Evidence map›Paper›PMID 42640532›Full record

ArticleJournal of racial and ethnic health disparities2026

Sources of Stress in Relation to Sleep Health During the COVID-19 Pandemic: Findings from the National Couples' Health and Time Study.

Izabelle Mendez, Rupsha Singh, Chandra L Jackson, Amanda Hinerman, Erik J Rodriquez, Emma Martinez, Juliana Teruel Camargo, Eliseo J Pérez-Stable

Erratum issuedAbstract read
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In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Izabelle MendezDivision of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Rupsha SinghEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC, USA.
Chandra L JacksonEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC, USA.
Amanda HinermanDivision of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Erik J RodriquezDivision of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Emma MartinezDivision of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Juliana Teruel CamargoDivision of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Eliseo J Pérez-StableDivision of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA. eliseo.perez-stable@ucsf.edu.

Funding

NHLBI Division of Intramural Research not applicable
6 · The paper itself

Abstract

objectiveTo assess associations between sources of stress and sleep health among married/cohabitating US adults during the COVID-19 pandemic.

methodsWe analyzed the National Couples' Health and Time Study, an online survey completed 2020-2021. Stressors were categorized into five domains--1) COVID-19 infection; 2) resources/insurance; 3) overall health; 4) job/income; and 5) public health recommendations. Sleep quality and duration (<7 and 7-9) were measured. Adjusted prevalence ratios (aPRs) and 95% CIs were obtained from survey-weighted logistic regression models by estimating predicted marginal probabilities.

resultsAmong 3,642 individuals, 46.6% were aged 35-50 years and 44.1% were college graduates. Within racial and/or ethnic groups, the weighted prevalence of overall health stress was 62.0% among Latino and 55.8% among White individuals; the weighted prevalence of job/income stress was 64.3% among Black/African American and 57.6% among White individuals; and the weighted prevalence of public health recommendations stress was highest among White individuals (34.1%), compared with Black/African American (28.1%) and Latino (27.8%) individuals. Overall health stress was associated with poor/fair sleep quality (aPR=1.35; 95% CI: 1.14-1.60) and <7 hours sleep (aPR=1.19; 95% CI: 1.03-1.39). Job/income stress was associated with fair/poor sleep quality (aPR=1.46; 95% CI: 1.24-1.72) and <7 hours sleep (aPR=1.31; 95% CI: 1.13-1.52). Race-stratified models showed job/income stress significant among Latino and White individuals for both sleep outcomes, and overall health stress among Latino individuals for duration.

conclusionOverall health stress and job/income stress were associated with poorer sleep health among married and cohabiting individuals. Futurework is needed on stress-management and sleep health promotion.

Indexed as

CouplesCOVIDRacial and ethnic minoritiesSleepStress

Identifiers

PMID42640532

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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.