ArticleBehavioral sleep medicine2026
Sleep Mediates the Relationship Between Stress and Blood Pressure in Older African American Women: A Cross-Sectional RiSE Study.
Article in Behavioral sleep medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectivesTo examine whether sleep quality mediates the relationship between perceived stress and blood pressure among older African American women (AAW).
methodsA cross-sectional analysis was conducted using baseline data from older AAW (aged 50-75) enrolled in the Resilience, Stress, and Ethnicity (RiSE) study. Perceived stress was assessed using the 10-item Perceived Stress Scale, and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Blood pressure was measured three times and averaged to calculate mean systolic and diastolic blood pressure. Structural equation modeling was used to test mediation, adjusting for age, body mass index, and antihypertensive medication use.
resultsAmong 158 women (mean age 63.0 ± 6.7 years), 57.6% were taking antihypertensive medications, mean systolic blood pressure was 129.5 ± 15.4 mmHg, and mean PSQI score was 7.6 ± 3.5, indicating poor sleep quality. Perceived stress was associated with poorer sleep quality (b = 0.21,
conclusionSleep quality mediated the relationship between perceived stress and systolic blood pressure in older AAW. These findings support the role of sleep as a behavioral mechanism linking stress to cardiometabolic risk and suggest the importance of developing culturally tailored sleep interventions to mitigate the adverse cardiometabolic effects of stress in this high-risk population.
Identifiers
What OpenQuestion holds
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.