ArticleBrain sciences2019
Insomnia Symptoms among African-American Older Adults in Economically Disadvantaged Areas of South Los Angeles.
Article in Brain sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Financial strain measures and associations with adult health: A systematic literature review.Social science & medicine (1982) · 2025Pooled it
- Neighborhood social vulnerability as a mediator of racial disparities in insomnia severity.Sleep health · 2025Article
- Socioeconomic status and sleep health: a narrative synthesis of 3 decades of empirical research.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Review
- Work-Related Stress, Psychosocial Resources, and Insomnia Symptoms Among Older Black Workers.Journal of aging and health · 2022Article
- Tobacco cigarette smokers who endorse greater intolerance for nicotine withdrawal also report more severe insomnia symptoms.Experimental and clinical psychopharmacology · 2022Article
- Sleep in the Aging Brain.Brain sciences · 2021Article
- Resilience Improves the Sleep Quality in Disabled Elders: The Role of Perceived Stress.Frontiers in psychology · 2021Article
- Smoking Status and Well-Being of Underserved African American Older Adults.Behavioral sciences (Basel, Switzerland) · 2020Article
- Midday Napping and Successful Aging in Older People Living in the Mediterranean Region: The Epidemiological Mediterranean Islands Study (MEDIS).Brain sciences · 2019Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundAlthough psychosocial and health factors impact insomnia symptoms, less is known about these effects in economically disadvantaged African-American older adults.
aimsThis study investigated social and health determinants of insomnia symptoms among economically disadvantaged African-American older adults.
methodsThis survey enrolled 398 African-American older adults (age ≥ 65 years) from economically disadvantaged areas of South Los Angeles. Gender, age, educational attainment, financial difficulty, number of chronic diseases, self-rated health, pain intensity, and depression were covariates. Total insomnia, insomnia symptoms, and insomnia impact were our outcomes. Linear regression was applied for data analysis.
resultsBased on linear regression, higher financial difficulty (B = 0.48, 95% CI = 0.35-0.61), smoking status (B = 1.64, 95% CI = 0.13-3.16), higher pain intensity (B = 0.39, 95% CI = 0.11-0.67), higher number of chronic diseases (B = 0.34, 95% CI = 0.05-0.64), and more depressive symptoms (B = 0.35, 95% CI = 0.12-0.57) were associated with a higher frequency of insomnia symptoms. Based on a logistic regression model, lower age (B = 0.91, 95% CI = 0.91-1.00) and high financial difficulty (OR = 1.15, 95% CI = 1.08-1.24), pain (OR = 2.08, 95% CI = 1.14-3.80), chronic disease (OR = 1.27, 95% CI = 1.07-1.51) and depression (OR = 2.38, 95% CI = 1.22-4.65) were associated with higher odds of possible clinical insomnia. We also found specific predictors for insomnia symptoms and insomnia impact.
conclusionsAmong African-American older adults in economically disadvantaged areas of South Los Angeles, insomnia symptoms co-occur with other economic, physical, and mental health challenges such as financial difficulty, smoking, multimorbidity, pain, and depression. There is a need to address sleep as a component of care of economically disadvantaged African-American older adults who have multiple social and health challenges.
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