Journal
ANNUAL REVIEW OF PUBLIC HEALTH, VOL 41
Volume 41, Issue -, Pages 81-99Publisher
ANNUAL REVIEWS
DOI: 10.1146/annurev-publhealth-040119-094412
Keywords
sleep; sleep health; public health; health disparities; health equity
Categories
Funding
- [R01 HD 073352]
- [R01 HL122460]
- [UH3 HL125103]
- [R01 AG047139]
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The concept of sleep health provides a positive holistic framing of multiple sleep characteristics, including sleep duration, continuity, timing, alertness, and satisfaction. Sleep health promotion is an underrecognized public health opportunity with implications for a wide range of critical health outcomes, including cardiovascular disease, obesity, mental health, and neurodegenerative disease. Using a socioecological framework, we describe interacting domains of individual, social, and contextual influences on sleep health. To the extent that these determinants of sleep health are modifiable, sleep and public health researchers may benefit from taking a multilevel approach for addressing disparities in sleep health. For example, in addition to providing individual-level sleep behavioral recommendations, health promotion interventions need to occur at multiple contextual levels (e.g., family, schools, workplaces, media, and policy). Because sleep health, a key indicator of overall health, is unevenly distributed across the population, we consider improving sleep health a necessary step toward achieving health equity.
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