Disparities in Sleep Health and Potential Intervention Models A Focused Review

• Type of Material: Article
• Authors: Martha E. Billings, University of Washington; Robyn T. Cohen, Boston University; Carol M. Baldwin, Arizona State University; Dayna Johnson, Emory University; Brian N. Palen, University of Washington; Sairam Parthasarathy, University of Arizona; Sanjay R. Patel, University of Pittsburgh; Maureen Russell, Northern Arizona University; Ignacio E. Tapia, Childrens Hospital of Philadelphia; Ariel A. Williamson, Childrens Hospital of Philadelphia; Sunil Sharma, West Virginia University
• Language: English
• Date: 2021-03-04
• Publisher: ELSEVIER
• Publication Version: Final Published Version
• Copyright Statement: © 2020 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
• Final Published Version (URL): http://dx.doi.org/10.1016/j.chest.2020.09.249
• Title of Journal or Parent Work: CHEST
• Volume: 159
• Issue: 3
• Start Page: 1232
• End Page: 1240
• Grant/Funding Information: The authors have reported to CHEST the following: D. A. J. is supported by the National Heart, Lung, and Blood Institute, (NHLBI) K01HL138211. S. R. P. has received grant funding through my institution from Bayer Pharmaceuticals, Philips Respironics, and Respicardia. A. A. W. is supported by career development awards from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD094905) and the Sleep Research Society Foundation. S. S. has received an unrestricted research grant from ResMed Inc. None declared (M. E. B., R. T. C., C. M. B., B. N. P., S. P., M. R., I. E. T.).
• Keywords: sleep; Science & Technology; PROGRAM; ADOLESCENTS; RACE; health disparities; vulnerable population; General & Internal Medicine; bioinformatics; CHILDREN; Life Sciences & Biomedicine; Respiratory System; EDUCATION; ADENOTONSILLECTOMY; RACE/ETHNICITY; APNEA; Critical Care Medicine; POPULATION; CARE
• Research Categories: Sociology, Ethnic and Racial Studies; Biology, Biostatistics; Health Sciences, Public Health

Abstract

Disparities in sleep health are important but underrecognized contributors to health disparities. Understanding the factors contributing to sleep heath disparities and developing effective interventions are critical to improving all aspects of heath. Sleep heath disparities are impacted by socioeconomic status, racism, discrimination, neighborhood segregation, geography, social patterns, and access to health care as well as by cultural beliefs, necessitating a cultural appropriateness component in any intervention devised for reducing sleep health disparities. Pediatric sleep disparities require innovative and urgent intervention to establish a foundation of lifelong healthy sleep. Tapping the vast potential of technology in improving sleep health access may be an underutilized tool to reduce sleep heath disparities. Identifying, implementing, replicating, and disseminating successful interventions to address sleep disparities have the potential to reduce overall disparities in health and quality of life.