Sleep Symptoms, Race/Ethnicity, and Socioeconomic Position

Abstract

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.

Prevalence of daytime sleeping in the working population from estimates of nocturnal work shift

“…The findings support previous work highlighting that socioeconomically vulnerable populations (e.g., Non-Hispanic-Blacks) may be at greater risk for sleep abnormalities, [17][18][19] a sub-group of individuals known to have greater environmental stressors throughout the lifecourse. [20][21][22] Sleep research should continue to study the relatively small (≈ 3.3%), but objectively large (≈ 4.3 million), understudied population of individuals who attempt to complete all their sleep during sunlight hours.…”

Patient Reported Health-related Quality of Life in Co-morbid Insomnia: Results from a Survey of Primary Care Patients in the United States

“…One study had also found that low and very low food security, were also consistently associated with sleep symptoms even after adjustment of other socio demographic variables. The same study concluded that those in poverty are more likely to experience sleep problems than those not in poverty, and those with household income less than $20,000 were more likely to report multiple sleep disordered symptoms consistent with our findings [4].…”

“…These findings are particularly relevant for individuals from disadvantaged socio-demographic and socio-economic groups, as differences in sleep and sleep disparities (ameliorable differences) may place these groups at increased risk of poor health outcomes [4]. Research has shown that past and present economic difficulties are strongly associated with current complaints of insomnia [5].…”

Psychological Distress Mediates the Association between Food Insecurity and Suboptimal Sleep Quality in Latinos with Type 2 Diabetes Mellitus

“…Studies also have documented the association between psychological distress and suboptimal sleep (48)(49)(50). To our knowledge, few studies, however, have used mediation models to explore direct and indirect associations between HFI, psychological distress, and sleep quality (51).…”