ArticleAmerican journal of hypertension2016
The Mediation of Racial Differences in Hypertension by Sleep Characteristics: Chicago Area Sleep Study.
Article in American journal of hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Habitual sleep as a contributor to racial differences in cardiometabolic risk.Proceedings of the National Academy of Sciences of the United States of America · 2017Trial
- Sleep and circadian rhythms in cardiovascular resilience: mechanisms, implications, and a Roadmap for research and interventions.Nature reviews. Cardiology · 2026Review
- The Link Between Sleep Health Dimensions and Hypertension for Cardiovascular Health.Current epidemiology reports · 2026Review
- Article
- Disparities in sleep care and cardiovascular outcomes: defining the problem and implementing solutions.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- Neighborhood Light at Night and Noise Levels, and Long-Term Sleep Trajectories in the Southern Community Cohort Study.Clocks & sleep · 2024Article
- Racial/ethnic and sex differences in the association between light at night and actigraphy-measured sleep duration in adults: NHANES 2011-2014.Sleep health · 2024Article
- CARDIA sleep ancillary study: study design and methods.Sleep advances : a journal of the Sleep Research Society · 2024Article
- Age, sex and race distribution of accelerometer-derived sleep variability in US school-aged children and adults.Scientific reports · 2023Article
- Does air pollution contribute to urban-rural disparity in male lung cancer diseases in China?Environmental science and pollution research international · 2022Article
- Differences in Symptoms and Severity of Obstructive Sleep Apnea between Black and White Patients.Annals of the American Thoracic Society · 2022Article
- Reduced sleep efficiency, measured using an objective device, was related to an increased prevalence of home hypertension in Japanese adults.Hypertension research : official journal of the Japanese Society of Hypertension · 2020Article
- Sleep and Resistant Hypertension.Current hypertension reports · 2019Review
- Sleep Patterns and Hypertension Using Actigraphy in the Hispanic Community Health Study/Study of Latinos.Chest · 2018Article
- Association of sleep characteristics with cardiovascular and metabolic risk factors in a population sample: the Chicago Area Sleep Study.Sleep health · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundRacial disparities in hypertension prevalence in the United States are established. Given our understanding of racial and ethnic disparities in sleep characteristics and demonstrated associations between sleep characteristics and hypertension, we tested whether sleep characteristics mediated racial disparities in hypertension.
methodsAnalyses were performed in the Chicago Area Sleep Study, a population-based cohort study of 154 Blacks, 128 Whites, 103 Hispanics, and 109 Asians without obstructive sleep apnea. Participants underwent 7 days of wrist actigraphy monitoring. Algorithms were used to determine sleep duration and sleep maintenance (the percent of sleep in the sleep period). Hypertension was determined as systolic blood pressure >140mm Hg or diastolic blood pressure >90mm Hg or the use of antihypertensive medications. We estimated sample prevalence ratios for hypertension before and after adjustment for sleep characteristics and also conducted mediation analysis.
resultsThe sample prevalence of hypertension was highest in Blacks (36%), followed by Hispanics (14%), Asians (8%), and Whites (5%). The sample prevalence ratio for hypertension for Blacks vs. Whites was 5.52 (95% confidence interval (CI): 2.36, 13.23) after adjusting for age, sex, and education. Adjustment for sleep duration had no influence on the effect estimate, but adjustment for sleep maintenance attenuated the sample prevalence ratio to 4.55 (95% CI: 1.91, 11.14). Sleep maintenance mediated 11.4% of the difference in hypertension prevalence between Blacks and Whites in this sample.
conclusionsSleep maintenance mediated a small but significant portion of the disparity in hypertension between Blacks and Whites. Future research should investigate the mechanisms underlying these findings.
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