Differences in short and long sleep durations between blacks and whites attributed to emotional distress: analysis of the National Health Interview Survey in the United States

Seixas, Azizi; Auguste, Emmanuella; Butler, Mark J.; James, Caryl; Newsome, Valerie; Auguste, Evan; Fonseca, Vilma Aparecida da Silva; Schneeberger, Andres R.; Zizi, Ferdinand; Jean-Louis, Girardin

doi:10.1016/j.sleh.2016.11.003

Cited by 15 publications

(13 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among whites, increasing professional responsibility within a given industry was associated with longer self-reported sleep duration whereas among blacks, increasing professional responsibility was associated with self-reported shorter sleep [15]. Reports of depression and anxiety were related to self-reported shorter sleep among blacks but not among whites [16]. Thus, from this analytic approach one cannot determine whether the covariates actually account for racial/ethnic differences but can indicate the relative importance of the covariate for one group or the other.…”

Section: Introductionmentioning

confidence: 89%

Racial/ethnic disparities in women’s sleep duration, continuity, and quality, and their statistical mediators: Study of Women’s Health Across the Nation

Matthews

Hall

Lee

et al. 2019

Sleep

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 89%

Racial/ethnic disparities in women’s sleep duration, continuity, and quality, and their statistical mediators: Study of Women’s Health Across the Nation

Matthews

Hall

Lee

et al. 2019

Sleep

View full text Add to dashboard Cite

show abstract

“…Of the few prior nationally representative studies of the US, only sleep duration was assessed, which is not comprehensive. [18][19][20][21] Despite this fact, these studies have shown that the association between insufficient sleep and SPD tend to be stronger among racial/ethnic minority groups.…”

Section: Introductionmentioning

confidence: 98%

“…All models were adjusted for the following potential confounders: age, sex/gender, educational attainment, annual household income, occupational class, employment status, alcohol consumption, and "ideal" cardiovascular health. [19][20][21]33 A two-sided p-value of 0.05 was used to determine statistical significance.…”

mentioning

confidence: 99%

<p>Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults</p>

Goldstein¹,

Gaston²,

McGrath³

et al. 2020

NSS

View full text Add to dashboard Cite

Prior studies investigating the relationship between sleep and serious psychological distress (SPD) have lacked racial/ethnic diversity and generalizability. We investigated associations between sleep and SPD among a large, nationally representative, and racially/ ethnically diverse sample of US adults. Methods: We pooled cross-sectional data from the 2004 to 2017 National Health Interview Survey. Participants self-reported sleep duration and sleep disturbances (eg, trouble falling and staying asleep). SPD was defined as a Kessler Psychological Distress Scale (K6) score ≥13. Adjusting for sociodemographic, health behavior, and clinical characteristics, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) of SPD for each sleep characteristic, overall and by race/ethnicity. Results: Among 316,840 participants, the mean age ± standard error was 46.9 ± 0.1 years, 52% were women, 75% were non-Hispanic (NH)-White, 16% NH-Black, and 9% Hispanic/ Latinx. The prevalence of SPD was 3.4% for NH-Whites, 4.1% for NH-Blacks, and 4.5% for Hispanics/Latinxs. Participants with <7 hours versus 7-9 hours of sleep duration were more likely to have SPD, and the magnitude of the association was strongest among NH-Black participants (PR NH-Blacks =3.50 [95% CI: 2.97-4.13], PR Hispanics/Latinx =2.95 [2.42-3.61], and PR NH-Whites =2.66 [2.44-2.89]). Positive associations between sleep disturbances and SPD were generally stronger among NH-Black and Hispanic/Latinx compared to NH-White adults. Conclusion: Poor sleep health was positively associated with SPD, and the magnitude of the association was generally stronger among racial/ethnic minorities. Future investigations should prospectively focus on the determinants and health consequences of SPD attributable to objectively measured sleep across racial/ethnic groups.

show abstract

“…Indeed, there is some evidence that black and white adults may interpret questions about sleep duration differently. 33,34 Another possibility is short sleep duration may be a marker for another confounding variable such as employment status. Full-time employed individuals tend to report short sleep durations.…”

Section: Discussionmentioning

confidence: 99%

Sleep duration and risk of incident stroke by age, sex, and race

et al. 2018

View full text Add to dashboard Cite

ObjectiveTo investigate the association between reported sleep duration and incident stroke in a US cohort of black and white adults, and evaluate race, age, and sex as potential effect modifiers.MethodsFrom 2008 to 2010, 16,733 black and white adults, aged ≥45 years, without a history of stroke or sleep-disordered breathing from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, reported their habitual sleep duration (<6, 6.0–6.9, 7.0–8.9 [reference], ≥9 hours). Incident strokes were identified through biannual participant contact followed by physician adjudication of medical records. Cox proportional hazards analysis was conducted to calculate hazard ratios of interactions between sleep duration with race, age, sex, and 2-way combinations of these factors on incident stroke adjusting for stroke risk factors and sleep-disordered breathing risk.ResultsThe sample comprised 10.4% (n = 1,747) short sleepers (<6 hours) and 6.8% (n = 1,134) long sleepers (≥9 hours). Over an average 6.1 years follow-up, 460 strokes occurred. There were significant interactions between sleep duration and race (p = 0.018) and sleep duration and race–sex groups (p = 0.0023) in association with incident stroke. Short sleep duration was significantly associated with decreased risk for stroke among black participants (hazard ratio [HR] 0.49 [95% confidence interval (CI) 0.28–0.85]), particularly black men (HR 0.21 [95% CI 0.07–0.69]), whereas long sleep duration was significantly associated with increased risk for stroke among white men (HR 1.71 [95% CI 1.06–2.76]).ConclusionsThe association of sleep duration with incident stroke differs by race and sex, with short sleep duration among black men associated with decreased risk, whereas long sleep duration among white men associated with increased risk for stroke.

show abstract

Differences in short and long sleep durations between blacks and whites attributed to emotional distress: analysis of the National Health Interview Survey in the United States

Abstract: Individuals of the black race/ethnicity or those reporting greater levels of emotional distress are more likely to report short or long sleep duration. Emotional distress might partially explain racial/ethnic differences in unhealthy sleep duration between blacks and whites.

Cited by 15 publications

References 34 publications

Racial/ethnic disparities in women’s sleep duration, continuity, and quality, and their statistical mediators: Study of Women’s Health Across the Nation

Racial/ethnic disparities in women’s sleep duration, continuity, and quality, and their statistical mediators: Study of Women’s Health Across the Nation

<p>Sleep Health and Serious Psychological Distress: A Nationally Representative Study of the United States among White, Black, and Hispanic/Latinx Adults</p>

Sleep duration and risk of incident stroke by age, sex, and race

Contact Info

Product

Resources

About