Evidence map›Paper›PMID 34197610›Full record

ArticleSleep2021

Associations between everyday discrimination and sleep quality and duration among African-Americans over time in the Jackson Heart Study.

Dayna A Johnson, Tené T Lewis, Na Guo, Chandra L Jackson, Mario Sims, James G Wilson, Ana V Diez Roux, David R Williams, Susan Redline

Open access · bronzeAbstract read
In one paragraph

Article in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 38 citations in OpenAlex.

  1. Racial Differences in Sleep Outcomes in the First Two Years of College.Journal of racial and ethnic health disparities · 2026
    Article
  2. Sleep and daily pain intensity among Black and White dementia caregivers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
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  14. Day-to-day associations of intersectional minority stressors with sleep health in sexual and gender minority people of color.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
    Article
  15. Article
  16. Article
  17. 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 · 2024
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Dayna A JohnsonDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Tené T LewisDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.ORCID 0000-0003-3905-8931
Na GuoDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, USA.
Chandra L JacksonEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC, USA.ORCID 0000-0002-0915-8272
Mario SimsDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.ORCID 0000-0002-2554-8932
James G WilsonDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Ana V Diez RouxDornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
David R WilliamsT.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Susan RedlineDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, USA.
Brigham and Women's Hospital · USJackson Memorial Hospital · USDrexel University · USEmory University · USHarvard University · USNational Institutes of Health · US

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
TRAINING IN SLEEP, CIRCADIAN &RESPIRATORY NEUROBIOLOGYT32HL007901 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI Charles A Czeisler · 1998 to 2026
$18.5M
Social and Environmental Determinants of Health EquityZIAES103325 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI JACKSON, CHANDRA · 2017 to 2025
$12.7M
Phenotypic and Molecular Signatures for Sleep Apnea and Related MorbiditiesR35HL135818 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI REDLINE, SUSAN S. · 2017 to 2023
$7.2M
Sleep-Disordered Breathing and Risk for CVD and Stroke in the Jackson Heart StudyR01HL110068 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI REDLINE, SUSAN S., WILSON, JAMES GRAHAM · 2012 to 2015
$2.9M
A Mixed Methods Approach for Developing Culturally and Ecologically Appropriate Interventions for Improving Sleep Health in a Community-Based Sample of African Americans.K01HL138211 · NHLBI · EMORY UNIVERSITY · PI JOHNSON, DAYNA · 2017 to 2021
$859k
NCATS NIH HHS UL1 TR001102NHLBI NIH HHS HHSN268201800010INHLBI NIH HHS HHSN268201800011CNHLBI NIH HHS HHSN268201800011INHLBI NIH HHS HHSN268201800012CNHLBI NIH HHS HHSN268201800012INHLBI NIH HHS HHSN268201800015INHLBI NIH HHS K01 HL138211NHLBI NIH HHS R01 HL110068NHLBI NIH HHS R35 HL135818NHLBI NIH HHS T32 HL007901NIEHS NIH HHS Z1AES103325-01NIMHD NIH HHS HHSN268201800013INIMHD NIH HHS L60 MD013236
6 · The paper itself

Abstract

STUDY

objectivesAfrican-Americans have a high burden of poor sleep, yet, psychosocial determinants (e.g. discrimination) are understudied. We investigated longitudinal associations between everyday discrimination and sleep quality and duration among African-Americans (N = 3404) in the Jackson Heart Study.

methodsAt Exam 1 (2000-2004) and Exam 3 (2008-2013), participants completed the Everyday Discrimination Scale, rated their sleep quality (1 = poor to 5 = excellent), and self-reported hours of sleep. A subset of participants (N = 762) underwent 7-day actigraphy to objectively measure sleep duration and sleep quality (Sleep Exam 2012-2016). Changes in discrimination were defined as low stable (reference), increasing, decreasing, and high stable. Within-person changes in sleep from Exam 1 to Exam 3 were regressed on change in discrimination from Exam 1 to Exam 3 while adjusting for age, sex, education, income, employment, physical activity, smoking, body mass index, social support, and stress.

resultsAt Exam 1, the mean age was 54.1 (12.0) years; 64% were female, mean sleep quality was 3.0 (1.1) and 54% were short sleepers. The distribution of the discrimination change trajectories were 54.1% low stable, 13.5% increasing, 14.6% decreasing, and 17.7% were high stable. Participants who were in the increasing (vs. low stable) discrimination group had greater decrease in sleep quality. There was no association between change in discrimination and change in sleep duration. Among Sleep Exam participants, higher discrimination was cross-sectionally associated with shorter self-reported sleep duration, independent of stress.

conclusionDiscrimination is a unique stressor for African-Americans; thus, future research should identify interventions to reduce the burden of discrimination on sleep quality.

Indexed as

Black or African AmericanSleep Initiation and Maintenance DisordersFemaleHumansLongitudinal StudiesMiddle AgedSleepSleep QualitydiscriminationJackson Heart Studylongitudinalsleep durationsleep quality

Identifiers

PMID34197610
PMCPMC8664593
OpenAlexW3175805676

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.