Poor sleep disproportionately undermines the health of communities of color. Researchers want to figure out why—and find solutions. WorldSleepDay
—in the general population, Ramos notes. And, he adds, “We know that Hispanics have a two to four times higher risk for dementia.” Sleep apnea is one possible contributor to elevated dementia rates and cardiovascular disease—racism and neighborhood noise and air pollution are others—that Jean-Louis and Ramos plan to investigate in the varied Black and Hispanic communities in Miami. At the recent event at Trinity Baptist Church, Jean-Louis recruited 10 new participants.
Later, when he moved to NYU, he sought other trusted intermediaries. He and Seixas teamed up to recruit volunteers, nominated by their own communities, to be “certified sleep educators.” After an, the educators provided tailored advice and emotional support to people in their community, and convinced many to get screened and treated for sleep apnea.
. “They can see themselves through those stories,” Jean-Louis says. “If your brochures only depict white men and women … [Black people] don’t relate to this, they don’t even open it up.” In a randomized trial, the researchers found that participants who used the website reported feeling more able to seek sleep apnea evaluation and adhere to treatment, which involves a machine that delivers pressurized air through a face mask to keep the airway open.
Alcántara, meanwhile, is working to improve access to insomnia therapy for Hispanic people. Therapy for Spanish speakers “is virtually nonexistent,” she says. In a review published earlier this year, Alcántara and her colleagues found that of 8182 randomized clinical trials of behavioral interventions to improve sleep, only 7% targeted underserved groups, andCognitive behavioral therapy for insomnia is the gold-standard treatment for this sleep disorder.
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