Evidence map›Paper›PMID 40497672›Full record

SynthesisSleep2025

Socioeconomic and racial/ethnic disparities in sleep and cognitive and academic functioning across childhood and adolescence: a meta-analytic review.

Morgan J Thompson, Alexandra D Ehrhardt, Ekjyot K Saini, Tiffany Yip, Joseph A Buckhalt, Mona El-Sheikh

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Sleep, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
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

6 authors.

Morgan J ThompsonDepartment of Human Development and Family Science, Auburn University, Auburn, AL, United States.ORCID 0000-0003-1319-7423
Alexandra D EhrhardtDepartment of Human Development and Family Science, Auburn University, Auburn, AL, United States.ORCID 0000-0001-6599-9714
Ekjyot K SainiDepartment of Human Development and Family Studies, Pennsylvania State University, University Park, PA, United States.ORCID 0000-0002-5254-6422
Tiffany YipDepartment of Psychology, Fordham University, Bronx, NY, United States.ORCID 0000-0001-7488-533X
Joseph A BuckhaltDepartment of Human Development and Family Science, Auburn University, Auburn, AL, United States.ORCID 0000-0002-5324-0361
Mona El-SheikhDepartment of Human Development and Family Science, Auburn University, Auburn, AL, United States.ORCID 0000-0001-5784-8318

Funding

Predicting Young Adult Health: Family Aggression and Bioregulatory PathwaysR01HD046795 · NICHD · AUBURN UNIVERSITY AT AUBURN · PI EL-SHEIKH, MONA M · 2004 to 2023
$8.0M
Sleep as a Mechanism and Moderator in the Development of Health DisparitiesR01HL136752 · NHLBI · AUBURN UNIVERSITY AT AUBURN · PI Mona M El-Sheikh · 2017 to 2026
$5.8M
Sleep and Child Developmental Outcomes: Physiological and Contextual InfluencesR01HL093246 · NHLBI · AUBURN UNIVERSITY AT AUBURN · PI EL-SHEIKH, MONA M · 2009 to 2012
$2.7M
NHLBI NIH HHS R01 HL093246NHLBI NIH HHS R01 HL136752NICHD NIH HHS R01 HD046795
6 · The paper itself

Abstract

STUDY

objectivesYouth from socioeconomically disadvantaged backgrounds and minoritized racial/ethnic groups face a greater risk for sleep disparities and poor cognitive/academic outcomes compared to their peers from higher socioeconomic status (SES) and majority racial/ethnic groups. This meta-analysis has two main objectives. First, it examined SES and racial/ethnic variables as moderators of the association between individual sleep parameters (i.e. objective duration, objective quality, subjective duration, subjective quality, schedule/chronobiology, and variability/consistency) and overall (i.e. combined assessment) cognitive/academic outcomes (e.g. memory, GPA). Second, it assessed sleep parameters and outcome domains as moderators of the association between sleep broadly (i.e. no distinction between various sleep parameters) and overall cognitive/academic outcomes to test whether the magnitude of the association varied across specific sleep parameters and outcome domains.

methodsThirty-three studies comprising 410 effect sizes and 52 854 participants were included. The meta-analysis was conducted per best practices.

resultsFor sleep and cognitive functioning, the overall weighted effect was r = 0.11, 95% CI [0.08, 0.14], p < .001. Several significant differential associations between various sleep parameters and cognitive functioning emerged, showing that some parameters were stronger predictors. Academic performance yielded similar results, with an overall weighted effect size of r = 0.14, 95% CI [0.10, 0.17], p < .001. SES and race/ethnicity also modified relations between certain sleep parameters and cognitive/academic functioning.

conclusionsThe findings provide evidence for SES and race/ethnicity-related disparities, highlighting areas requiring further investigation. The discussion addresses methodological limitations in studying SES and race/ethnicity in relation to sleep and offers future research directions.

Indexed as

CognitionEthnicityHealth Status DisparitiesRacial GroupsSleepAdolescentChildHumansSocial ClassSocioeconomic Factorschildren and adolescentschronobiologycognitive and academic functioninghealth disparitiesmeta-analysissleep consistencysleep durationsleep qualitysleep schedulesubjective and objective sleep

Identifiers

PMID40497672
PMCPMC12515601

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.