ArticleInternational journal of women's health2025
Sleep Health by Sexual Orientation among Women in the United States and Interrelations with Race/Ethnicity, Age, and Generational Cohort.
Article in International journal of women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Sleep duration and food insecurity among minority urban college students: predictors of health and academic disparity.Frontiers in sleep · 2026Article
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4 authors.
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Abstract
Purpose: To examine associations between sexual orientation and sleep; interrelations with race/ethnicity, age, and generation; and mediation by perceived sexual orientation discrimination among United States (US) women. Methods: Eligible Sister Study participants (N=50,790) identified as heterosexual or non-heterosexual at enrollment (2003-2009), and self-reported sleep duration, sleep quality, and sleep mask and sleep medication use. We used latent class analyses to determine patterns of sleep health (good, moderate, poor). We investigated race/ethnicity, age, and generation as modifiers and perceived sexual orientation discrimination as a modifier and/or mediator. We used Poisson regression with robust variance to estimate prevalence ratios (PRs; 95% confidence intervals [CIs]) and inverse odds weighting to assess mediation. Results: Median age was 55 (interquartile range: 49-62) years; 2% identified as non-heterosexual; 86% identified as non-Hispanic White, 9% non-Hispanic Black (NHB), and 5% Hispanic/Latina. Overall, sleep masks were more common among non-heterosexuals than heterosexuals (PR: 1.75 [95% CI: 1.17, 2.61]), and we did not identify other sexual orientation-sleep associations. Among NHB women, sleep medications were more prevalent among non-heterosexual orientation (1.54 [1.01, 2.35]). Among women who ever perceived discrimination, shorter than recommended duration was less common among non-heterosexuals than heterosexuals (0.78 [0.63, 0.96]) as was moderate sleep health compared to good sleep health (0.77 [0.63, 0.94]). Among women who never perceived discrimination, poor sleep health was more common among non-heterosexuals (1.29 [1.02, 1.63]). Conclusion: Prevalent sleep aid use among sexual minoritized women may help reduce sleep disparities by sexual orientation. Differential sleep experiences among intersecting identities can shape health inequities, and identification of mediating pathways can inform interventions.
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