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Discrimination, Sleep, and Stress Reactivity: Pathways to African American-White Cardiometabolic Risk Inequities

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  • Bridget J. Goosby

    (University of Nebraska-Lincoln
    University of Nebraska-Lincoln)

  • Elizabeth Straley

    (University of Nebraska-Lincoln)

  • Jacob E. Cheadle

    (University of Nebraska-Lincoln)

Abstract

This review provides a model explicating two related physiologic and behavioral pathways through which the chronic daily stress of the expectation and experience of discrimination exposure can shape life course cardiometabolic risk trajectories: sleep and stress reactivity. We argue that these two pathways work together jointly to shape African American-White disparities in cardiometabolic morbidities. The body’s ongoing anticipation of experiencing racism-related stressors disrupts sleep, a behavior highly responsive to stress reactivity, which is also elevated during stressful conditions. The constant feedback between sleep disruption and the body’s stress response can lead to higher allostatic load and disproportionate exposure to stress-related illness among African Americans earlier in their life course.

Suggested Citation

  • Bridget J. Goosby & Elizabeth Straley & Jacob E. Cheadle, 2017. "Discrimination, Sleep, and Stress Reactivity: Pathways to African American-White Cardiometabolic Risk Inequities," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(5), pages 699-716, October.
    • Handle: RePEc:kap:poprpr:v:36:y:2017:i:5:d:10.1007_s11113-017-9439-z
    DOI: 10.1007/s11113-017-9439-z
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    References listed on IDEAS

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    1. Myles D. Moody, 2022. "Vicarious Experiences of Major Discrimination and the Life Satisfaction of Black and White Adults from a Community Sample," Journal of Happiness Studies, Springer, vol. 23(6), pages 2725-2743, August.
    2. Connor Sheehan & Anna Zajacova & Dylan Connor & Jennifer Karas Montez, 2022. "State-Level Variation in the Association Between Educational Attainment and Sleep," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(3), pages 1137-1160, June.
    3. Reid, Allecia E. & Earnshaw, Valerie A., 2023. "Embracing heterogeneity: Implications for research on stigma, discrimination, and African Americans’ health," Social Science & Medicine, Elsevier, vol. 316(C).
    4. Park, Kiwoong & Kim, Jinho, 2023. "Longitudinal association between perceived discrimination and sleep problems among young adults in the United States: Tests of moderation by race/ethnicity and educational attainment," Social Science & Medicine, Elsevier, vol. 321(C).

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