Journal article
The Neighborhood Social Environment and Objective Measures of Sleep in the Multi-Ethnic Study of Atherosclerosis
Sleep (New York, N.Y.), v 40(1)
01 Jan 2017
PMID: 28364474
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To investigate cross-sectional associations of neighborhood social environment (social cohesion, safety) with objective measures of sleep duration, timing, and disturbances.
A racially/ethnically diverse population of men and women (N = 1949) aged 54 to 93 years participating in the Multi-Ethnic Study of Atherosclerosis Sleep and Neighborhood Ancillary studies. Participants underwent 1-week actigraphy between 2010 and 2013. Measures of sleep duration, timing, and disruption were averaged over all days. Neighborhood characteristics were assessed via questionnaires administered to participants and an independent sample within the same neighborhood and aggregated at the neighborhood (census tract, N = 783) level using empirical Bayes estimation. Multilevel linear regression models were used to assess the association between the neighborhood social environment and each sleep outcome.
Neighborhood social environment characterized by higher levels of social cohesion and safety were associated with longer sleep duration and earlier sleep midpoint. Each 1 standard deviation higher neighborhood social environment score was associated with 6.1 minutes longer [95% confidence interval (CI): 2.0, 10.2] sleep duration and 6.4 minutes earlier (CI: 2.2, 10.6) sleep midpoint after adjustment for age, sex, race, socioeconomic status, and marital status. These associations persisted after adjustment for other risk factors. Neighborhood social factors were not associated with sleep efficiency or sleep fragmentation index.
A more favorable neighborhood social environment is associated with longer objectively measured sleep duration and earlier sleep timing. Intervening on the neighborhood environment may improve sleep and subsequent health outcomes.
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Details
- Title
- The Neighborhood Social Environment and Objective Measures of Sleep in the Multi-Ethnic Study of Atherosclerosis
- Creators
- Dayna A Johnson - Brigham and Women's HospitalGuido Simonelli - Walter Reed Army Institute of ResearchKari Moore - Drexel UniversityMartha Billings - University of WashingtonMahasin S Mujahid - University of California, BerkeleyMichael Rueschman - Brigham and Women's HospitalIchiro Kawachi - Department of Social and Behavioral Sciences Harvard T.H. Chan School of Public Health Boston MASusan Redline - Brigham and Women's HospitalAna V Diez Roux - University of WashingtonSanjay R Patel - University of Pittsburgh
- Publication Details
- Sleep (New York, N.Y.), v 40(1)
- Publisher
- Oxford University Press
- Grant note
- R01 HL071759 / NHLBI NIH HHS R01 HL098433 / NHLBI NIH HHS N01HC95169 / NHLBI NIH HHS K24 HL127307 / NHLBI NIH HHS N01HC95161 / NHLBI NIH HHS R01 HL110068 / NHLBI NIH HHS N01HC95164 / NHLBI NIH HHS HHSN268201500003C / NHLBI NIH HHS N01HC95160 / NHLBI NIH HHS HHSN263201500003I / NIH HHS N01HC95167 / NHLBI NIH HHS N01HC95159 / NHLBI NIH HHS N01HC95163 / NHLBI NIH HHS N01HC95166 / NHLBI NIH HHS P60 MD002249 / NIMHD NIH HHS N01HC95168 / NHLBI NIH HHS UL1 TR000040 / NCATS NIH HHS UL1 TR001079 / NCATS NIH HHS N01HC95165 / NHLBI NIH HHS N01HC95162 / NHLBI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000394125700016
- Scopus ID
- 2-s2.0-85014269767
- Other Identifier
- 991019168701504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology
- Neurosciences