Academic Journal
Sleep inequities at the intersections of racialized, gender, and sexual identity in the U.S.: An intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA).
| Τίτλος: | Sleep inequities at the intersections of racialized, gender, and sexual identity in the U.S.: An intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA). |
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| Συγγραφείς: | Zubizarreta D; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA. Electronic address: dzubizarreta@hsph.harvard.edu., Beccia AL; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA; Division of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Chen JT; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Coull BA; Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Bryn Austin S; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA; Division of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA. |
| Πηγή: | Sleep health [Sleep Health] 2026 Oct; Vol. 12 (5), pp. 753-760. Date of Electronic Publication: 2026 Aug 27. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101656808 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-7226 (Electronic) Linking ISSN: 23527218 NLM ISO Abbreviation: Sleep Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [New York, NY] : Elsevier Inc., [2015]- |
| Ιατρικοί όροι (MeSH): | Racial Groups*/statistics & numerical data , Gender Identity* , Health Status Disparities* , Sleep*, United States/epidemiology ; Female ; Humans ; Male ; Behavioral Risk Factor Surveillance System ; Multilevel Analysis ; Prevalence ; Sleep Duration ; Social Group ; White ; Black or African American ; Hispanic or Latino |
| Περίληψη: | Objectives: Sleep inequities are marked and persistent in the U.S., yet there remains limited research examining the patterning of adverse sleep outcomes across intersecting dimensions of social identity. This study's objective was to estimate the prevalence of short and long sleep duration across population subgroups jointly defined by racialized identity, sex, and sexual identity, and quantify inequities. Methods: Data came from the 2022 Behavioral Risk Factor Surveillance System (N = 235,326). We implemented Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) by grouping participants into 20 intersectional social strata and fitting Bayesian multilevel logistic models to obtain intersectional social stratum-specific prevalence estimates for each outcome. Intersectional social strata were jointly defined by racialized identity (Black, Latine, White, multiracial/other) and sex/sexual identity (heterosexual-cisgender males, heterosexual-cisgender females, LGBQ-cisgender males, LGBQ-cisgender females, trans and gender nonconforming people). Results: Multiply marginalized groups (e.g., people of color who are also LGBQ+) had the highest prevalence of both short and long sleep duration. Conclusions: Equity-focused policies and interventions targeting sleep health should center the needs and priorities of multiply marginalized groups who are at particularly elevated risk of both short and long sleep duration. (Copyright © 2026 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of conflicts of interest The authors have no conflicts of interest to disclose. Given their role as Sleep Health Associate Editor, Dr Chen had no involvement in the peer review of this article and has no access to information regarding its peer-review. Full responsibility for the editorial process for this article was delegated to another journal editor. |
| Contributed Indexing: | Keywords: Health equity; Intersectionality; MAIHDA; Sleep; Social epidemiology |
| Entry Date(s): | Date Created: 20260827 Date Completed: 20260917 Latest Revision: 20260918 |
| Update Code: | 20260918 |
| DOI: | 10.1016/j.sleh.2026.07.014 |
| PMID: | 42660768 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2352-7226 |
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| DOI: | 10.1016/j.sleh.2026.07.014 |