ArticleSleep2026
Religiosity and Spirituality as Stressors or Stress Relievers in relation to Sleep Health among African American Women.
Article in Sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
STUDY
objectivesTo investigate associations between religiosity/spirituality (R/S) and sleep and potential modification by stress among Black/African American (AA) women.
methodsParticipants from the Study of Environment, Lifestyle, & Fibroids (2010-2018) reported importance of faith and R/S as a source of strength/comfort (ranging from 'very' to 'not at all') as well as frequency of prayer/meditation (ranging from 'everyday,' to '<once/month') at baseline. There were repeated measures of daily stress ('very high/moderate' vs. 'low/none'), short sleep duration (<7-hours), nonrestorative sleep (NRS, waking rested <4-days/week), and insomnia symptoms (difficulty falling/staying asleep). Adjusted prevalence ratios (aPRs) were estimated with Poisson regression with robust variance, and adjusted risk ratios were estimated by applying generalized estimating equations to models. R/S-by-stress terms were tested.
resultsAmong 1,693 Black/AA women (mean age±SD 29.2±3.4 years), 69.3% reported faith as important, 55.6% perceived R/S as a source of strength/comfort, 58.8% prayed/meditated daily, 43.8% reported high/moderate stress, and poor sleep was prevalent (short sleep:58.4%, NRS:62%, and insomnia symptoms:17.9%) at baseline. There were no associations with short sleep and insomnia symptoms. All three R/S measures were each cross-sectionally but not longitudinally associated with lower likelihood of NRS, however, associations differed by stress. R/S as source of strength/comfort and prayer/meditation showed protective associations with NRS prevalence at baseline only among participants with low versus high stress (e.g., prayer everyday vs. <once/month aPRhigh stress=1.07 [95% CI:0.91-1.26], aPRlow stress=0.76 [95% CI:0.63-0.91], pR/S*stress =0.03).
conclusionsHigher R/S was associated with lower NRS prevalence, but protective associations were limited to participants with low/no stress.
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