline, S. S., Kawachi, I. I., Williams, M. A., & Hu, F. B. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kwt159 · Cited by 195
Self-citationRECOGNITION AND CONSEQUENCES OF OBSTRUCTIVE SLEEP APNEA HYPOPNEA SYNDROME
Redline, S. S., & Strohl, K. P. (1998) · Clinics in Chest Medicine · doi:10.1016/s0272-5231(05)70428-7 · Cited by 192
Self-citationSleep Disturbances, Quality of Life, and Ethnicity: The Sleep Heart Health Study
Baldwin, C. M., Ervin, A., Mays, M. Z., Robbins, J., Shafazand, S., Walsleben, J. A., & Weaver, T. E. (2010) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27768 · Cited by 185
Predictors of Obstructive Sleep Apnea Severity in Adenotonsillectomy Candidates
Weinstock, T. G., ROSEN, C. L., Marcus, C. L., Garetz, S. L., Mitchell, R. B., Amin, R. S., Paruthi, S., Katz, E. S., Arens, R., Weng, J., et al. (2014) · SLEEP · doi:10.5665/sleep.3394 · Cited by 164
Self-citationSleep Duration among Black and White Americans: Results of the National Health Interview Survey
Nunes, J., Jean‐Louis, G., Zizi, F., Casimir, G. J., von Gizycki, H., Brown, C. D., & McFarlane, S. I. (2008) · Journal of the National Medical Association · doi:10.1016/s0027-9684(15)31244-x · Cited by 159
Sleep Health in U.S. Hispanic Population
Loredo, J. S., Soler, X., Bardwell, W. A., Ancoli‐Israel, S., Dimsdale, J. E., & Palinkas, L. A. (2010) · SLEEP · doi:10.1093/sleep/33.7.962 · Cited by 149
Genetics of the apnea hypopnea index in Caucasians and African Americans: I. Segregation analysis
Buxbaum, S. G., Elston, R. C., Tishler, P. V., & Redline, S. S. (2002) · Genetic Epidemiology · doi:10.1002/gepi.0170 · Cited by 134
Self-citationRalls, F. M., & Grigg-Damberger, M. M. (2012) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0b013e328358be05 · Cited by 107
Obstructive sleep apnea syndrome: natural history, diagnosis, and emerging treatment options
Mehra, R., & Gharibeh (2010) · Nature and Science of Sleep · doi:10.2147/nss.s6844 · Cited by 106
Cross-cultural comparison of the sleep-disordered breathing prevalence among Americans and Japanese
Yamagishi, K., Ohira, T., Nakano, H., Bielinski, S. J., Sakurai, S., Imano, H., Kiyama, M., Kitamura, A., Sato, S., Konishi, M., et al. (2010) · European Respiratory Journal · doi:10.1183/09031936.00118609 · Cited by 103
Redline, S. S., & Foody, J. M. (2011) · Circulation · doi:10.1161/circulationaha.111.062190 · Cited by 96
Self-citationSilva, G. E., An, M., Goodwin, J. L., Shahar, E., Redline, S. S., Resnick, H. E., Baldwin, C. M., & Quan, S. F. (2009) · SLEEP · doi:10.1093/sleep/32.8.1049 · Cited by 90
Self-citationPiccolo, R. S., YANG, M. H., Bliwise, D. L., Yaggi, H. K., & de Araújo, A. B. (2013) · PubMed · Cited by 64
Craniofacial abnormalities in Chinese patients with obstructive and positional sleep apnea
Chang, E., & Shiao, G.-M. (2007) · Sleep Medicine · doi:10.1016/j.sleep.2007.04.024 · Cited by 64
RECOGNITION AND CONSEQUENCES OF OBSTRUCTIVE SLEEP APNEA HYPOPNEA SYNDROME
Redline, S. S., & Strohl, K. P. (1999) · Otolaryngologic Clinics of North America · doi:10.1016/s0030-6665(05)70132-8 · Cited by 60
Self-citationObjectively Measured Sleep Characteristics among Early-Middle-Aged Adults: The CARDIA Study
Phillips, B. A. (2007) · Yearbook of Pulmonary Disease · doi:10.1016/s8756-3452(08)70476-6 · Cited by 60
The Influence of Race on the Severity of Sleep Disordered Breathing
Pranathiageswaran, S., Badr, M. S., Severson, R. K., & Rowley, J. A. (2013) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2572 · Cited by 56
Fung, M. M., Peters, K. W., Ancoli‐Israel, S., Redline, S. S., Stone, K. L., & Barrett-Connor, E. L. (2013) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2756 · Cited by 48
Self-citationBunevičius, R., Liaugaudaitė, V., Pečeliūnienė, J., Raškauskienė, N., Bunevičius, A., & Mickuvienė, N. (2014) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813432.2013.873604 · Cited by 37
Ohdaira, F., Nakamura, K., Nakayama, H., Satoh, M., Ohdaira, T., Nakamata, M., Kohno, M., Iwashima, A., Onda, A., Kobayashi, Y., et al. (2007) · Sleep And Breathing · doi:10.1007/s11325-006-0087-5 · Cited by 21
What Will Health-Care Reform Mean for Minority Health Disparities?
Errickson, S. P., Alvarez, M., Forquera, R., Whitehead, T. L., Fleg, A., Hawkins, T., Browne, D. C., Newsom, M., & Schoenbach, V. J. (2011) · Public Health Reports · doi:10.1177/003335491112600207 · Cited by 11
Flagged first, then by citations
Cited by
Sorted by citations
Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association
Benjamin, E. J., Blaha, M. J., Chiuve, S. E., Cushman, M., Das, S. R., Deo, R., de Ferranti, S. D., Floyd, J., Fornage, M., Gillespie, C., et al. (2017) · Circulation · doi:10.1161/cir.0000000000000485 · Cited by 12,591
Heart disease and stroke statistics-2018 update: a report from the american heart association
Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., Chiuve, S. E., Cushman, M., Delling, F. N., Deo, R., et al. (2018) · Circulation · doi:10.1161/cir.0000000000000558 · Cited by 7,146
Self-citationDiagnosis and Management of Obstructive Sleep Apnea: A Review
Gottlieb, D. J., & Punjabi, N. M. (2020) · JAMA · doi:10.1001/jama.2020.3514 · Cited by 1,482
Yeghiazarians, Y., Jneid, H., Tietjens, J. R., Redline, S., Brown, D. L., El-Sherif, N., Mehra, R., Bozkurt, B., Ndumele, C. E., Somers, V. K., et al. (2021) · Circulation · doi:10.1161/cir.0000000000000988 · Cited by 1,431
Self-citationPatil, S. P., Ayappa, I. A., Caples, S. M., Kimoff, R. J., Patel, S. R., & Harrod, C. G. (2019) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.7638 · Cited by 721
Metadata
- 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
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
