Sleep and its Relationship to Racial and Ethnic Disparities in Cardiovascular Disease

John H. Kingsbury, Orfeu M. Buxton, Karen M. Emmons, Susan Redline

Research output: Contribution to journalReview article

19 Citations (Scopus)

Abstract

There are substantial racial/ethnic disparities in cardiovascular disease in the U.S., but few mechanisms have emerged as feasible intervention targets. A growing body of research suggests that racial/ethnic differences in sleep deficiency, including extreme sleep duration, sleep-disordered breathing, and insomnia, may help explain disparities in cardiovascular disease. However, little is known about the mechanisms underlying racial/ethnic disparities in sleep. In this article, we review the extant literature on sleep and cardiovascular outcomes (eg, hypertension, stroke, cardiovascular disease) and racial/ethnic differences in these relations. We also discuss possible mechanisms that might help explain racial/ethnic sleep disparities, including neighborhood disadvantage, psychosocial and occupational stressors, acculturation, and treatment access and adherence. More research is needed to establish causal linkages among race/ethnicity, sleep, and these mechanisms, but existing evidence suggests that targeting these factors in interventions may reduce racial/ethnic sleep disparities and improve primary prevention of cardiovascular disease among all racial/ethnic groups.

Original languageEnglish (US)
Pages (from-to)387-394
Number of pages8
JournalCurrent Cardiovascular Risk Reports
Volume7
Issue number5
DOIs
StatePublished - Oct 1 2013

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Sleep
Cardiovascular Diseases
Acculturation
Sleep Apnea Syndromes
Sleep Initiation and Maintenance Disorders
Primary Prevention
Ethnic Groups
Research
Stroke
Hypertension

All Science Journal Classification (ASJC) codes

  • Pharmacology
  • Pharmacology (medical)

Cite this

Kingsbury, John H. ; Buxton, Orfeu M. ; Emmons, Karen M. ; Redline, Susan. / Sleep and its Relationship to Racial and Ethnic Disparities in Cardiovascular Disease. In: Current Cardiovascular Risk Reports. 2013 ; Vol. 7, No. 5. pp. 387-394.
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Sleep and its Relationship to Racial and Ethnic Disparities in Cardiovascular Disease. / Kingsbury, John H.; Buxton, Orfeu M.; Emmons, Karen M.; Redline, Susan.

In: Current Cardiovascular Risk Reports, Vol. 7, No. 5, 01.10.2013, p. 387-394.

Research output: Contribution to journalReview article

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