ArticleSleep2026
Multiple psychosocial stressors and coping strategies in relation to sleep health.
Article in Sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Current Tobacco Use Status Associated with Insufficient Sleep Duration and Sleep Problems Among Non-Hispanic Black and Hispanic Men with Chronic Conditions.Epidemiologia (Basel, Switzerland) · 2026Article
- Article
- Substance use to cope with trauma: the interactive effect of insomnia and neighborhood socioeconomic status.Sleep advances : a journal of the Sleep Research Society · 2026Article
- Associations of Mentally Active and Passive Sedentary Behavior with Sleep Quality and Duration in Pregnant Women of Advanced Versus Younger Maternal Age.Journal of clinical medicine · 2025Article
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9 authors.
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Abstract
STUDY
objectivesTo determine associations between multiple domains of psychosocial stressors and coping strategies in relation to sleep health among Black/African American (BAA) women.
methodsAmong 1678 BAA participants with complete data enrolled in the Study of Environment, Lifestyle and Fibroids, we conducted principal components analysis on 43 self-reported stressors, yielding six components of psychosocial stressors and three components of coping strategies. Self-reported sleep measures included sleep duration (very short, short, vs. recommended sleep), frequent insomnia symptoms (trouble falling or staying asleep at least 15 days/month vs. <15 days/month), and waking up feeling unrested (≥4 days/week vs. <4 days/week). Using Poisson regression with robust variance while adjusting for sociodemographic characteristics, we estimated prevalence ratios (PRs) and 95% confidence intervals (CIs) for each sleep measure comparing the presence vs. absence of stressors.
resultsMedian age (interquartile range) was 29.3 (26.3-32.0) years and 45% had an annual household income of less than $20 000. The following psychosocial stressors were highly prevalent: perceived racism (84.5%), financial strain (84.1%), and emotional distress (73.7%). Emotional distress (PR = 2.26 [95% CI = 1.63 to 3.12]) and financial strain (PR = 1.41 [1.05-1.91]) were associated with more frequent insomnia symptoms. Social/emotional support (PR = 0.80 [0.68-0.95]) and resilience/personal strength (PR = 0.82 [0.70-0.97]) were associated with lower prevalence of very short sleep duration. BAA women reporting experiences with racism vs. not had a higher prevalence of short sleep (PR = 1.14 [1.05-1.23]). Among women who did shift work, financial strain was associated with a 22% (PR = 1.22 [1.03-1.45]) higher prevalence of short sleep.
conclusionThese findings may inform interventions aimed at addressing stressors associated with poor sleep. Statement of Significance Based on a novel array of 43 potential psychosocial stressors, we found that stressors such as financial strain, emotional distress, and medical/crime/family problems were associated with poor sleep health (e.g. insomnia symptoms) while coping strategies (e.g. social/emotional support and resilience/personal strength) were associated with more favorable sleep health (e.g. recommended hours of sleep) among an understudied sample of 1678 young Black/African American women. Our study measuring specific, understudied stressors is novel and important to identify which stressors/coping strategies to prioritize for intervention. For instance, our observed associations between racism and medical/crime/family problems in relation to poorer sleep health indicates a need to address medical problems, such as improving healthcare quality, addressing race-based perceived unfair treatment, and increasing access to healthcare.
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