ArticleJournal of racial and ethnic health disparities2017
Residual Effects of Restless Sleep over Depressive Symptoms on Chronic Medical Conditions: Race by Gender Differences.
Article in Journal of racial and ethnic health disparities, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sleep and Healthy Aging: A Systematic Review and Path Forward.Clinical gerontologistPooled it
- Could loneliness accelerate the progression of diabetes among adults with prediabetes: national longitudinal cohort.BMC public health · 2025Article
- The Relationship between Plant-Based Diet Indices and Sleep Health in Older Adults: The Mediating Role of Depressive Symptoms and Anxiety.Nutrients · 2024Article
- Stress Accumulation, Depressive Symptoms, and Sleep Problems among Black Americans in the Rural South.Clinical psychological science : a journal of the Association for Psychological Science · 2024Article
- Sex Differences in the Associations Between Chronic Diseases and Insomnia Symptoms Among Older Adults in India.Nature and science of sleep · 2024Article
- Association of depression and sleep quality with frailty: a cross-sectional study in China.Frontiers in public health · 2024Article
- Gender and socioeconomic patterning of self-reported sleep problems across European countries.European journal of public health · 2023Article
- Keeps me awake at night: The potential of the COVID-19 pandemic to affect sleep quality among sexual minority men in the U.S.A.Psychology of sexual orientation and gender diversity · 2021Article
- Depression Treatment Status of Economically Disadvantaged African American Older Adults.Brain sciences · 2020Article
- Neuroticism polygenic risk score predicts 20-year burden of depressive symptoms for Whites but not Blacks.Journal of medical research and innovation · 2020Article
- Insomnia Symptoms among African-American Older Adults in Economically Disadvantaged Areas of South Los Angeles.Brain sciences · 2019Article
- Higher Educational Attainment is Associated with Lower Risk of a Future Suicide Attempt Among Non-Hispanic Whites but not Non-Hispanic Blacks.Journal of racial and ethnic health disparities · 2019Article
- Baseline Obesity Increases 25-Year Risk of Mortality due to Cerebrovascular Disease: Role of Race.International journal of environmental research and public health · 2019Article
- When Distress Becomes Somatic: Dementia Family Caregivers' Distress and Genetic Vulnerability to Pain and Sleep Problems.The Gerontologist · 2019Article
- Baseline Body Mass Predicts Average Depressive Symptoms over the Next Two Decades for White but Not Black Older Adults.Geriatrics (Basel, Switzerland) · 2019Article
- Subjective financial status and suicidal ideation among American college students: Racial differences.Archives of general internal medicine · 2019Article
- Race, Education Attainment, and Happiness in the United States.International journal of epidemiologic research · 2019Article
- Education and Income Predict Future Emotional Well-Being of Whites but Not Blacks: A Ten-Year Cohort.Brain sciences · 2018Article
- Family Structure and Subsequent Anxiety Symptoms; Minorities' Diminished Return.Brain sciences · 2018Article
- Secular and Religious Social Support Better Protect Blacks than Whites against Depressive Symptoms.Behavioral sciences (Basel, Switzerland) · 2018Article
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4 authors.
Funding
Abstract
backgroundSleep and depression are comorbid problems that contribute to the development of chronic medical conditions (CMC) over time. Although racial and gender differences in the bidirectional associations between sleep, depression, and CMC are known, very limited information exists on heterogeneity of the residual effects of sleep problems over depressive symptoms on CMC across race by gender groups.
aimUsing a life-course perspective, the present study compared race by gender groups for residual effects of restless sleep over depressive symptoms on CMC.
methodsWe used data from waves 1 (year 1986), 4 (year 2001), and 5 (year 2011) of the Americans' Changing Lives Study (ACL). The study followed 294 White men, 108 Black men, 490 White women, and 237 Black women for 25 years. Restless sleep, depressive symptoms (Center for Epidemiological Studies-Depression scale [CES-D]), and number of chronic medical conditions (hypertension, diabetes, chronic lung disease, heart disease, stroke, cancer, and arthritis) were measured in 1986, 2001, and 2011. We employed multi-group cross-lagged modeling, with chronic medical conditions as the outcome and race by gender as the groups.
resultsMajor group differences were found in the residual effect of restless sleep on CMC over depressive symptoms across race by gender groups. Restless sleep in 2001 predicted CMC 10 years later in 2011 among Black women (standardized adjusted B = .135, P < .05) and White men (standardized adjusted = .145, P < .01) and White women (standardized adjusted B = .171, P < .001) but not Black men (standardized adjusted B = .001, P > .05).
conclusionRace by gender heterogeneity in the residual effect of restless sleep over depressive symptoms on CMC over 25 years suggests that comorbid poor sleep and depressive symptoms differently contribute to development of multi-morbidity among subpopulations based on the intersection of race and gender. Thus, interventions that try to prevent comorbid sleep problems and depression as a strategy to prevent medical conditions may benefit from tailoring based on the intersection of race and gender.
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