Neighborhood disadvantage is associated with actigraphy-assessed sleep continuity and short sleep duration

Troxel, Wendy; DeSantis, Amy Soo Jin; Richardson, Andrea; Beckman, Robin L.; Ghosh-Dastidar, Bonnie; Nugroho, Alvin; Hale, Lauren; Buysse, Daniel J.; Buman, Matthew P.; Dubowitz, Tamara

doi:10.1093/sleep/zsy140

Cited by 58 publications

(22 citation statements)

References 63 publications

(85 reference statements)

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“…Their dichotomization of sleep disturbances compared to our ordinal operationalization may not capture meaningful differences in the average number of days of sleep disturbances. Another study that did not find an association between nSC and sleep health among a NH-Black population modeled sleep duration in a linear regression [ 45 ]; this does not account for the non-normal distribution of sleep duration. Rather, non-parametric methods, such as a Poisson regression, can better model the natural logarithm of average hours of sleep.…”

Section: Discussionmentioning

confidence: 99%

Neighborhood Social Cohesion and Sleep Health by Age, Sex/Gender, and Race/Ethnicity in the United States

Alhasan

Gaston

Jackson

et al. 2020

IJERPH

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Although low neighborhood social cohesion (nSC) has been linked with poor sleep, studies of racially/ethnically diverse participants using multiple sleep dimensions remain sparse. Using National Health Interview Survey data, we examined overall, age, sex/gender, and racial/ethnic-specific associations between nSC and sleep health among 167,153 adults. Self-reported nSC was categorized into low, medium, and high. Very short sleep duration was defined as <6 hours; short as <7 h, recommended as 7–9 h, and long as ≥9 h. Sleep disturbances were assessed based on trouble falling and staying asleep, waking up feeling unrested, and using sleep medication (all ≥3 days/times in the previous week). Adjusting for sociodemographics and other confounders, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) for sleep dimensions by low and medium vs. high nSC. The mean age of the sample was 47 ± 0.1 years, 52% of those included were women, and 69% were Non-Hispanic (NH)-White. Low vs. high nSC was associated with a higher prevalence of very short sleep (PR = 1.29; (95% CI = 1.23–1.36)). After adjustment, low vs. high nSC was associated with very short sleep duration among NH-White (PR = 1.34 (95% CI = 1.26–1.43)) and NH-Black (PR = 1.14 (95% CI = 1.02–1.28)) adults. Low nSC was associated with shorter sleep duration and sleep disturbances.

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Section: Discussionmentioning

confidence: 99%

Neighborhood Social Cohesion and Sleep Health by Age, Sex/Gender, and Race/Ethnicity in the United States

Alhasan

Gaston

Jackson

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…The current literature provides evidence regarding barriers to adequate sleep focuses primarily on western populations. This includes environmental factors (eg, decreased green space), 111 112 social factors (eg, decreased social cohesion, 113 decreased safety) [114][115][116] and ambient factors (eg, increased air pollution, [117][118][119][120][121] increased noise). 122 However, there continues to be a lack of data on this topic in the MENA region despite high prevalence of poverty, gender inequality, political turmoil, violence and other factors that are strongly linked with PTSD and other psychological factors, which are known to affect sleep.…”

Section: Discussionmentioning

confidence: 99%

Effects of the COVID-19 pandemic on sleep health among Middle Eastern and North African (MENA) populations: a systematic review of the literature

et al. 2022

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ObjectivesThis study sought to conduct a systematic review of the literature on the impact of the COVID-19 pandemic on sleep health among Middle Eastern and North African (MENA) populations, understudied geographic regions including with regards to sleep health.SettingA systematic literature search of studies published from inception to 27 March 2022 was conducted on multiple databases using developed keywords.ParticipantsStudies were included if they (1) investigated one or more aspects/dimensions of sleep health as an outcome (eg, sleep duration, sleep quality, sleep problems); (2) measured the impact of a COVID-19 pandemic-related domain (eg, impact of quarantine, work from home, lifestyle changes); (3) focused on at least one MENA region population; (4) were peer-reviewed; (5) included ≥100 participants; (6) were written in English and (7) had full-text article publicly available.Primary and secondary outcomes measuredPrimary outcomes were sleep duration, sleep quality and sleep problems.ResultsIn line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 164 studies were included for data extraction. The Newcastle-Ottawa scale for cross-sectional studies was used to assess the quality of the studies. Overall, the COVID-19 pandemic significantly impacted sleep duration, sleep quality and presence and severity of sleep disorders in MENA populations, including adults, children, students, healthcare workers and people with chronic illnesses. The directionality and strength of associations, as well as the determinants of sleep health, varied by subpopulations.ConclusionsLongitudinal studies are needed to understand the longer-term impact of the COVID-19 pandemic on the sleep health of MENA populations. Sleep health interventions and policy measures should be tailored to the need of each subpopulation.PROSPERO registration numberCRD42022321128.

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“…89 While this is likely driven by several factors, it has been proposed that impaired sleep duration and quality in the setting of psychosocial and environmental stressors may be one driver of increased risk in these populations. 89,123,124 Finally, some studies have associated parasomnias including RLS and RBD with stroke risk; it remains unclear whether these are independent relationships or mediated by confounding comorbidities. 83,110 These findings imply that addressing sleep disturbances should improve stroke risk and recovery.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Sleep Disturbances in Neurological Disease: A Target for Intervention

Khambadkone

Benjamin

2022

Semin Neurol

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Sleep is a biological function required for neurological and general health, but a significant and under-recognized proportion of the population has disturbed sleep. Here, we briefly overview the biology of sleep, sleep requirements over the lifespan, and common sleep disorders. We then turn our attention to five neurological diseases that significantly contribute to global disease burden and neurology practice makeup: epilepsy, headache, ischemic stroke, Parkinson's disease, and Alzheimer's disease. For each disease, we review evidence that sleep disturbances contribute to disease risk and severity and discuss existing data that addressing sleep disturbances may have disease-modifying effects. We provide recommendations derived from the literature and existing clinical guidelines to facilitate the evaluation and management of sleep disturbances within the context of each neurological disease. Finally, we synthesize identified needs and commonalities into future directions for the field and practical sleep-related recommendations for physicians caring for patients at risk for or currently suffering from neurological disease.

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Neighborhood disadvantage is associated with actigraphy-assessed sleep continuity and short sleep duration

Abstract: 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.

Cited by 58 publications

References 63 publications

Neighborhood Social Cohesion and Sleep Health by Age, Sex/Gender, and Race/Ethnicity in the United States

Neighborhood Social Cohesion and Sleep Health by Age, Sex/Gender, and Race/Ethnicity in the United States

Effects of the COVID-19 pandemic on sleep health among Middle Eastern and North African (MENA) populations: a systematic review of the literature

Sleep Disturbances in Neurological Disease: A Target for Intervention

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