Discrimination and Sleep Health Among Transgender Women of Color in New York City

Cross-Sectional and Longitudinal Associations From the TURNNT Cohort Study

Bibliographic Data

ID11037358
AuthorsAdam Whalen (0000-0003-0235-1341, Adam M. Whalen, Alexander Furuya, Jessica Contreras, Asa Radix, and Dustin T. Duncan are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Asa Radix is also with the Callen-Lorde Community Health Center, New York, NY. John A. Schneider is with the Department of Public Health Sciences, University of Chicago, Chicago, IL. Sahnah Lim and Chau Trinh-Shevrin are with the Department of Population Health, Grossman School of Medicine, New York University, New Y), Alexander Furuya (0009-0008-4596-9014, Adam M. Whalen, Alexander Furuya, Jessica Contreras, Asa Radix, and Dustin T. Duncan are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Asa Radix is also with the Callen-Lorde Community Health Center, New York, NY. John A. Schneider is with the Department of Public Health Sciences, University of Chicago, Chicago, IL. Sahnah Lim and Chau Trinh-Shevrin are with the Department of Population Health, Grossman School of Medicine, New York University, New Y), Jessica Contreras (Adam M. Whalen, Alexander Furuya, Jessica Contreras, Asa Radix, and Dustin T. Duncan are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Asa Radix is also with the Callen-Lorde Community Health Center, New York, NY. John A. Schneider is with the Department of Public Health Sciences, University of Chicago, Chicago, IL. Sahnah Lim and Chau Trinh-Shevrin are with the Department of Population Health, Grossman School of Medicine, New York University, New Y), John A Schneider (0009-0003-0553-3447, Adam M. Whalen, Alexander Furuya, Jessica Contreras, Asa Radix, and Dustin T. Duncan are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Asa Radix is also with the Callen-Lorde Community Health Center, New York, NY. John A. Schneider is with the Department of Public Health Sciences, University of Chicago, Chicago, IL. Sahnah Lim and Chau Trinh-Shevrin are with the Department of Population Health, Grossman School of Medicine, New York University, New Y), Sahnah Lim (0000-0001-7406-5235, Adam M. Whalen, Alexander Furuya, Jessica Contreras, Asa Radix, and Dustin T. Duncan are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Asa Radix is also with the Callen-Lorde Community Health Center, New York, NY. John A. Schneider is with the Department of Public Health Sciences, University of Chicago, Chicago, IL. Sahnah Lim and Chau Trinh-Shevrin are with the Department of Population Health, Grossman School of Medicine, New York University, New Y), Chau Trinh-Shevrin (Adam M. Whalen, Alexander Furuya, Jessica Contreras, Asa Radix, and Dustin T. Duncan are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Asa Radix is also with the Callen-Lorde Community Health Center, New York, NY. John A. Schneider is with the Department of Public Health Sciences, University of Chicago, Chicago, IL. Sahnah Lim and Chau Trinh-Shevrin are with the Department of Population Health, Grossman School of Medicine, New York University, New Y), Chau Trinh‐Shevrin (0000-0001-9635-0512, Department of Public Health), Asa Radix (0000-0001-9611-4181, Adam M. Whalen, Alexander Furuya, Jessica Contreras, Asa Radix, and Dustin T. Duncan are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Asa Radix is also with the Callen-Lorde Community Health Center, New York, NY. John A. Schneider is with the Department of Public Health Sciences, University of Chicago, Chicago, IL. Sahnah Lim and Chau Trinh-Shevrin are with the Department of Population Health, Grossman School of Medicine, New York University, New Y), Dustin T Duncan (0000-0001-8586-8711, Adam M. Whalen, Alexander Furuya, Jessica Contreras, Asa Radix, and Dustin T. Duncan are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Asa Radix is also with the Callen-Lorde Community Health Center, New York, NY. John A. Schneider is with the Department of Public Health Sciences, University of Chicago, Chicago, IL. Sahnah Lim and Chau Trinh-Shevrin are with the Department of Population Health, Grossman School of Medicine, New York University, New Y)
Year2025
Volume115
Issue10
Pages1652-1661
Publication date2025-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2025.308208
PMID40773732
OpenAlexW4413051631
LanguageEN
Citations received1
References cited32

Objectives. To determine whether discrimination is associated with sleep health among transgender women of color. Methods. We included 269 participants from the Trying to Understand Relationships, Networks, and Neighborhoods Among Transgender Women of Color (TURNNT) Cohort Study in New York City in a cross-sectional analysis and 179 in a longitudinal analysis of the association between discrimination and sleep duration, quality, and latency. Results. Median sleep duration was 6 hours per night, with 65% of participants reporting poor sleep in the past month. Nearly two thirds experienced moderate or high levels of discrimination. Cross sectionally, high discrimination was associated with a 14% greater risk of poor sleep quality relative to low discrimination (prevalence ratio [PR] = 1.14). Longitudinally, high discrimination was associated with a 15% higher risk of poor sleep (PR = 1.15) and an average of 43 minutes less per night. Conclusions. Transgender women of color generally do not receive an adequate amount of sleep, and that sleep is often of poor quality. Those who experience higher rates of discrimination are particularly vulnerable to poor sleep health. Public Health Implications. Effort should be focused on reducing antitransgender discrimination and developing interventions to mitigate the negative impact of discrimination on sleep health among transgender populations. ( Am J Public Health. 2025;115(10):1652–1661. https://doi.org/10.2105/AJPH.2025.308208 )

Association (psychology) · Cohort · Cohort study · Cross-sectional study · Environmental health · Longitudinal study · Public health · Sociology · Transgender · Demography · Homelessness and Social Issues · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Racial and Ethnic Identity Research · Gerontology

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