Neighborhood Factors as Predictors of Poor Sleep in the Sueño Ancillary Study of the Hispanic Community Health Study/Study of Latinos

Abstract Study Objectives: To evaluate whether an adverse neighborhood environment has higher prevalence of poor sleep in a US Hispanic/Latino population. Methods: A cross-sectional analysis was performed in 2156 US Hispanic/Latino participants aged 18–64 years from the Sueño ancillary study of the...

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Published in:Sleep (New York, N.Y.) Vol. 40; no. 1
Main Authors: Simonelli, Guido, Dudley, Katherine A., Weng, Jia, Gallo, Linda C., Perreira, Krista, Shah, Neomi A., Alcantara, Carmela, Zee, Phyllis C., Ramos, Alberto R., Llabre, Maria M., Sotres-Alvarez, Daniela, Wang, Rui, Patel, Sanjay R.
Format: Journal Article
Language:English
Published: US Oxford University Press 01.01.2017
Subjects:
Actigraphy
Adolescent
Adult
Cross-Sectional Studies
Female
Hispanic Americans
Hispanic or Latino
Humans
Insomnia
Male
Middle Aged
Neighborhoods
Original
Prevalence
Prospective Studies
Residence Characteristics
Risk Factors
Safety
Sleep
Sleep Initiation and Maintenance Disorders - ethnology
Sleep Initiation and Maintenance Disorders - etiology
United States - epidemiology
Violence
Young Adult
United States
sleep
noise
actigraphy
neighborhood
safety
insomnia
ISSN:0161-8105, 1550-9109, 1550-9109
Online Access:Get full text
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Summary:Abstract Study Objectives: To evaluate whether an adverse neighborhood environment has higher prevalence of poor sleep in a US Hispanic/Latino population. Methods: A cross-sectional analysis was performed in 2156 US Hispanic/Latino participants aged 18–64 years from the Sueño ancillary study of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Participants completed surveys of neighborhood environment including perceived safety, violence and noise, the Insomnia Severity Index (ISI), and 7 days of wrist actigraphy. Results: In age and sex-adjusted analyses, short sleep, low sleep efficiency, and late sleep midpoint were all more prevalent among those living in an unsafe neighborhood. After adjustment for background, site, nativity, income, employment, depressive symptoms, and sleep apnea, the absolute risk of sleeping <6 hours was 7.7 (95% CI [0.9, 14.6]) percentage points greater in those living in an unsafe compared to a safe neighborhood. There were no differences in the prevalence of insomnia by level of safety or violence. Insomnia was more prevalent among those living in a noisy neighborhood. In adjusted analysis, the absolute risk of insomnia was 4.4 (95% CI [0.4, 8.4]) percentage points greater in those living in noisy compared to non-noisy neighborhoods. Conclusion: Using validated measures of sleep duration and insomnia, we have demonstrated the existence of a higher prevalence of short sleep and insomnia by adverse neighborhood factors. An adverse neighborhood environment is an established risk factor for a variety of poor health outcomes. Our findings suggest negative effects on sleep may represent one pathway by which neighborhood environment influences health.
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ISSN:0161-8105
1550-9109
1550-9109
DOI:10.1093/sleep/zsw025