Sleepless in COVID-19: racial disparities during the pandemic as a consequence of structural inequity.

ABSTRACT: Insomnia has been on the rise during the 2019 coronavirus disease (COVID-19) pandemic, which may disproportionately affect racial minorities. This study characterized racial disparities in insomnia during the pandemic and evaluated mechanisms for such disparities. Participants included 196 adults (48 Black) from a 2016-2017 clinical trial of insomnia treatment who were reevaluated in April 2020. Race was evaluated as a predictor of change in insomnia, impact of COVID-19, and COVID-19 stress. Mediation models using the PRODCLIN method evaluated the extent to which: (1) COVID-19 impact accounted for Black-White disparities in change in insomnia, and (2) COVID-19 stress accounted for associations between discrimination and change in insomnia. Increases in insomnia symptoms during COVID-19 wer

SUBMITTER: Cheng P 

PROVIDER: S-EPMC8689929 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature