Sleep Health: An Opportunity for Public Health to Address Health Equity

Hale, Lauren; Troxel, Wendy; Buysse, Daniel J.

doi:10.1146/annurev-publhealth-040119-094412

Cited by 247 publications

(229 citation statements)

References 143 publications

(180 reference statements)

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“…However, we would argue that the reverse could also be true, in that improving sleep could also lead to improvements in other IBD related outcomes. Sleep is increasingly being conceptualized as a 'transdiagnostic' process in that is able to cut across many different health experiences and diagnoses as a 'core' process (Hale et al, 2020). The present research demonstrates that people living with IBD support this notion.…”

Section: Sleep Perceived As More Than Just An Epiphenomenon Of Ibdsupporting

confidence: 49%

Perceptions of sleep in Inflammatory Bowel Disease and the acceptability of sleep interventions in routine care: A qualitative study

Aj¹,

Flowers²,

Sheldon³

et al. 2021

Preprint

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There have been increased calls to manage poor sleep in Inflammatory Bowel Disease (IBD) care. However, it’s unclear how people with IBD perceive their sleep to fit within their experience of IBD and whether interventions to improve sleep are acceptable. This qualitative study found that people with IBD perceive their sleep to be an integral part of living with IBD, would like more sleep support than is currently available, and find interventions for sleep broadly acceptable. It is important for future research to tailor sleep interventions towards those with IBD and explore the barriers to sleep support in routine care

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Section: Sleep Perceived As More Than Just An Epiphenomenon Of Ibdsupporting

confidence: 49%

Perceptions of sleep in Inflammatory Bowel Disease and the acceptability of sleep interventions in routine care: A qualitative study

Aj¹,

Flowers²,

Sheldon³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Interventions across multiple levels beyond the individual (e.g., at the neighbourhood-scale), are needed to improve levels of quality and sufficient sleep at the population-level [17]. Building and improving of green space (e.g., parks and woodlands) is a potential environmental intervention for which evidence of sleep-related benefits is increasing [18].…”

Section: Introductionmentioning

confidence: 99%

Impact of Residential Green Space on Sleep Quality and Sufficiency in Children and Adolescents Residing in Australia and Germany

Feng

Flexeder

Markevych

et al. 2020

IJERPH

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Increasing evidence suggests adults living in greener areas tend to have more favourable sleep-related outcomes, but children and adolescents are under-researched. We hypothesised that children and adolescents living in greener areas would have better quality and more sufficient levels of sleep on average, especially within the context of high traffic noise exposure. These hypotheses were tested using multilevel logistic regressions fitted on samples from the nationally representative Longitudinal Study of Australian Children (10–11 years old, n = 3469, and 14–15 years old, n = 2814) and the GINIplus and LISA cohorts (10 years old, n = 1461, and 15 years old, n = 4172) from the Munich, Wesel, and Leipzig areas of Germany. Questionnaire-based binary indicators of sleep sufficiency and sleep quality in each cohort were assessed with respect to objectively measured green space exposures adjusting for age, sex, and maternal education. Models were augmented with proxy measures of traffic noise and two-way interaction terms to test for effect modification. Cross-tabulations illustrated little convincing evidence of association between green space and insufficient sleep or poor sleep quality in either sample, except for insufficient sleep among 10 year old participants in Germany. These null findings were replicated in adjusted models. The proxy for traffic noise was associated with poor quality sleep in 15 year old participants in Germany, but no convincing evidence of modified association with green space was observed.

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“…Sleep and mental health are global public health challenges, with each having substantive impacts on both individuals and society (1)(2)(3). Indeed, problems sleeping are common in the general population.…”

Section: Controlled Trialsmentioning

confidence: 99%

770 Does Improving Sleep Lead to Better Mental Health? A Meta-Analysis of Randomised Controlled Trials

Scott

2021

Sleep

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Introduction Sleep and mental health go hand-in-hand; however, the extent to which sleep is causally related to the experience of mental health difficulties is unclear. One way to test whether there is a causal link is to evaluate the extent to which interventions that improve sleep also improve mental health over time. Methods We conducted a systematic review and meta-analysis of 54 randomised controlled trials (N = 6,876) that reported the effects of interventions that successfully improved sleep on overall composite mental health, as well as on six specific mental health difficulties including depression, anxiety, stress, psychosis spectrum experiences, suicidal ideation, and PTSD. Results Improving sleep had a medium-sized effect on composite mental health (g+ = -0.47), and depression (g+ = -0.54), small-to-medium sized effects on anxiety (g+ = -0.40), and stress (g+ = -0.42), and small effects on positive psychosis spectrum experiences (g+ = -0.26). We also found a significant dose response relationship, in that greater improvements in sleep were associated with greater improvements in composite mental health. Conclusion Taken together, the findings suggest that sleep is causally related to the experience of mental health difficulties. Improving sleep leads to better mental health, especially for experiences of depression, anxiety, and stress. Future research might profitably consider how interventions that improve sleep be better incorporated into routine mental health care, as well as the possible mechanisms of action that might explain how sleep exerts its effects on mental health. Support (if any) This research was funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG- 0817-20027). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.

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Sleep Health: An Opportunity for Public Health to Address Health Equity

Cited by 247 publications

References 143 publications

Perceptions of sleep in Inflammatory Bowel Disease and the acceptability of sleep interventions in routine care: A qualitative study

Perceptions of sleep in Inflammatory Bowel Disease and the acceptability of sleep interventions in routine care: A qualitative study

Impact of Residential Green Space on Sleep Quality and Sufficiency in Children and Adolescents Residing in Australia and Germany

770 Does Improving Sleep Lead to Better Mental Health? A Meta-Analysis of Randomised Controlled Trials

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