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Differential Role of Multi-Dimensional Sleep Health on Cardiovascular Risk by Race and Ethnicity in U.S. Adults

  • 0Department of Health, Society, & Behavior, Joe C. Wen School of Population & Public Health, University of California, Irvine, USA. minhazum@uci.edu.
Journal of Racial and Ethnic Health Disparities +

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December 4, 2025

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December 4, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Multidimensional sleep health (MDSH) impacts cardiovascular disease (CVD) risk differently across racial and ethnic groups. Ideal MDSH significantly lowers CVD risk for Asians and Hispanics compared to Whites, highlighting sleep

Area Of Science

  • Public Health
  • Cardiology
  • Sleep Medicine

Background

  • Cardiovascular disease (CVD) disparities disproportionately impact racial and ethnic minorities.
  • Sleep health inequalities may significantly contribute to CVD disparities.
  • Limited research on minority representation and sleep measures hinders understanding of sleep's role in CVD disparities.

Purpose Of The Study

  • Investigate racial and ethnic disparities in CVD risk.
  • Explore the mediating or moderating role of multidimensional sleep health (MDSH) in these disparities.

Main Methods

  • Analysis of nationally representative data (NHANES 2017-2020) for 5,098 adults (30-80 years) without diagnosed CVD.
  • CVD risk assessed using Framingham Risk Score (FRS).
  • Multivariable logistic models and mediation/moderation tests examined race/ethnicity, FRS, and MDSH associations.

Main Results

  • Asians and Hispanics had lower CVD risk than Whites; Black and other races showed no significant difference.
  • MDSH did not significantly mediate racial/ethnic CVD risk differences.
  • MDSH moderated CVD risk: ideal MDSH lowered risk for Asians and Hispanics vs. Whites, while poor MDSH showed similar risk.

Conclusions

  • Multidimensional sleep health (MDSH) plays a differential role in cardiovascular disease (CVD) risk across racial and ethnic groups.
  • The impact of sleep health on CVD risk is not uniform and varies by race/ethnicity.
  • Further research into tailored sleep interventions for minority populations is warranted.

Keywords:

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