Sociodemographic and Cultural Determinants of Sleep Deficiency: Implications for Cardiometabolic Disease Risk

Details

• Personal Author:
  Knutson KL
• Description:
  Sleep is a biological imperative associated with cardiometabolic disease risk. As such, a thorough discussion of the sociocultural and demographic determinants of sleep is warranted, if not overdue. This paper begins with a brief review of the laboratory and epidemiologic evidence linking sleep deficiency, which includes insufficient sleep and poor sleep quality, with increased risk of chronic cardiometabolic diseases such as obesity, diabetes and hypertension. Identification of the determinants of sleep deficiency is the critical next step to understanding the role sleep plays in human variation in health and disease. Therefore, the majority of this paper describes the different biopsychosocial determinants of sleep, including age, gender, psychosocial factors (depression, stress and loneliness), socioeconomic position and race/ethnicity. In addition, because sleep duration is partly determined by behavior, it will be shaped by cultural values, beliefs and practices. Therefore, possible cultural differences that may impact sleep are discussed. If certain cultural, ethnic or social groups are more likely to experience sleep deficiency, then these differences in sleep could increase their risk of cardiometabolic diseases. Furthermore, if the mechanisms underlying the increased risk of sleep deficiency in certain populations can be identified, interventions could be developed to target these mechanisms, reduce sleep differences and potentially reduce cardiometabolic disease risk. [Description provided by NIOSH]
• Subjects:
  Age Factors Blood Cardiovascular Diseases Cardiovascular System Circadian Rhythm Energy Metabolism Epidemiology Hematologic Diseases Occupational Health Race Factors Safety Sex Characteristics Sleep Sleep Initiation And Maintenance Disorders

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• Keywords:
  Age Factors Author Keywords: Sleep Duration Blood Sugar Disorders Cardiovascular Disease Circadian Rhythms Culture Diabetes Gender Factors Hormone Activity Metabolic Effects Obesity Population Based Studies Psychological Factors Race/Ethnicity Racial Factors Sex Factors Sleep Deprivation Sleep Disorders Sleep Quality Socioeconomic Position Socioeconomics Sociological Factors

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• ISSN:
  0277-9536
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Illinois ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  7-15
• Volume:
  79
• NIOSHTIC Number:
  nn:20052751
• Citation:
  Soc Sci Med 2013 Feb; 79:7-15
• Contact Point Address:
  Kristen L. Knutson, Section of Pulmonary & Critical Care, Department of Medicine, University of Chicago, 5841 S Maryland Ave., MC6076, Chicago, IL 60637, USA
• Email:
  kknutson@medicine.bsd.uchicago.edu
• Federal Fiscal Year:
  2013
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  University of Chicago
• Peer Reviewed:
  True
• Start Date:
  20090901
• Source Full Name:
  Social Science and Medicine
• End Date:
  20150831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:4200c7c58f79f506e153215f033b7f63e047d10fdfb02a7c3ac7299dcda7e357c33e41f42ecf6d79c86544a20ed29e3fde849586c60643e89c8e1be2a8557e02
• Download URL:
  https://stacks.cdc.gov/view/cdc/212229/cdc_212229_DS1.pdf
• File Type:
  [PDF - 197.62 KB ]