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August 27, 2026Journal of Racial and Ethnic Health DisparitiesOpen Access

Sources of Stress in Relation to Sleep Health During the COVID-19 Pandemic: Findings from the National Couples’ Health and Time Study

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Authors

IMIzabelle MendezRSRupsha SinghCJChandra L. Jackson

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Overview

Cross-sectional survey observes health and employment stress link to poorer sleep in cohabiting adults, highlighting key pandemic mental health burdens.

Key Points

  • To evaluate associations between specific pandemic-related stress domains and sleep health among married and cohabiting adults in the United States.
  • Analyzed data from the National Couples’ Health and Time Study, an online survey conducted between 2020 and 2021 (N = 3,642).
  • Categorized stressors into five domains: COVID-19 infection, resources/insurance, overall health, job/income, and public health recommendations.
  • Estimated adjusted prevalence ratios (aPRs) and 95% CIs for sleep quality (poor/fair vs. good) and duration (<7 vs. 7–9 hours) using survey-weighted logistic regression.
  • Job and income stress was significantly associated with fair/poor sleep quality (aPR = 1.46; 95% CI: 1.24–1.72) and short sleep duration (<7 hours; aPR = 1.31; 95% CI: 1.13–1.52).
  • Overall health stress was also associated with fair/poor sleep quality (aPR = 1.35; 95% CI: 1.14–1.60) and short sleep duration (aPR = 1.19; 95% CI: 1.03–1.39).
  • Weighted stress prevalence varied by racial/ethnic group, with job/income stress reaching 64.3% in Black individuals and overall health stress reaching 62.0% in Latino individuals.

Cite This Study

Mendez et al. (2026) studied this question.

synapsesocial.com/papers/6a8fe9b910c91c1e926219ffhttps://doi.org/10.1007/s40615-026-03100-0
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