Racial differences in sleep duration intersect with sex, socioeconomic status, and U.S. geographic region: The REGARDS study

Petrov, Megan E.; Long, D. Leann; Grandner, Michael; MacDonald, Leslie A.; Cribbet, Matthew R.; Robbins, Rebecca; Cundiff, Jenny M.; Molano, Jennifer Rose V.; Hoffmann, Coles M.; Wang, Xuewen; Howard, George; Howard, Virginia J.

doi:10.1016/j.sleh.2020.05.004

Cited by 28 publications

(10 citation statements)

References 34 publications

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“…Regardless of the sleep disturbances investigated, socioeconomic inequities appear in the sleep health of the general population, similar to what has been published in health disparities related to cardiovascular diseases, mental disorders and several chronic diseases [ 6 , 7 , 45 , 46 ]. While epidemiological data available on sleep medicine focused on a variety of parameters, such as sleep quality, sleep duration or sleep efficiency; the concept of ‘‘Sleep health’’ for public health is more mitigated because it is more multidimensional [ 31 , 44 , 47 , 48 , 49 , 50 ]. Figure 2 represents a socioeconomic model of sleep health with multiple interactions at both individual, community and governmental levels.…”

Section: Discussionmentioning

confidence: 99%

Towards A Socioeconomic Model of Sleep Health among the Canadian Population: A Systematic Review of the Relationship between Age, Income, Employment, Education, Social Class, Socioeconomic Status and Sleep Disparities

Sosso¹,

Kreidlmayer²,

Pearson

et al. 2022

EJIHPE

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A better understanding of the contribution of the socioeconomic status (SES) in sleep health could guide the development of population-based interventions aiming to reduce “the silent public health issue” that are sleep disturbances. PRISMA was employed to identify relevant studies having examined the association between social class, social capital, education, income/assets, occupation/employment status, neighborhood deprivation and sleep health. Sixteen cross-sectional and three longitudinal studies were selected, having sampled 226,029 participants aged from 2 months to 85 years old. Findings showed that: (1) sleep health disparities among children and adolescent are strongly correlated to parental socioeconomic indicators; (2) poor parental income, poor family SES and poor parental education are associated with higher sleep disturbances among children and adolescents; (3) lower education is a predictor of increased sleep disturbances for adults; (4) low SES is associated with high sleep disturbances in adults and old people and; (5) low income and full-time employment was significantly associated with short sleep among adults and old people. In conclusion, sleep health should be an important public health target. Such intervention would be beneficial for populational health, for all taxpayers and public administrations, which would see a reduction in absenteeism and productivity losses attributable to sleep-related health problems in the global economy.

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Section: Discussionmentioning

confidence: 99%

Towards A Socioeconomic Model of Sleep Health among the Canadian Population: A Systematic Review of the Relationship between Age, Income, Employment, Education, Social Class, Socioeconomic Status and Sleep Disparities

Sosso¹,

Kreidlmayer²,

Pearson

et al. 2022

EJIHPE

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“…The REasons for Geographic and Racial Differences in Stroke (REGARDS), was a large representative sample of black and white middle-aged adults that studied the demographic characteristics to determine health differences and sleep disparities among minority groups. This study considered race, education, income, sex, and geographic residence on short and long sleep duration ( 96 ). The results of this study found that shorter sleep duration was greatest among older black adults and oddly enough, black men with higher income were found to sleep less than whites in regions of the country outside of the Southeast and Appalachia.…”

Section: Sleep and Cognitive Declinementioning

confidence: 99%

Effects of Lifestyle Factors on Cognition in Minority Population of Older Adults: A Review

et al. 2022

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The onset of dementia and Alzheimer's disease (AD) is projected to expand over the next several decades in the United States as the population ages. However, the cognitive health burden is not equally distributed among the population, as Hispanics and African Americans are at higher risk of AD when compared with Non-Hispanic Whites. There is some evidence to indicate that cognitive decline may be associated with lifestyle factors and that interventions in these domains may prevent or delay this decline. These lifestyle factors include social engagement, physical activity, both aerobic and strength training, dietary intake, sleep and stress. This review summarizes, in general, what is known about the relationship between risk factors and cognition and, in particular what is known about this relationship in minority populations. The results show that the relationship between these risk factors and cognitive decline is stronger for some of the factors such as physical activity and dietary intake and weaker for the other factors depending on what is measured and in what populations. It does appear, however, that the studies in minority populations is limited and warrants more targeted research and interventions.

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“…As annual family income increased, the odds of very short and long sleep decreased in both AAs and whites, but the decrease was steeper in whites. A very recent report from The Reasons for Geographic And Racial Differences in Stroke (REGARDS) cohort, showed that higher income decreased the odds of <6 hours sleep overall, but the odds decrease was less in AAs than whites (39). In another study, Jean-Lois and colleagues reported that in the mentioned earlier NHIS cohort, compared to adults with income above $35,000, the odds ratio of very short sleep in adults with income below $35,000 in whites (OR, 2.08; 95% CI, 1.89 -2.30) was higher than in AAs (OR, 1.52; 95% CI, 1.25 -1.85) (29).…”

Section: Sleep Duration and Ses Characteristicsmentioning

confidence: 99%

Patterns and correlates of sleep duration in the Southern cohort community study

et al. 2020

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Racial differences in sleep duration intersect with sex, socioeconomic status, and U.S. geographic region: The REGARDS study

Cited by 28 publications

References 34 publications

Towards A Socioeconomic Model of Sleep Health among the Canadian Population: A Systematic Review of the Relationship between Age, Income, Employment, Education, Social Class, Socioeconomic Status and Sleep Disparities

Towards A Socioeconomic Model of Sleep Health among the Canadian Population: A Systematic Review of the Relationship between Age, Income, Employment, Education, Social Class, Socioeconomic Status and Sleep Disparities

Effects of Lifestyle Factors on Cognition in Minority Population of Older Adults: A Review

Patterns and correlates of sleep duration in the Southern cohort community study

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