ArticlePsychosomatic medicine2017
Association Between Discrimination and Objective and Subjective Sleep Measures in the Midlife in the United States Study Adult Sample.
Article in Psychosomatic medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Adapting the Health Stigma and Discrimination Framework to understand the association between stigma and sleep deficiency: A systematic review.Sleep health · 2022Pooled it
- Childhood paternal abuse and low paternal affection predict adult panic symptoms 18 years later via actigraphy-indexed sleep disruptions.Psychological medicine · 2026Article
- Joint Effects of Workplace and Everyday Discrimination on Sleep Disturbances: A 9-Year Prospective Cohort Study in U.S. Employees.International journal of behavioral medicine · 2026Article
- Associations between perceived discrimination and sleep health: Results from the Future of Families and Child Wellbeing Young Adult Sleep Study.Sleep health · 2026Article
- Racial Differences in Self-Reported Sleep Continuity Disturbance, Problem Endorsement, and Daytime Dysfunction Among Black and White Non-Hispanic Adults in the United States.Nature and science of sleep · 2026Article
- Ethnic and racial discrimination and sleep health among Asian American college students.Sleep health · 2025Article
- The sleep-anxiety dysregulation model of alcohol use disorder risk: A nine-year longitudinal machine learning study.Journal of affective disorders · 2025Review
- Discrimination, psychosocial resources, and sleep: A test of the reserve capacity model.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- Housing insecurity pathways to physiological and epigenetic manifestations of health among aging adults: a conceptual model.Frontiers in public health · 2025Review
- Sleep disturbances and racial-ethnic disparities in 10-year dementia risk among a national sample of older adults in the USA.BJPsych open · 2024Article
- Associations between Recession Hardships and Subjective and Objective Sleep Measures in the Midlife in the United States Study: Race and Gender Differences.Frontiers in sleep · 2024Article
- Longitudinal Associations Between Sleep and Cognitive Function in a Cohort of Older Puerto Rican Adults: Sex and Age Interactions.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Acculturation Stress, Age at Immigration, and Employment Status as Predictors of Sleep Among Latinx Immigrants.Journal of immigrant and minority health · 2022Article
- Article
- Serial Mediation Roles of Perceived Stress and Depressive Symptoms in the Association Between Sleep Quality and Life Satisfaction Among Middle-Aged American Adults.Frontiers in psychology · 2022Article
- Article
- Differential Impact of Experienced and Anticipated Discrimination on Sleep and Health Among Sexual Minorities.Archives of sexual behavior · 2021Article
- Weight stigma and health behaviors: evidence from the Eating in America Study.International journal of obesity (2005) · 2021Article
- Beyond single sleep measures: A composite measure of sleep health and its associations with psychological and physical well-being in adulthood.Social science & medicine (1982) · 2021Article
- Linking discrimination and sleep with biomarker profiles: An investigation in the MIDUS study.Comprehensive psychoneuroendocrinology · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveEvidence suggests that sleep quality is worse in nonwhite minorities compared with whites. Poor sleep is associated with higher levels of perceived interpersonal discrimination, which is consistently reported among minorities. However, the literature is limited in exploring discrimination with both objective and subjective sleep outcomes in the same sample. We examined the relationship between discrimination and markers of subjective and objective sleep in a racially diverse sample.
methodsThe analytic sample included 441 participants of the Midlife in the United States II (MIDUS) study (M [SD] age, 46.6 [1.03]; female, 57.9%; male, 42.1%; nonwhite, 31.7%). Complete data were available for 361 participants. Sleep measures included the Pittsburgh Sleep Quality Index, sleep latency, wake after sleep onset, and sleep efficiency derived from 7-day actigraphy. Discrimination was measured with the Williams Everyday Discrimination Scale. Ordinary least squares and logistic regression models were used to assess the relationship between discrimination and the subjective and objective measures of sleep.
resultsAfter adjusting for covariates, respondents with higher discrimination scores were significantly more likely to experience poor sleep efficiency (odds ratio, 1.12; p = .005) and report poorer sleep quality (odds ratio, 1.09; p = .029) on the basis of the Pittsburgh Sleep Quality Index. Higher discrimination scores were also associated with longer wake after sleep onset (b = 0.032, p < .01) and more sleep difficulties (b = 0.049, p = .01). Discrimination attenuated all differences in the sleep measures between whites and nonwhites except for sleep efficiency.
conclusionsThe findings support the model that discrimination acts as a stressor that can disrupt subjective and objective sleep. These results suggest that interpersonal discrimination explains some variance in worse sleep among nonwhites compared with whites.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.