{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T16:11:30Z","timestamp":1789143090146,"version":"build-2803163510"},"posted":{"date-parts":[[2026,9,8]]},"group-title":"Epidemiology","reference-count":60,"publisher":"openRxiv","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/"}],"funder":[{"award":["Z1AES103325"],"award-info":[{"award-number":["Z1AES103325"]}],"id":[{"id":"https:\/\/ror.org\/00j4k1h63","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2026,9,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Complementary and Alternative Medicine (CAM) approaches vary across race and ethnicity, reflecting different cultural practices. However, its relationship with sleep is understudied. We investigated cross-sectional CAM-sleep associations across racial and ethnic groups.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In the nationally-representative 2012 National Health Interview Survey, participants identified their most important CAM therapies and whether the therapy yielded \u2018better sleep\u2019 (yes\/no). We used Poisson regression with robust variance to estimate adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) and examined effect measure modification using Wald tests of interaction terms.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 9,308 adults (mean age\u00b1SE = 46.4\u00b10.3 years), 58.2% were women. CAM therapy prevalence ranged from 0.1% (craniosacral therapy) to 28.9% (herbal supplements). The proportion perceiving \u2018better sleep\u2019 was 41.3%. When deemed most important for health, massage; meditation; movement or exercise techniques; and yoga, Tai Chi, and Qigong were associated with higher prevalence of perceiving \u2018better sleep\u2019 similarly across racial and ethnic groups. Chiropractic or osteopathic manipulation was associated with perceiving better sleep only among non-Hispanic (NH)-White adults (aPR=1.14, 95% CI:1.05-1.24). The highest magnitude of associations between herbal supplement use and lower prevalence of \u2018better sleep\u2019 was among NH-White adults (aPR=0.29, 95% CI:0.25-0.34 vs. aPR range:0.37 (NH- Asian) to 0.50 (NH-Black)). Limited by a small sample size, no associations were observed among NH-American Indian\/Alaska Native participants.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Many CAM therapies were associated with perceiving better sleep across racial and ethnic groups; however, effectiveness varied by therapy and racial and ethnic groups, yielding mixed evidence of their potential role in sleep health promotion.<\/jats:p>\n                <\/jats:sec>","DOI":"10.64898\/2026.09.04.26362273","type":"posted-content","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T15:45:12Z","timestamp":1788882312000},"source":"Crossref","is-referenced-by-count":0,"title":["Complementary and Alternative Medicine Therapies in relation to Self-Reported Better Sleep across Racial and Ethnic Groups in the United States"],"prefix":"10.64898","author":[{"given":"Rupsha","family":"Singh","sequence":"first","affiliation":[{"name":"Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9495-1592","authenticated-orcid":false,"given":"Symielle A.","family":"Gaston","sequence":"additional","affiliation":[{"name":"Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Payne","sequence":"additional","affiliation":[{"name":"DLH, LLC, Bethesda, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dayna T.","family":"Neo","sequence":"additional","affiliation":[{"name":"DLH, LLC, Bethesda, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne M.","family":"Bertisch","sequence":"additional","affiliation":[{"name":"Division of Sleep and Circadian Disorders, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne B.","family":"Jonas","sequence":"additional","affiliation":[{"name":"Healing Works Foundation and Georgetown University School of Medicine, Washington, D.C., USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra L.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC, USA"},{"name":"Intramural Program, National Institute on Minority Health and Health Disparities, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"54368","reference":[{"key":"2026091108400827000_2026.09.04.26362273v1.1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd20.220400"},{"key":"2026091108400827000_2026.09.04.26362273v1.2","unstructured":"Institute of Medicine Committee on Sleep M, Research. 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