Roman Pabayo1, Beth E Molnar2, Nancy Street3, Ichiro Kawachi1. 1. Department of Social and Behavioral Sciences, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA. 2. Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA. 3. School of Nursing, Science and Health Professions, Regis College, Weston, MA 02493, USA.
Abstract
BACKGROUND: Sufficient sleep is needed for the healthy development of youth. However, only a small minority of adolescents obtain adequate amounts of sleep. Although individual-level correlates of sleep have been identified, studies investigating the influence of the environment on sleep are warranted. METHODS: By using cross-sectional data collected from 1878 urban adolescents living in 38 neighborhoods participating in the 2008 Boston Youth Survey (BYS), we determined the association between neighborhood social fragmentation and sleep. Social fragmentation of each participant's residential neighborhood was composed using 2010 US Census data. Multilevel regression models were used to determine the association between social fragmentation and meeting the recommended hours of sleep (>8.5 h) and sleep duration while controlling for individual-level sex, race, age and nativity. RESULTS: Moderate (OR = 0.51, 95% CI = 0.27, 0.97) and high (OR = 0.33, 95% CI = 0.18, 0.61) social fragmentation within the residential neighborhood was associated with a decreased likelihood of obtaining adequate sleep. Those in moderate (β = -23.9, 95% CI = -43.1, -4.8) and high (β = -22.1, 95% CI = -43.3, -0.9) socially fragmented neighborhoods obtained fewer minutes of sleep per night. CONCLUSIONS: Social fragmentation may be an important determinant of sleep among youth living in urban settings.
BACKGROUND: Sufficient sleep is needed for the healthy development of youth. However, only a small minority of adolescents obtain adequate amounts of sleep. Although individual-level correlates of sleep have been identified, studies investigating the influence of the environment on sleep are warranted. METHODS: By using cross-sectional data collected from 1878 urban adolescents living in 38 neighborhoods participating in the 2008 Boston Youth Survey (BYS), we determined the association between neighborhood social fragmentation and sleep. Social fragmentation of each participant's residential neighborhood was composed using 2010 US Census data. Multilevel regression models were used to determine the association between social fragmentation and meeting the recommended hours of sleep (>8.5 h) and sleep duration while controlling for individual-level sex, race, age and nativity. RESULTS: Moderate (OR = 0.51, 95% CI = 0.27, 0.97) and high (OR = 0.33, 95% CI = 0.18, 0.61) social fragmentation within the residential neighborhood was associated with a decreased likelihood of obtaining adequate sleep. Those in moderate (β = -23.9, 95% CI = -43.1, -4.8) and high (β = -22.1, 95% CI = -43.3, -0.9) socially fragmented neighborhoods obtained fewer minutes of sleep per night. CONCLUSIONS: Social fragmentation may be an important determinant of sleep among youth living in urban settings.
Authors: Nancy White Street; Marie C McCormick; S Bryn Austin; Natalie Slopen; Rima Habre; Beth E Molnar Journal: Fam Syst Health Date: 2018-08-23 Impact factor: 1.950
Authors: Dayna A Johnson; Guido Simonelli; Kari Moore; Martha Billings; Mahasin S Mujahid; Michael Rueschman; Ichiro Kawachi; Susan Redline; Ana V Diez Roux; Sanjay R Patel Journal: Sleep Date: 2017-01-01 Impact factor: 5.849
Authors: Carmela Alcántara; Mary L Biggs; Karina W Davidson; Joseph A Delaney; Chandra L Jackson; Phyllis C Zee; Steven J C Shea; Susan Redline Journal: Sleep Date: 2016-04-01 Impact factor: 5.849
Authors: Rui Wang; Yan Dong; Jia Weng; Emily Z Kontos; Ronald D Chervin; Carol L Rosen; Carole L Marcus; Susan Redline Journal: Ann Am Thorac Soc Date: 2017-01