Socioeconomic Adversity and Women's Sleep: Stress and Chaos as Mediators

Mona El-Sheikh*, Margaret Keiley, Erika J. Bagley, Edith Chen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


We examined income-to-needs ratio, perceived economic well-being, and education and their relations with European and African American women's sleep (n = 219). Sleep was examined through actigraphy and self-reports. Income-to-needs ratio was related to sleep minutes. Perceived economic well-being and education were associated with subjective sleep problems. Perceived stress mediated relations between both income-to-needs ratio and economic well-being and subjective sleep problems. Chaos emerged as a mediator linking income-to-needs ratio and subjective sleep problems. African American women had fewer sleep minutes and lower sleep efficiency than European Americans, and more robust relations between economic well-being and stress was observed for European Americans. Findings highlight the importance of economic adversity for women's sleep and explicate some pathways of risk.

Original languageEnglish (US)
Pages (from-to)506-523
Number of pages18
JournalBehavioral sleep medicine
Issue number6
StatePublished - Nov 2 2015

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Medicine (miscellaneous)
  • Psychology (miscellaneous)
  • Clinical Neurology


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