TY - JOUR
T1 - Neighborhood disadvantage is associated with actigraphy-assessed sleep continuity and short sleep duration
AU - Troxel, Wendy M.
AU - Desantis, Amy
AU - Richardson, Andrea S.
AU - Beckman, Robin
AU - Ghosh-Dastidar, Bonnie
AU - Nugroho, Alvin
AU - Hale, Lauren
AU - Buysse, Daniel J.
AU - Buman, Matthew
AU - Dubowitz, Tamara
N1 - Funding Information:
Funding was provided by the National Heart Lung Blood Institute (Grant No. R01 HL122460 and HL131531) and the National Cancer Institute (Grant No. R01CA164137). Conflict of interest statement. Dr. Buysse has the following conflicts of interest (COIs) to disclose in the past 12 months: Consultant for BeHealth and Emmi Solutions; participated in CME program sponsored by CME Institute; and received licensing fees for the PSQI. These COIs are not relevant to the work herein. None of the other authors have financial or nonfinancial COIs to disclose relevant to the work under review.
Publisher Copyright:
© Sleep Research Society 2018. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Study Objectives Neighborhood disadvantage has been linked to poor sleep. However, the extant research has primarily focused on self-reported assessments of sleep and neighborhood characteristics. The current study examines the association between objective and perceived neighborhood characteristics and actigraphy-assessed sleep duration, efficiency, and wakefulness after sleep onset (WASO) in an urban sample of African American adults. Methods We examined data from predominantly African American adults (n = 788, mean age 55 years; 77% female) living in two low-income neighborhoods. Perceived neighborhood characteristics included safety, social cohesion, and satisfaction with one's neighborhood as a place to live. Objective neighborhood conditions included walkability, disorder, street lighting, and crime levels. Sleep duration, efficiency, and WASO were measured via 7 days of wrist-worn actigraphy. Analyses estimated each of the sleep outcomes as a function of perceived and objective neighborhood characteristics. Individual-level sociodemographics, body mass index, and psychological distress were included as covariates. Results Greater perceived safety was associated with higher sleep efficiency and shorter WASO. Greater neighborhood disorder and street lighting were associated with poorer sleep efficiency and longer WASO and greater likelihood of short sleep duration (<7 versus 7-9 hr as referent). Higher levels of crime were associated with poorer sleep efficiency and longer WASO, but these associations were only evident in one of the neighborhoods. Conclusions Both how residents perceive their neighborhood and their exposure to objectively measured neighborhood disorder, lighting, and crime have implications for sleep continuity. These findings suggest that neighborhood conditions may contribute to disparities in sleep health.
AB - Study Objectives Neighborhood disadvantage has been linked to poor sleep. However, the extant research has primarily focused on self-reported assessments of sleep and neighborhood characteristics. The current study examines the association between objective and perceived neighborhood characteristics and actigraphy-assessed sleep duration, efficiency, and wakefulness after sleep onset (WASO) in an urban sample of African American adults. Methods We examined data from predominantly African American adults (n = 788, mean age 55 years; 77% female) living in two low-income neighborhoods. Perceived neighborhood characteristics included safety, social cohesion, and satisfaction with one's neighborhood as a place to live. Objective neighborhood conditions included walkability, disorder, street lighting, and crime levels. Sleep duration, efficiency, and WASO were measured via 7 days of wrist-worn actigraphy. Analyses estimated each of the sleep outcomes as a function of perceived and objective neighborhood characteristics. Individual-level sociodemographics, body mass index, and psychological distress were included as covariates. Results Greater perceived safety was associated with higher sleep efficiency and shorter WASO. Greater neighborhood disorder and street lighting were associated with poorer sleep efficiency and longer WASO and greater likelihood of short sleep duration (<7 versus 7-9 hr as referent). Higher levels of crime were associated with poorer sleep efficiency and longer WASO, but these associations were only evident in one of the neighborhoods. Conclusions Both how residents perceive their neighborhood and their exposure to objectively measured neighborhood disorder, lighting, and crime have implications for sleep continuity. These findings suggest that neighborhood conditions may contribute to disparities in sleep health.
KW - actigraphy
KW - crime
KW - disparities
KW - neighborhood disadvantage
KW - sleep
KW - socioeconomic status
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U2 - 10.1093/sleep/zsy140
DO - 10.1093/sleep/zsy140
M3 - Article
C2 - 30016507
AN - SCOPUS:85054888335
VL - 41
JO - Sleep
JF - Sleep
SN - 0161-8105
IS - 10
ER -