SynthesisSleep health2022
Adapting the Health Stigma and Discrimination Framework to understand the association between stigma and sleep deficiency: A systematic review.
Synthesis in Sleep health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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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.
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.
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Who cites it
20 citing papers in PubMed, 37 citations in OpenAlex.
- Longitudinal associations among insomnia, stigma, social support, and depressive symptoms in tuberculosis: evidence from RI-CLPM and LGCM.BMC public health · 2026Article
- Gendered Racial Microaggressions and Sleep Quality: Examining the Potential Mediating Role of Mental Health in Asian American Women.Journal of racial and ethnic health disparities · 2026Article
- Psychosocial and Behavioral Correlates of Sleep Duration and Sleep Disturbance Among Lesbian, Gay, and Bisexual Women.International journal of environmental research and public health · 2026Article
- The correlates and experiences of HIV-related intersectional stigma among caregivers of adolescents living with HIV during COVID-19 in KwaZulu-Natal, South Africa: Results from a mixed method study.PLOS global public health · 2026Article
- The cost of high cognitive insight: chain mediation of stigma and dysfunctional sleep beliefs and attitudes in chronotype among patients with schizophrenia.Frontiers in psychiatry · 2026Article
- Insomnia among vocational college students in China: Status and influencing factors.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026Article
- Sleep Disturbance Mediates the Associations Between HIV Stigma and Mental and Physical Health Among Black Adults with HIV.Journal of racial and ethnic health disparities · 2025Article
- Comorbidity Network of Self-Stigma, Insomnia, and Mental Health in Chronic Disease Patients: A Network Analysis.Psychology research and behavior management · 2025Article
- Distinct Sleep Quality Profiles and Their Varying Levels of Stigma Among Patients Undergoing Maintenance Hemodialysis: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2025Article
- The Complex Interaction Between Sleep-Related Information, Misinformation, and Sleep Health: Call for Comprehensive Research on Sleep Infodemiology and Infoveillance.JMIR infodemiology · 2024Article
- 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 · 2024Article
- Sleep Disturbance as a Mediator of Lung Cancer Stigma on Psychological Distress and Physical Symptom Burden.Psychosomatic medicine · 2024Article
- Do Sleep Problems Exacerbate the Mental Health Consequences of Discrimination Among Adults?Psychosomatic medicine · 2024Article
- Weight bias internalization is positively associated with insomnia symptom severity in young women with disordered eating.Sleep health · 2024Article
- "It's all connected:" A mixed methods study of insomnia, stigma, and discrimination among individuals on medication for opioid use disorder.Sleep health · 2024Article
- Experiences of Stigma and Discrimination Compounded by Intersecting Identities among Individuals Receiving Medication for Opioid Use Disorder.Journal of health care for the poor and underserved · 2024Article
- The impact of psychological resilience on chronic patients' depression during the dynamic Zero-COVID policy: the mediating role of stigma and the moderating role of sleep quality.BMC psychology · 2023Article
- Sleep quality and its associated factors among patients with tuberculosis: A cross-sectional study.Frontiers in public health · 2022Article
- Internalized HIV Stigma, Sleep Problems, and Depressive Symptoms in People with HIV in Botswana.Behavioral medicine (Washington, D.C.)Article
- Enacted HIV-Related Stigma Is Related to Sleep Disturbance Among People Living With HIV Through the Mediating Effect of Anxiety: The Florida Cohort Study, 2014 -2018.The Journal of the Association of Nurses in AIDS Care : JANACArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveSleep deficiency and sleep disorders disproportionally affect socially disadvantaged and marginalized individuals and groups. Recent evidence suggests that stigma, a social process characterized by labeling, stereotyping, and prejudice, is associated with sleep characteristics. PURPOSE: Guided by the Health Stigma and Discrimination Framework, the purpose of this systematic review is to describe associations between dimensions of stigma and sleep deficiency and to identify future directions for research.
methodsWe searched the OVIDPsycINFO, OVIDEMASE, OVIDMEDLINE, and CINAHL databases for empirical research studies that reported relationships between the 3 dimensions of stigma-internalized, perceived, and anticipated-and characteristics of sleep deficiency-duration, continuity/efficiency, timing, alertness/sleepiness, quality, and disorders.
resultsOf 1717 articles, 15 met our inclusion criteria. The most frequently assessed dimensions of stigma were internalized and perceived stigma. Characteristics of sleep deficiency were measured by self-report and included sleep quality, duration, trouble sleeping, and insomnia symptoms. We found consistent evidence that stigma, whether internalized, perceived, or anticipated, is associated with self-reported characteristics of sleep deficiency.
conclusionsThis evidence base can be further strengthened with prospective studies that incorporate both multidimensional measures of stigma and objective measures of sleep characteristics. We outline research implications that can clarify underlying mechanisms and more precisely define the relationships between stigma and sleep and inform interventions to address stigma, improve sleep, and reduce the health inequities that disproportionately affect individuals from socially disadvantaged and marginalized groups.
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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.