• Li Niu, Donglan Zhang, Lu Shi, Xuesong Han, Zhuo Chen, Liwei Chen, Ming Wen, Hongmei Li, Baojiang Chen, Jian Li, Dejun Su, and Yan Li.
• Department of Psychology, Beijing Normal University, Beijing, China.
• J Urban Health. 2023 Jun 1; 100 (3): 431435431-435.

AbstractPrevious research has documented the association between racial discrimination and poor sleep quality. However, few studies have examined this association during the COVID-19 pandemic when racial discrimination is on the rise due to structural injustice and racism against people of color. Using data from the Health, Ethnicity, and Pandemic (HEAP) Study, a nationally representative survey of US adults, we assessed the association between racial discrimination and sleep quality among overall adults and by race and ethnicity. We found that racial discrimination during the pandemic was significantly associated with higher risks of poor sleep quality among non-Hispanic Black (OR = 2.19, 95% CI: 1.13-4.25) and Asian (OR = 2.75, 95% CI: 1.53-4.94) participants, but not among the other groups. The results suggested that sleep quality among Black and Asian populations may have been disproportionately affected by racial discrimination during the pandemic. Further study is needed to assess the causal relationship between racial discrimination and sleep quality.© 2023. The New York Academy of Medicine.

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