Racial Disparities in Sleep: Potential Mediation by Discrimination and Psychological Distress

Mead, Michael P.; Vargas, Emily A; Knutson, Kristen L.

doi:10.1007/s40615-022-01247-0

Cited by 25 publications

(28 citation statements)

References 28 publications

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“…Members of racial and ethnic minority groups are at disproportionate risk for unhealthy sleep (i.e. short sleep) and overweight/obesity (Billings et al, 2021; Jackson, 2017; Mead et al, 2022). Chronic psychological stress that accompanies cumulative experiences of discrimination may be a mechanism by which unhealthy sleep and overweight/obesity are more prevalent in such groups (Mead et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

“…short sleep) and overweight/obesity (Billings et al, 2021; Jackson, 2017; Mead et al, 2022). Chronic psychological stress that accompanies cumulative experiences of discrimination may be a mechanism by which unhealthy sleep and overweight/obesity are more prevalent in such groups (Mead et al, 2022). Moreover, families of non‐White race disparately reside in socioeconomically disadvantaged neighbourhoods that are burdened with low rates of education, high rates of poverty, unemployment and unsafe/unhealthy neighbourhood conditions (Billings et al, 2021), directly and indirectly jeopardizing sleep and healthy weight in adolescents.…”

Section: Introductionmentioning

confidence: 99%

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Associations between sleep and overweight/obesity in adolescents vary by race/ethnicity and socioeconomic status

Covington

Patterson

et al. 2022

Journal of Advanced Nursing

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Aim: To examine the interaction between sleep and social determinants of health (SDOH) [race/ethnicity and socioeconomic status (SES)] on overweight/obesity in adolescents.Design: Cross-sectional. Methods:We conducted a secondary analysis using the 2017-2018 National Survey of Children's Health data. We included adolescents (10-17 years old) who had sleep and body mass index (BMI) data available (n = 24,337) in analyses (samples with BMI <5th percentile excluded). Parents reported children's sleep duration and regularity. High BMI (≥85th percentile) for age defines overweight/obesity. We selected SDOH (race/ ethnicity, family income, primary caregiver education and neighbourhood condition) and covariates (age, sex, smoking, exercise and depression) using a hierarchical modelbuilding approach. Accounting for complex survey design, logistic regression estimated the interaction between sleep and SDOH.Results: There were significant interactions between sleep duration and SDOH. The association between increasing sleep and decreasing odds of overweight/obesity only showed in the following subgroups: White, family income ≥400% federal poverty level (FPL) or primary caregiver' education ≥ high school. Compared with these subgroups, Hispanic adolescents and adolescents whose family income was below 100% FPL and whose caregiver education was below high school had weakened and reversed associations. Sleep regularity was not associated with overweight/obesity. Conclusions:Increasing sleep duration was associated with a decreased risk of overweight/obesity, but the association was not present in adolescents from racial/ethnic minority groups (i.e. Hispanic) and those with low SES. Impact:The study findings suggest that associations between sleep and overweight/ obesity vary by race and SES. Identification of additional mechanisms for obesity is needed for racial/ethnic minority groups and those from families with low SES. Also, the complexity of these relationships underscores the importance of communitybased needs assessment in the design of targeted and meaningful interventions to address complex health conditions such as poor sleep and obesity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Associations between sleep and overweight/obesity in adolescents vary by race/ethnicity and socioeconomic status

Covington

Patterson

et al. 2022

Journal of Advanced Nursing

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“…Patients with cancer who are members of racial or ethnic minorities suffer disproportionately from comorbidities, experience more substantial obstacles to receiving care, are more likely to be uninsured, and are at greater risk of receiving fragmented care or poor-quality care than other Americans. 54-57 Many other patients lack access to care because of their geographic location and distance from appropriate treatment facilities. Lack of access to care increases timelines to diagnoses and often results in an advanced disease state at the time of diagnosis.…”

Section: Health Disparitiesmentioning

confidence: 99%

“…Racial and ethnic disparities in health care contribute significantly to this problem in the United States. Patients with cancer who are members of racial or ethnic minorities suffer disproportionately from comorbidities, experience more substantial obstacles to receiving care, are more likely to be uninsured, and are at greater risk of receiving fragmented care or poor-quality care than other Americans [54][55][56][57]. Many other patients lack access to care because of their geographic location and distance from appropriate treatment facilities.…”

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confidence: 99%

Immunotherapy and Biomarker Testing in Recurrent and Metastatic Head and Neck Cancers: ASCO Guideline

Yilmaz

Ismaila

Bauman

et al. 2023

JCO

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PURPOSE To provide evidence-based recommendations for practicing physicians and other health care providers on immunotherapy and biomarker testing for head and neck cancers. METHODS ASCO convened an Expert Panel of medical oncology, surgical oncology, radiation oncology, radiology, pathology, and patient advocacy experts to conduct a literature search, including systematic reviews, meta-analyses, randomized controlled trials, and prospective and retrospective comparative observational studies published from 2000 through 2022. Outcomes of interest included survival, overall response, and locoregional control. Expert Panel members used available evidence and informal consensus to develop evidence-based guideline recommendations. RESULTS The literature search identified 28 relevant studies to inform the evidence base for this guideline. RECOMMENDATIONS When possible, evidence-based recommendations were developed to address biomarker testing, first-line treatment regimens based on programmed death ligand-1 scores, immunotherapy in platinum-refractory recurrent or metastatic head and neck squamous cell carcinoma, immunotherapy in nasopharyngeal carcinoma, and radiation therapy in combination with immunotherapy for treatment of local recurrence. Additional information is available at www.asco.org/head-neck-cancer-guidelines .

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“…Patients with cancer who are members of racial and/or ethnic minorities suffer disproportionately from comorbidities, experience more substantial obstacles to receiving care, are more likely to be uninsured, and are at greater risk of receiving fragmented care or poor-quality care than other Americans. [149][150][151][152] According to the American Association for Cancer Research 2022 progress report on cancer disparities, racial and ethnic minorities and other underserved populations shoulder a disproportionate burden of the adverse effects of cancer and cancer treatment, including physical, emotional, psychosocial, and financial challenges. 153 Survivors who are Black consistently report poorer quality of life and physical and mental health compared with cancer survivors who are White, found in studies of breast, prostate, or colorectal cancer.…”

Section: Health Disparitiesmentioning

confidence: 99%

Management of Anxiety and Depression in Adult Survivors of Cancer: ASCO Guideline Update

Andersen

Lacchetti

Ashing

et al. 2023

JCO

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PURPOSE To update the American Society of Clinical Oncology guideline on the management of anxiety and depression in adult cancer survivors. METHODS A multidisciplinary expert panel convened to update the guideline. A systematic review of evidence published from 2013-2021 was conducted. RESULTS The evidence base consisted of 17 systematic reviews ± meta analyses (nine for psychosocial interventions, four for physical exercise, three for mindfulness-based stress reduction [MBSR], and one for pharmacologic interventions), and an additional 44 randomized controlled trials. Psychological, educational, and psychosocial interventions led to improvements in depression and anxiety. Evidence for pharmacologic management of depression and anxiety in cancer survivors was inconsistent. The lack of inclusion of survivors from minoritized groups was noted and identified as an important consideration to provide high-quality care for ethnic minority populations. RECOMMENDATIONS It is recommended to use a stepped-care model, that is, provide the most effective and least resource-intensive intervention based on symptom severity. All oncology patients should be offered education regarding depression and anxiety. For patients with moderate symptoms of depression, clinicians should offer cognitive behavior therapy (CBT), behavioral activation (BA), MBSR, structured physical activity, or empirically supported psychosocial interventions. For patients with moderate symptoms of anxiety, clinicians should offer CBT, BA, structured physical activity, acceptance and commitment therapy, or psychosocial interventions. For patients with severe symptoms of depression or anxiety, clinicians should offer cognitive therapy, BA, CBT, MBSR, or interpersonal therapy. Treating clinicians may offer a pharmacologic regimen for depression or anxiety for patients who do not have access to first-line treatment, prefer pharmacotherapy, have previously responded well to pharmacotherapy, or have not improved following first-line psychological or behavioral management. Additional information is available at www.asco.org/survivorship-guidelines .

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Racial Disparities in Sleep: Potential Mediation by Discrimination and Psychological Distress

Cited by 25 publications

References 28 publications

Associations between sleep and overweight/obesity in adolescents vary by race/ethnicity and socioeconomic status

Associations between sleep and overweight/obesity in adolescents vary by race/ethnicity and socioeconomic status

Immunotherapy and Biomarker Testing in Recurrent and Metastatic Head and Neck Cancers: ASCO Guideline

Management of Anxiety and Depression in Adult Survivors of Cancer: ASCO Guideline Update

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