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Sleep Med. 2016 Feb;18:7-18. doi: 10.1016/j.sleep.2015.01.020. Epub 2015 Feb 28.

Sleep disparity, race/ethnicity, and socioeconomic position.

Author information

1
Behavioral Sleep Medicine Program, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Center for Sleep and Circadian Neurobiology, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: grandner@upenn.edu.
2
Center for Healthful Behavior Change, Division of Health and Behavior, Department of Population Health, New York University Langone Medical Center, New York University School of Medicine, New York, NY, USA.
3
Department of Medicine, University of Chicago, Chicago, IL, USA.
4
University of Pennsylvania Law School, Philadelphia, PA, USA; Department of Sociology, University of Pennsylvania, Philadelphia, PA, USA; Department of Africana Studies, University of Pennsylvania, Philadelphia, PA, USA.

Abstract

Sleep represents a set of biological functions necessary for the maintenance of life. Performing these functions, though, requires that an individual engage in behaviors, which are affected by social and environmental factors. Race/ethnicity and socioeconomic position represent categories of factors that likely play a role in the experience of sleep in the community. Previous studies have suggested that racial/ethnic minorities and the socioeconomically disadvantaged may be more likely to experience sleep patterns that are associated with adverse health outcomes. It is possible that disparities in sleep represent a pathway by which larger disparities in health emerge. This review (1) contextualizes the concept of race/ethnicity in biomedical research, (2) summarizes previous studies that describe patterns of sleep attainment across race/ethnicity groups, (3) discusses several pathways by which race/ethnicity may be associated with sleep, (4) introduces the potential role of socioeconomic position in the patterning of sleep, and (5) proposes future research directions to address this issue.

KEYWORDS:

Epidemiology; Health disparities; Race/ethnicity; Sleep; Sleep duration; Socioeconomic status

PMID:
26431755
PMCID:
PMC4631795
DOI:
10.1016/j.sleep.2015.01.020
[Indexed for MEDLINE]
Free PMC Article

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