ArticleSleep health2020
Racial discrimination as a mediator of racial disparities in insomnia disorder.
Article in Sleep health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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Who cites it
38 citing papers in PubMed, 59 citations in OpenAlex.
- A sleep promotion program for insufficient sleep among adolescents: a pilot feasibility randomized controlled trial.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Trial
- Mitigating the health effects of systemic racism: Evaluation of the Race-Based Stress and Trauma Empowerment intervention.Contemporary clinical trials · 2023Trial
- Insomnia with objective short sleep duration in women with temporomandibular joint disorder: quantitative sensory testing, inflammation and clinical pain profiles.Sleep medicine · 2022Trial
- Sleep Health Disparities: Are Black Women Disadvantaged?Journal of racial and ethnic health disparities · 2026Article
- Sleep and circadian rhythms in cardiovascular resilience: mechanisms, implications, and a Roadmap for research and interventions.Nature reviews. Cardiology · 2026Review
- 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
- Associations Between Sound Levels and Sleep Architecture: Implications for Sleep Disparities.Journal of racial and ethnic health disparities · 2025Article
- Neighborhood social vulnerability as a mediator of racial disparities in insomnia severity.Sleep health · 2025Article
- The Bidirectional Relationship Between Sleep and Pain in Crohn's Disease: A Daily Diary Study.Inflammatory bowel diseases · 2025Article
- Article
- Perspectives regarding consumer sleep technology and barriers to its use or adoption among adults in the United States.Sleep medicine · 2025Article
- Race and ethnicity and self-reported racial/ethnic discrimination in breast cancer patient interactions with providers in the Pathways Study.Breast cancer research and treatment · 2025Article
- Sleep disturbances and racial-ethnic disparities in 10-year dementia risk among a national sample of older adults in the USA.BJPsych open · 2024Article
- A Cross-Sectional Study of the Social Work Environment and Black Registered Nurses' Sleep.Journal of racial and ethnic health disparities · 2024Article
- Associations of Everyday Discrimination With Insomnia and Short Sleep Duration Among Older Women.Journal of the American Heart Association · 2024Article
- Chronic Low Back Pain Causal Risk Factors Identified by Mendelian Randomization: a Cross-Sectional Cohort Analysis.medRxiv : the preprint server for health sciences · 2024Article
- Do Sleep Problems Exacerbate the Mental Health Consequences of Discrimination Among Adults?Psychosomatic medicine · 2024Article
- Effect of daily discrimination on naturalistic sleep health features in young adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024Article
- Perpetuating and protective factors in insomnia across racial/ethnic groups of veterans.Journal of sleep research · 2024Article
- Association of Insomnia with 30-Day Postpartum Readmission: A Retrospective Analysis.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
STUDY
objectivesRacial and ethnic minorities are more likely to suffer from insomnia that is more severe; however, few studies have examined mechanisms by which racial disparities in severity of insomnia disorder may arise. One potential mechanism for disparities in insomnia severity is perceived discrimination. This study tested discrimination as a mediator in the relationship between race and insomnia.
methodsParticipants were recruited from communities in the Detroit metropolitan area and were diagnosed with insomnia disorder using the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition). The final sample included 1,458 individuals. Insomnia symptom severity was assessed via the Insomnia Severity Index and self-reported racial discrimination was evaluated using a single item. Racial discrimination was tested as a mediator in the relationship between race and insomnia symptom severity. Individuals were categroized as either White or a racial minority (i.e., non White individuals), with sensitivity analyses examining Black individuals and non-Black racial minority groups.
resultsConsistent with our hypothesis, racial discrimination was a significant mediator accounting for 57.3% of the relationship between race and insomnia symptom severity. Sensitivity analyses indicated that the indirect effect of racial discrimination was stronger in the non-Black racial minority group compared to Black individuals.
conclusionsThese results provide support that racial discrimination is likely an important mechanism by which racial and ethnic sleep disparities exist. Implications for prevention, intervention, and treatment of insomnia in racial minorities to reduce health disparities are discussed.
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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.