ArticleSleep medicine
Racial disparities in sleep: the role of neighborhood disadvantage.
Article in Sleep medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
74 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Neighborhoods and sleep health among adults: A systematic review.Sleep health · 2022Pooled it
- Neighborhood environments and sleep among children and adolescents: A systematic review.Sleep medicine reviews · 2021Pooled it
- Hyperoside-Rich Blueberry Leaf Tea Improves Sleep Continuity in Adults with Poor Sleep: A Two-Week Randomized Double-Blind Controlled Trial.Nutrients · 2026Trial
- Mindfulness-based therapy for insomnia in Black women: a pilot randomized controlled trial.Journal of behavioral medicine · 2024Trial
- Insomnia with objective short sleep duration in women with temporomandibular joint disorder: quantitative sensory testing, inflammation and clinical pain profiles.Sleep medicine · 2022Trial
- 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
- Large-scale patterns of self-reported mood and sleep across the day and week on an online cognitive-training platform.PLOS digital health · 2026Article
- Perceived Neighborhood Disorder, Health Behaviors, and Inflammation Among Older Adults: A Mediation Analysis.Journal of aging and health · 2026Article
- Associations between neighborhood disadvantage, cannabis use, and patient-reported outcomes among patients with cancer.Drug and alcohol dependence reports · 2026Article
- Longer residence in disadvantaged neighborhoods predicts both a syndrome of despair and deaths of despair: Complementary evidence from nationwide register and birth-cohort studies.Clinical psychological science : a journal of the Association for Psychological Science · 2026Article
- Sleep and daily pain intensity among Black and White dementia caregivers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Major Lifetime Discrimination Exposure Accelerates Brain Microstructural Aging: Diffusion MRI Evidence From MIDUS.Biopsychosocial science and medicine · 2026Article
- School start times and racial disparities in early adolescent sleep.Sleep health · 2026Article
- Protocol for a hybrid type 1 effectiveness-implementation study of mindfulness-based therapy for insomnia in Black women.Contemporary clinical trials · 2026Article
- Sleep disparities in the United States: Comparison of logistic and linear regression with stratification by race.Sleep epidemiology · 2025Article
- From Counting Dollars to Counting Sheep: Exploring Simultaneous Change in Economic Well-Being and Sleep among African American Adolescents.Journal of racial and ethnic health disparities · 2025Article
- Associations Between Sound Levels and Sleep Architecture: Implications for Sleep Disparities.Journal of racial and ethnic health disparities · 2025Article
- Association between household sleep environment and sleep health characteristics in middle-aged adults: The CARDIA sleep study.Sleep health · 2025Article
- The impact of neighborhood deprivation on sleep and circadian health in a large US cohort.Sleep health · 2025Article
- Changes in actigraphy-assessed sleep from childhood to adolescence: The role of neighborhood socioeconomic disadvantage.Sleep health · 2025Article
14 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveDisparities in sleep duration and efficiency between Black/African American (AA) and White/European American (EA) adults are well-documented. The objective of this study was to examine neighborhood disadvantage as an explanation for race differences in objectively measured sleep.
methodsData were from 133 AA and 293 EA adults who participated in the sleep assessment protocol of the Midlife in the United States (MIDUS) study (57% female; Mean Age = 56.8 years, SD = 11.4). Sleep minutes, onset latency, and waking after sleep onset (WASO) were assessed over seven nights using wrist actigraphy. Neighborhood characteristics were assessed by linking home addresses to tract-level socioeconomic data from the 2000 US Census. Multilevel models estimated associations between neighborhood disadvantage and sleep, and the degree to which neighborhood disadvantage mediated race differences in sleep controlling for family socioeconomic position and demographic variables.
resultsAAs had shorter sleep duration, greater onset latency, and higher WASO than EAs (ps < 0.001). Neighborhood disadvantage was significantly associated with WASO (B = 3.54, p = 0.028), but not sleep minutes (B = -2.21, p = 0.60) or latency (B = 1.55, p = 0.38). Furthermore, race was indirectly associated with WASO via neighborhood disadvantage (B = 4.63, p = 0.035), which explained 24% of the race difference. When measures of depression, health behaviors, and obesity were added to the model, the association between neighborhood disadvantage and WASO was attenuated by 11% but remained significant.
conclusionFindings suggest that neighborhood disadvantage mediates a portion of race differences in WASO, an important indicator of sleep efficiency.
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