Evidence map›Paper›PMID 39344598›Full record

ArticleJournal of the American Heart Association2024

Associations of Everyday Discrimination With Insomnia and Short Sleep Duration Among Older Women.

Dayna A Johnson, Laura Ward, Laura Bosque Ortiz, Jonathan Butler, Natalie Slopen, Susan Redline, Julie E Buring, David R Williams, Michelle A Albert

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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.

Dayna A JohnsonDepartment of Epidemiology Rollins School of Public Health, Emory University Atlanta GA.ORCID 0000-0002-2617-1639
Laura WardDepartment of Biostatistics and Informatics Rollins School of Public Health, Emory University Atlanta GA.
Laura Bosque OrtizDepartment of Epidemiology Rollins School of Public Health, Emory University Atlanta GA.
Jonathan ButlerDepartment of Family and Community Medicine University of California San Francisco San Francisco CA.ORCID 0000-0002-0996-5314
Natalie SlopenDepartment of Social and Behavioral Sciences Harvard T.H. Chan School of Public Health Boston MA.ORCID 0000-0002-5644-6007
Susan RedlineDivision of Sleep and Circadian Disorders Brigham and Women's Hospital, Harvard Medical School Boston MA.ORCID 0000-0002-6585-1610
Julie E BuringDivision of Preventive Medicine Brigham and Women's Hospital, Harvard Medical School Boston MA.ORCID 0000-0003-2648-8692
David R WilliamsDepartment of Social and Behavioral Sciences Harvard T.H. Chan School of Public Health Boston MA.ORCID 0000-0002-8654-6228
Michelle A AlbertCenter for the Study of Adversity and Cardiovascular Disease (NURTURE Center), Division of Cardiology, Department of Medicine University of California at San Francisco San Francisco CA.ORCID 0000-0001-9887-685X

Funding

Women's Health Study: Continued Follow-upR01CA047988 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 1991 to 2014
$28.2M
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
Women's Health Study: Infrastructure support for continued cohort follow-upU01CA182913 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 2019 to 2023
$4.0M
The Women's Health Study: Infrastructure Support for Continued Cohort Follow-upUM1CA182913 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 2014 to 2018
$4.0M
Cumulative Stress and CVD Risk in Middle-Aged and Older WomenR01AG038492 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ALBERT, MICHELLE A · 2011 to 2015
$2.8M
NCI NIH HHS R01 CA047988NCI NIH HHS U01 CA182913NCI NIH HHS UM1 CA182913NHLBI NIH HHS R35 HL135818NIA NIH HHS R01 AG038492
6 · The paper itself

Abstract

backgroundDiscrimination may contribute to sleep health disparities among women, yet limited research has investigated the association between discrimination and insomnia with short sleep. METHODS AND

resultsAmong a racially and ethnically diverse sample of women (N=25 920; mean age, 72.2±6.1 years), we investigated the relationship of discrimination with insomnia symptoms and sleep duration. Poisson models with robust variance were fit to examine discrimination with insomnia, sleep duration (short <7 hours or long >9 hours versus recommended 7-9 hours), and insomnia short sleep phenotype adjusted for covariates. Insomnia symptoms, short and long sleep, and high discrimination were reported by 53%, 11%, 15%, and 40% of women, respectively. Women reporting high versus low discrimination were more likely to report insomnia, short sleep, and insomnia short sleep phenotype (insomnia: adjusted prevalence ratio, 1.15 [95% CI, 1.13-1.18]; short sleep: adjusted prevalence ratio, 1.24 [95% CI, 1.16-1.34]; insomnia short sleep phenotype: adjusted prevalence ratio, 1.45 [95% CI, 1.31-1.61]). In exploratory analyses, the association between discrimination and insomnia symptoms was present among Asian and White women, whereas the association between discrimination and sleep duration was among Hispanic (long sleep) and White (short sleep) women. Further, the association between discrimination and insomnia symptoms was more pronounced among those with less than a bachelor's degree, whereas women with a bachelor's degree or higher were less vulnerable to the association between discrimination and long sleep.

conclusionsDiscrimination was associated with insomnia and short sleep, a more severe phenotype for adverse cardiovascular health. Discrimination may be a target for reducing sleep problems among older women.

Indexed as

Sleep Initiation and Maintenance DisordersAgedAged, 80 and overCross-Sectional StudiesFemaleHealth Status DisparitiesHumansPrevalenceRisk FactorsSleepSleep DurationSleep QualityTime FactorsUnited StatesdiscriminationeducationincomeinsomniasleepwomenWomen's Health Study

Identifiers

PMID39344598
PMCPMC11681463

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.