TitleAssociations of neighborhood characteristics with sleep timing and quality: the Multi-Ethnic Study Of Atherosclerosis.
Publication TypeJournal Article
Year of Publication2013
AuthorsDesantis, AS, Roux, AVDiez, Moore, K, Baron, KG, Mujahid, MS, F. Nieto, J
Date Published10/2013
KeywordsAged, Aged, 80 and over, Atherosclerosis, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Residence Characteristics, Risk Factors, Sleep, Sleep Initiation and Maintenance Disorders, Social Environment, Socioeconomic Factors, Surveys and Questionnaires, United States

STUDY OBJECTIVES: To investigate the associations of specific neighborhood features (disorder, safety, social cohesion, physical environment, and socioeconomic status) with sleep duration and quality.

DESIGN: Cross-sectional. One wave of a population-based study (Multi-Ethnic Study of Atherosclerosis).

SETTING: Community-dwelling participants in New York, NY and Los Angeles, CA.

PARTICIPANTS: There were 1,406 participants (636 males, 770 females).


MEASUREMENTS AND RESULTS: Sleep was assessed using reported hours of sleep, the Epworth Sleepiness Scale, and insomnia symptoms. Neighborhood characteristics were assessed via questionnaires administered to neighbors of study participants and were aggregated to the neighborhood (census tract) level using empirical Bayes estimation. An adverse social environment (characterized by high disorder, and low safety and social cohesion) was associated with shorter sleep duration after adjustment for the physical environment, neighborhood and individual-level socioeconomic status (SES), and other short sleep risk factors (mean difference per standard deviation increase in summary social environment scale 0.24 h 95% confidence interval 0.08, 0.43). Adverse neighborhood social and physical environments, and neighborhood SES were associated with greater sleepiness, but associations with physical environments were no longer statistically significant after adjustment for sociodemographic characteristics. Neighborhood SES was a weaker and less consistent predictor of specific measures of neighborhood social and physical environments. Neighborhood characteristics were not associated with insomnia.

CONCLUSIONS: Shortened sleep related to adverse social environments represents one potential pathway through which neighborhoods may influence health.

Alternate JournalSleep
PubMed ID24082314
PubMed Central IDPMC3773204
Grant ListK23 HL109110 / HL / NHLBI NIH HHS / United States
R01 HL071759 / HL / NHLBI NIH HHS / United States
UL1 TR000150 / TR / NCATS NIH HHS / United States