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Skin color stratification and sleep duration: Evidence from a nationally representative sample
Hana Brown1, Patricia Louie1, Connor Sheehan2
1Department of Sociology, University of Washington, Seattle, Washington, USA.
Sleep Health
|December 11, 2025
Summary
Skin color disparities in sleep duration exist in the US. Darker skin tones are linked to higher odds of both short and long sleep durations compared to lighter skin tones.
Area of Science:
- Sleep science
- Public health
- Sociology of health
Background:
- Sleep duration is a key determinant of population health.
- Existing research highlights racial/ethnic disparities in sleep duration in the US.
- The role of skin color in sleep patterns remains under-examined despite its association with health outcomes.
Purpose of the Study:
- To investigate population-level disparities in sleep duration based on skin color.
- To determine if skin color influences the likelihood of short or long sleep durations.
Main Methods:
- Analysis of the National Longitudinal Study of Adolescent to Adult Health (Add Health) dataset (n=9114).
- Utilized multinomial regression to compare short sleep (≤6 hours) and long sleep (≥9 hours) relative to normal sleep (7-8 hours).
- Data collected from a nationally representative sample of US adults between 2016-2018.
Main Results:
- Individuals with dark and medium skin tones exhibited higher odds of short sleep compared to those with light skin.
- Individuals with medium and dark skin tones also showed higher odds of long sleep compared to those with light skin.
- Limited evidence suggested racial/ethnic moderation of skin tone effects on sleep duration.
Conclusions:
- Skin color is a significant factor influencing population-level sleep duration patterns.
- Findings underscore the importance of considering skin color in public health initiatives related to sleep.
- Further research may explore the mechanisms underlying skin color-based sleep disparities.
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