Evidence map›Paper›PMID 40163237›Full record

ArticleJournal of racial and ethnic health disparities2026

Racial-Ethnic Residential Segregation and Sleep Health among US Adults: Associations by Race and Ethnicity, Sex/Gender, and Neighborhood-Level Poverty.

Symielle A Gaston, Jesse Wilkerson, Nathaniel MacNell, W Braxton Jackson Ii, Lu Dong, Chandra L Jackson

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Symielle A GastonEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, 111 TW Alexander Drive, Research Triangle Park, NC, 27709, USA. Symielle.Gaston@nih.gov.ORCID 0000-0001-9495-1592
Jesse WilkersonDLH, LLC, Bethesda, MD, USA.
Nathaniel MacNellDLH, LLC, Bethesda, MD, USA.
W Braxton Jackson IiDLH, LLC, Bethesda, MD, USA.ORCID 0000-0001-6672-0172
Lu DongRAND Corporation, Santa Monica, CA, USA.ORCID 0000-0002-1075-9374
Chandra L JacksonEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, 111 TW Alexander Drive, Research Triangle Park, NC, 27709, USA. Chandra.Jackson@nih.gov.ORCID 0000-0002-0915-8272

Funding

Social and Environmental Determinants of Health EquityZIAES103325 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI JACKSON, CHANDRA · 2017 to 2025
$12.7M
Intramural NIH HHS ZIA ES103325
6 · The paper itself

Abstract

introductionAlthough racial-ethnic residential segregation (RRS) is hypothesized to contribute to sleep disparities by concentrating poverty and impairing sleep among minoritized racial-ethnic groups, feelings of belonging within relatively homogenous neighborhoods may be protective against poor sleep. Yet, empirical studies are sparse.

methodsTo investigate RRS-sleep health associations and determine potential modifiers among US adults, we linked National Health Interview Survey data (2011-2017) to 2012 and 2017 American Community Survey census tract-level data. We used the local Getis-Ord G

resultsAmong 126,539 participants (mean age ± SE = 46 ± 0.1 years), high RRS was most common among non-Hispanic (NH)-Black (38%), followed by NH-Asian and non-Mexican Latine (34%), Mexican Latine (30%), and NH-White adults (17%). Across races-ethnicities and sexes/genders (both p-interaction > 0.05), high vs. low RRS was associated with a 6% lower prevalence of short sleep duration (< 7-h: PR = 0.94 [95% CI:0.91-0.97]), an 11% lower prevalence of long sleep duration (> 9-h: PR = 0.89 [0.80-0.99]), and a 2% higher prevalence of restorative sleep (PR = 1.02 [1.01-1.04]). Associations with a lower prevalence of trouble falling asleep were stronger among men vs. women. Race-ethnicity-by-sex/gender group membership and neighborhood-level poverty modified associations with sleep duration and quality without consistent patterns.

conclusionRRS was associated with more favorable sleep health among US adults with variation by key modifiers (e.g., sex). Strategies that leverage potentially protective social factors while promoting equitable resources across diverse neighborhoods may help address sleep health disparities.

Indexed as

EthnicityHealth Status DisparitiesNeighborhood CharacteristicsPovertyRacial GroupsResidence CharacteristicsSleepSocial SegregationAdultFemaleHealth SurveysHumansMaleMiddle AgedResidential SegregationSex FactorsNeighborhood environmentPovertyRacial groupsSleep durationSleep qualitySystemic racism

Identifiers

PMID40163237
PMCPMC12354334

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.