Grandner Michael A, Williams Natasha J, Knutson Kristen L, Roberts Dorothy, Jean-Louis Girardin
Behavioral Sleep Medicine Program, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Center for Sleep and Circadian Neurobiology, University of Pennsylvania, Philadelphia, PA, USA.
Center for Healthful Behavior Change, Division of Health and Behavior, Department of Population Health, New York University Langone Medical Center, New York University School of Medicine, New York, NY, USA.
Sleep Med. 2016 Feb;18:7-18. doi: 10.1016/j.sleep.2015.01.020. Epub 2015 Feb 28.
Sleep represents a set of biological functions necessary for the maintenance of life. Performing these functions, though, requires that an individual engage in behaviors, which are affected by social and environmental factors. Race/ethnicity and socioeconomic position represent categories of factors that likely play a role in the experience of sleep in the community. Previous studies have suggested that racial/ethnic minorities and the socioeconomically disadvantaged may be more likely to experience sleep patterns that are associated with adverse health outcomes. It is possible that disparities in sleep represent a pathway by which larger disparities in health emerge. This review (1) contextualizes the concept of race/ethnicity in biomedical research, (2) summarizes previous studies that describe patterns of sleep attainment across race/ethnicity groups, (3) discusses several pathways by which race/ethnicity may be associated with sleep, (4) introduces the potential role of socioeconomic position in the patterning of sleep, and (5) proposes future research directions to address this issue.
睡眠代表了维持生命所必需的一系列生物学功能。然而,要执行这些功能,个体需要参与受社会和环境因素影响的行为。种族/民族和社会经济地位是可能在社区睡眠体验中发挥作用的因素类别。先前的研究表明,少数种族/民族群体和社会经济地位不利的人群可能更有可能经历与不良健康结果相关的睡眠模式。睡眠方面的差异有可能是导致更大健康差异出现的一条途径。本综述:(1)将种族/民族概念置于生物医学研究背景中;(2)总结先前描述不同种族/民族群体睡眠模式的研究;(3)讨论种族/民族可能与睡眠相关的几种途径;(4)介绍社会经济地位在睡眠模式形成中的潜在作用;(5)提出解决这一问题的未来研究方向。