Socioeconomic status discrimination is associated with poor sleep in African-Americans, but not Whites

Social Science & Medicine
Miriam E Van DykeTené T Lewis

Abstract

Research on self-reported experiences of discrimination and health has grown in recent decades, but has largely focused on racial discrimination or overall mistreatment. Less is known about reports of discrimination on the basis of socioeconomic status (SES), despite the fact that SES is one of the most powerful social determinants of health. We sought to examine the cross-sectional association between self-reported SES discrimination and subjective sleep quality, an emerging risk factor for disease. We further examined whether associations differed by race or SES. We used logistic and linear regression to analyze data from a population-based cohort of 425 African-American and White middle-aged adults (67.5% female) in the Southeastern United States. SES discrimination was assessed with a modified Experiences of Discrimination Scale and poor subjective sleep quality was assessed with the Pittsburgh Sleep Quality Index. In logistic regression models adjusted for age, gender, and education, reports of SES discrimination were associated with poor sleep quality among African-Americans (OR = 2.39 95%, CI = 1.35, 4.24), but not Whites (OR = 1.03, 95% CI = 0.57, 1.87), and the race × SES discrimination interaction was significant at p...Continue Reading

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Citations

Jan 23, 2017·American Journal of Preventive Medicine·Barbara A LaraiaCindy W Leung
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Jan 3, 2021·Social Psychiatry and Psychiatric Epidemiology·Carolyn E SartorKathleen K Bucholz
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Mar 14, 2021·Sleep Medicine·Soojung AhnMin-Woong Sohn
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May 5, 2021·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Amanda C McClainJosiemer Mattei
Aug 3, 2021·Comprehensive Psychoneuroendocrinology·Tiffany YipDavid Williams

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