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

21 Scopus citations

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

All Science Journal Classification (ASJC) codes

  • Pharmacology
  • Pharmacology (medical)

Fingerprint Dive into the research topics of 'Sleep and its Relationship to Racial and Ethnic Disparities in Cardiovascular Disease'. Together they form a unique fingerprint.

  • Cite this