ArticleSleep2020
Perceived racial discrimination and risk of insomnia among middle-aged and elderly Black women.
Article in Sleep, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
What it found
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The trial behind it
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Who cites it
36 citing papers in PubMed, 52 citations in OpenAlex.
- Black Women Benefit From Psychotherapies for Insomnia, but Experience Adherence Challenges: Results of a Comparative Effectiveness Trial in Women Veterans.Women's health issues : official publication of the Jacobs Institute of Women's HealthTrial
- Discrimination, chronic stress, and cardiovascular health among African American men and women in the Jackson Heart Study: A cross-sectional study.Social science & medicine (1982) · 2025Article
- Neighborhood social vulnerability as a mediator of racial disparities in insomnia severity.Sleep health · 2025Article
- Skin tone - a marker of bias known as colorism - in relation to sleep health among African American women.SSM - population health · 2025Article
- Perceived Experiences of racism in Relation to Genome-Wide DNA Methylation and Epigenetic Aging in the Black Women's Health Study.Journal of racial and ethnic health disparities · 2025Article
- Examining associations among daily discrimination, psychosocial risk factors, and pain outcomes in people with chronic low back pain.Frontiers in pain research (Lausanne, Switzerland) · 2025Article
- Pathways to maternal health inequities: Structural racism, sleep, and physiological stress.Brain, behavior, and immunity · 2025Review
- Online and offline gendered racial microaggressions and sleep quality for Black women.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- Associations of Everyday Discrimination With Insomnia and Short Sleep Duration Among Older Women.Journal of the American Heart Association · 2024Article
- Eyes Wide Open: Sleep as a Potential Contributor to Racial and Ethnic Disparities in Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024Review
- Perceived Interpersonal Racism in Relation to Incident Coronary Heart Disease Among Black Women.Circulation · 2024Article
- Developing a culturally tailored digital health intervention for insomnia in Black women.Translational behavioral medicine · 2024Article
- Research on Health Disparities: Strategies and Findings From the Black Women's Health Study.American journal of epidemiology · 2023Article
- Perceived Interpersonal Racism and Incident Stroke Among US Black Women.JAMA network open · 2023Article
- Perceived racial/ethnic discrimination among young adult college students: Prevalence rates and associations with mental health.Journal of American college health : J of ACH · 2023Article
- Gendered Racial Microaggressions and Black Women's Sleep Health.Social psychology quarterly · 2023Article
- Associations between Aircraft Noise Exposure and Self-Reported Sleep Duration and Quality in the United States-Based Prospective Nurses' Health Study Cohort.Environmental health perspectives · 2023Article
- Racial disparities in treatment engagement and outcomes in digital cognitive behavioral therapy for insomnia among pregnant women.Sleep health · 2023Article
- Discrimination and insomnia: Examining depressive symptoms and nicotine withdrawal through a serial mediation model in a sample of smokers.Addictive behaviors · 2023Article
- Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
STUDY
objectiveTo assess whether perceived racial discrimination is associated with insomnia among Black women.
methodsData on everyday and lifetime racism and insomnia symptoms were collected from questionnaires administered in the Black Women's Health Study, an ongoing prospective cohort of Black women recruited in 1995 from across the United States. In 2009, participants completed five questions on the frequency of discriminatory practices in daily life (everyday racism) and six questions on ever experiencing unfair treatment in key institutional contexts (lifetime racism). In 2015, the Insomnia Severity Index was used to assess insomnia symptoms. We estimated odds ratios and 95% confidence intervals for associations of racism with insomnia, using multivariable logistic regression models adjusted for potential confounders.
resultsThe 26 139 participants in the analytic sample were 40-90 years old (median = 57 years, SD = 9.6 years). Higher levels of everyday racism and lifetime racism were positively associated with subthreshold (ptrend < .01) and clinical insomnia (ptrend < .01). Results remained unchanged after further adjustment for sleep duration and shift work.
conclusionsHigher levels of perceived racism were associated with increased odds of insomnia among middle-aged and elderly Black women. Thus, perceived racism may contribute to multiple racial health disparities resulting from insomnia. Helping minority populations cope with their experiences of discrimination may decrease the significant public health impact of sleep disruption and subsequent diagnoses.
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Registered trials
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