Sleep Health Equity

The quality and quantity of sleep impacts the health of every Canadian, however, we don’t all start from the same place in life meaning that some individuals face greater challenges than others due to inequity. The Sleep Equity team is interested in the factors that cause modifiable differences (inequities) in sleep health. The Public Health Agency of Canada (PHAC) has produced a set of guidelines for analyzing quantitative health data from an intersectional point of view. Intersectionality refers to the ways in which different aspects of a person’s identity, such as ethnicity/race, gender, sexual orientation, socioeconomic status, geographic location, and others, interact to shape not only their experiences but also their access to resources, opportunities, and social power. As a part of the Sleep Consortium, the team will apply the PHAC guidelines to a series of existing datasets that have tracked sleep habits and behaviours in various Canadian populations over time in different ways. Doing this work properly requires consulting with diverse people with lived experiences related to sleep troubles. It also requires appropriate research with Indigenous communities by Indigenous researchers. The overarching goal is to accurately capture risk and resilience (protective) factors in insomnia and sleep health across multiple levels of influence (individual, family, community, culture) to create a clear intersectional model of sleep health that can be applied to developing therapeutic and public health interventions. 

Sleep Health Equity Engagement Project (SHEEP) goals

Understanding research participant and public partner roles

Team Leads

  • Lianne Tomfohr-Madsen

    NOMINATED PRINCIPAL INVESTIGATOR

  • Tetyana Kendzerska

    PRINCIPAL INVESTIGATOR

  • Saverio Stranges

    PRINCIPAL INVESTIGATOR

  • Christine Ou

    PRINCIPAL INVESTIGATOR

  • Amy Shawanda

    PRINCIPAL INVESTIGATOR

  • Elizabeth Keys

    PRINCIPAL INVESTIGATOR

  • Marie-Hélène Pennestri

    PRINCIPAL INVESTIGATOR

  • Graham Reid

    PRINCIPAL INVESTIGATOR

Meet the Team

Research Projects

The Sleep Equity team’s two-armed working hypothesis is that (a) people’s identities, location, and access to services interact to affect how well they sleep; and (b) there are a number of cultural and community-based resilience factors that may act as buffers against adversity. Based on this hypothesis and the principles of patient-oriented research, the team will assert that sleep priorities defined by individuals and communities, including Indigenous communities, will strengthen public health initiatives to improve the sleep of all Canadians.

The research program objectives are distributed across three research pillars that will work in parallel with strategic points of interaction throughout the project term.

  • In the Data Analysis pillar, a two-stage intersectional analysis of the datasets, including Indigenous health perspectives, that includes a post-analysis scoping review and community engagement to identify gaps will be conducted. (Leads:  L. Tomfohr-Madsen, T. Kendzerska, & S. Stranges)

  • As part of the Community Engagement pillar, a series of priority-setting workshops will be conducted with people with lived experience of sleep inequities, including Indigenous communities, creating a network of patient advisory groups and participating in knowledge exchange with Indigenous people.  (Leads:  E. Keys, C. Ou, & A. Shawanda)

  • As for the Public Health pillar, the aim will be to work in collaboration with public health agencies to improve data collection and surveillance related to sleep as well as influence public health policy related to sleep health promotion, childcare and multimorbidity. (Leads:  H. Pennestri & G. Reid)