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.
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.
Authors: Melanie Zinkhan; Klaus Berger; Sabrina Hense; Maren Nagel; Anne Obst; Beate Koch; Thomas Penzel; Ingo Fietze; Wolfgang Ahrens; Peter Young; Svenja Happe; Jan W Kantelhardt; Alexander Kluttig; Andrea Schmidt-Pokrzywniak; Frank Pillmann; Andreas Stang Journal: Sleep Med Date: 2014-05-28 Impact factor: 3.492
Authors: Mary Amanda Dew; Carolyn C Hoch; Daniel J Buysse; Timothy H Monk; Amy E Begley; Patricia R Houck; Martica Hall; David J Kupfer; Charles F Reynolds Journal: Psychosom Med Date: 2003 Jan-Feb Impact factor: 4.312
Authors: Alina I Palimaru; Ryan A Brown; Wendy M Troxel; Daniel L Dickerson; Carrie L Johnson; Elizabeth J D'Amico Journal: Sleep Health Date: 2020-06-08
Authors: Rebecca E Rottapel; Eric S Zhou; Christine E Spadola; Cheryl R Clark; Emily Z Kontos; Kadona Laver; Jarvis T Chen; Susan Redline; Suzanne M Bertisch Journal: Sleep Health Date: 2020-01-23
Authors: Wendy M Troxel; Ann Haas; Bonnie Ghosh-Dastidar; Stephanie Brooks Holliday; Andrea S Richardson; Heather Schwartz; Tiffany L Gary-Webb; Lauren Hale; Daniel J Buysse; Matthew P Buman; Tamara Dubowitz Journal: J Urban Health Date: 2020-04 Impact factor: 3.671
Authors: Wendy M Troxel; Ann Haas; Bonnie Ghosh-Dastidar; Andrea S Richardson; Lauren Hale; Daniel J Buysse; Matthew P Buman; Jonathan Kurka; Tamara Dubowitz Journal: Behav Sleep Med Date: 2019-09-23 Impact factor: 2.964
Authors: Christine E Spadola; Na Guo; Dayna A Johnson; Tamar Sofer; Suzanne M Bertisch; Chandra L Jackson; Michael Rueschman; Murray A Mittleman; James G Wilson; Susan Redline Journal: Sleep Date: 2019-10-21 Impact factor: 5.849
Authors: Thomas E Fuller-Rowell; Olivia I Nichols; Austin T Robinson; Jennifer Morozink Boylan; David H Chae; Mona El-Sheikh Journal: Sleep Med Date: 2021-03-12 Impact factor: 3.492