Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints

Grandner, Michael A.; Patel, Nirav P.; Gehrman, Philip; Xie, Dawei; Sha, Daohang; Weaver, Terri E.; Gooneratne, Nalaka S.

doi:10.1016/j.sleep.2009.10.006

Cited by 446 publications

(383 citation statements)

References 34 publications

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“…The number of children in the household appears largely unexplored in previous research [19][20][21], which was examined dichotomously [12] or restricted to very young children [15]. Notably, we found that the likelihood of frequent insufficient sleep followed a linear trend with number of children for married and previously married men and women.…”

Section: Discussionmentioning

confidence: 53%

Household Demographics and Perceived Insufficient Sleep Among US Adults

et al. 2011

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It has become increasingly recognized that insufficient sleep is associated with adverse health outcomes. Studies have observed that sleep duration and daytime sleepiness varies by sex and marital status. Few studies have examined the impact of the number of children on sleep. To evaluate the association of marital status and number of children with insufficient sleep and in a large national sample. We analyzed data from the 2008 Behavioral Risk Factor Surveillance System (BRFSS) survey, a population-based telephone survey of non-institutionalized US adults Author Manuscript (N = 395,407), in which respondents were asked, "During the past 30 days, for about how many days have you felt you did not get enough rest or sleep?" We used sex-specific, multivariate logistic regression analyses to assess the associations of marital status (married, previously married, never married) and the number of children in the household with frequent insufficient sleep (≥14 days in past 30 days) after adjusting for age, race/ethnicity, and education. In this study population, 23% were never married, 60% were married, and 17% were previously married. Fortythree percent reported having children aged <18 years in the household. Married men (24.3%) were less likely to report frequent insufficient sleep than never married men (28.0%) or previously married men (28.8%). Never married women (33.4%) were more likely to report frequent insufficient sleep than currently married (29.0%) or previously married women (29.0%). The likelihood of frequent insufficient sleep increased in a linear fashion with the number of children in the household for all subgroups (P <0.05) except among never married men. These findings suggest that the presence of children in the household often increases the frequency of insufficient rest or sleep among the adults with whom they reside. Thus, health care providers may wish to consider the presence of children under 18 years of age a potential "risk factor" for insufficient sleep when counseling adults in the household about the importance of sleep to overall health. HHS Public Access

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Section: Discussionmentioning

confidence: 53%

Household Demographics and Perceived Insufficient Sleep Among US Adults

et al. 2011

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“…The finding that outright sleep quality complaints did not differentiate the groups was not surprising, as recent large-scale epidemiological studies have found that general sleep complaints are not differentially reported in black and white respondents, 16 though other studies have found differences in sleep complaints. 9 A lack of difference in complaints may belie problems, as black individuals are at greater risk of disturbed sleep (eg, symptoms of sleep apnea) when measured in the laboratory, 32 suggesting a discrepancy between reported symptoms and those observed.…”

Section: Discussionmentioning

confidence: 84%

Sleep-Related Behaviors and Beliefs Associated With Race/Ethnicity in Women

Grandner

Patel

Jean‐Louis

et al. 2013

Journal of the National Medical Association

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Explore how social factors influence sleep, especially sleep-related beliefs and behaviors. Sleep complaints, sleep hygiene behaviors, and beliefs about sleep were studied in 65 black/African American and white/European American women. Differences were found for snoring and discrepancy between sleep duration and need. Sleep behaviors differed across groups for napping, methods for coping with sleep difficulties, and nonsleep behaviors in bed. Beliefs also distinguished groups, with differences in motivation for sleep and beliefs about sleep being important for health and functioning. These findings have important public health implications in terms of developing effective sleep education interventions that include consideration of cultural aspects.

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“…Epidemiological data suggest that sleep difficulties are more prevalent among individuals with a low income, low educational attainment, and those unemployed (Ford and Kamerow 1989;Grandner et al 2010;Ohayon 2002). They are also more prevalent in separated/divorced and widowed individuals as compared to married couples (Ford and Kamerow 1989;Grandner et al 2010;Hale 2005), and in women experiencing less marital satisfaction (Troxel et al 2009).…”

Section: Candidate Nonshared Environmental Influences On Sleepmentioning

confidence: 99%

“…They are also more prevalent in separated/divorced and widowed individuals as compared to married couples (Ford and Kamerow 1989;Grandner et al 2010;Hale 2005), and in women experiencing less marital satisfaction (Troxel et al 2009). …”

Section: Candidate Nonshared Environmental Influences On Sleepmentioning

confidence: 99%

Nonshared Environmental Influences on Sleep Quality: A Study of Monozygotic Twin Differences

et al. 2011

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Research has consistently demonstrated that environmental influences are important for explaining the variability in sleep quality observed in the general population. Although there is substantial evidence assessing associations between sleep quality and a host of environmental variables, it is possible that their effects are mediated by genetic influence. A monozygotic twin differences design was used to assess the specific contribution of nonshared environmental influences on sleep quality, whilst controlling for genetic and shared environmental effects in a sample of 380 monozygotic twins (mean age 19.8 years, SD=1.26, range=18-22 years). Participants completed the Pittsburgh Sleep Quality Index and questionnaires assessing several candidate "environmental" measures. When controlling for genetic and shared environmental effects, within monozygotic twin-pair differences in sleep quality were associated with within monozygotic twin-pair differences in general health for males (β=1.56, p<.001) and relationship satisfaction for females (β=1.01, p<.05). For the remaining environmental measures the results suggest that these seemingly "environmental" influences are actually in part dependent on genetics and/or the shared environment. These findings give insight into how specific environments affect sleep and the possible mechanisms behind these associations.

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Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints

Cited by 446 publications

References 34 publications

Household Demographics and Perceived Insufficient Sleep Among US Adults

Household Demographics and Perceived Insufficient Sleep Among US Adults

Sleep-Related Behaviors and Beliefs Associated With Race/Ethnicity in Women

Nonshared Environmental Influences on Sleep Quality: A Study of Monozygotic Twin Differences

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