Document Detail


Perceived racial discrimination as an independent predictor of sleep disturbance and daytime fatigue.
MedLine Citation:
PMID:  22946733     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Perceived discrimination is a potential cause of racial and ethnic disparities in health. Disturbed sleep may serve as a mechanism linking perceived racism with health consequences. This study investigates data from 7,148 adults from Michigan and Wisconsin who participated in the 2006 Behavioral Risk Factor Surveillance System. Hierarchical logistic regression analyses explored associations between perceived racial discrimination and self-reported sleep disturbance and daytime fatigue. Sleep disturbance and daytime fatigue were reported in 19% and 21% of the sample, respectively. Black/African American respondents (21%) report perceiving worse experiences, compared to people of other races, when seeking health care at higher rates than non-Hispanic White respondents (3%). Results from logistic regression models show that perceived racial discrimination is associated with increased risks of sleep disturbance (odds ratio [OR] = 2.62, p < .0001) and daytime fatigue (OR = 2.07, p < .0001). After adjustment for all covariates, perceived discrimination remains a significant predictor of sleep disturbance (OR = 1.60, p = .04). The interaction between perceived racism and race (Black/African American vs. non-Hispanic White) was nonsignificant. This population-based research adds to the growing body of data, suggesting that perceived racism may impact health via its influence on sleep-wake behaviors.
Authors:
Michael A Grandner; Lauren Hale; Nicholas Jackson; Nirav P Patel; Nalaka S Gooneratne; Wendy M Troxel
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Behavioral sleep medicine     Volume:  10     ISSN:  1540-2010     ISO Abbreviation:  Behav Sleep Med     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-05     Completed Date:  2013-01-11     Revised Date:  2013-04-16    
Medline Journal Info:
Nlm Unique ID:  101149327     Medline TA:  Behav Sleep Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  235-49     Citation Subset:  IM    
Affiliation:
Center for Sleep and Circadian Neurobiology, Division of Sleep Medicine, Department of Medicine , University of Pennsylvania, Philadelphia, PA 19104, USA. grandner@upenn.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
African Americans / statistics & numerical data
Aged
Disorders of Excessive Somnolence / ethnology*,  psychology*
European Continental Ancestry Group / statistics & numerical data
Female
Health Behavior / ethnology
Health Services Accessibility / statistics & numerical data
Health Status
Health Status Disparities*
Hispanic Americans / statistics & numerical data
Humans
Male
Michigan
Middle Aged
Population Surveillance
Prejudice
Prevalence
Racism / ethnology*,  psychology*
Risk Factors
Sleep Deprivation / ethnology*,  psychology*
Wisconsin
Young Adult
Grant Support
ID/Acronym/Agency:
K23 HL093220-05/HL/NHLBI NIH HHS; K23HL093220/HL/NHLBI NIH HHS; T32 HL007713/HL/NHLBI NIH HHS; T32HL00771/HL/NHLBI NIH HHS; UL1 RR024134-06/RR/NCRR NIH HHS; UL1RR02413/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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