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Neighborhood Social Cohesion and Sleep Health by Age, Sex/Gender, and Race/Ethnicity in the United States
- Source :
- International Journal of Environmental Research and Public Health, Vol 17, Iss 9475, p 9475 (2020), International Journal of Environmental Research and Public Health, Volume 17, Issue 24
- Publication Year :
- 2020
- Publisher :
- MDPI AG, 2020.
-
Abstract
- 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 &lt<br />6 hours<br />short as &lt<br />7 h, recommended as 7&ndash<br />9 h, and long as &ge<br />9 h. Sleep disturbances were assessed based on trouble falling and staying asleep, waking up feeling unrested, and using sleep medication (all &ge<br />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 &plusmn<br />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<br />(95% CI = 1.23&ndash<br />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&ndash<br />1.43)) and NH-Black (PR = 1.14 (95% CI = 1.02&ndash<br />1.28)) adults. Low nSC was associated with shorter sleep duration and sleep disturbances.
- Subjects :
- Adult
Male
Race ethnicity
Health, Toxicology and Mutagenesis
minority groups
lcsh:Medicine
Article
03 medical and health sciences
Social support
symbols.namesake
0302 clinical medicine
Sex Factors
sleep initiation and maintenance disorders
Sex gender
Ethnicity
Medicine
National Health Interview Survey
Humans
community support
030212 general & internal medicine
Poisson regression
Cooperative Behavior
sleep
Social Factors
African Americans
business.industry
Confounding
lcsh:R
Public Health, Environmental and Occupational Health
Age Factors
Middle Aged
social support
Social Participation
Sleep in non-human animals
residence characteristics
Confidence interval
United States
Cross-Sectional Studies
nervous system
symbols
Female
Hispanic Americans
business
030217 neurology & neurosurgery
Demography
Subjects
Details
- Language :
- English
- ISSN :
- 16617827 and 16604601
- Volume :
- 17
- Issue :
- 9475
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....b75bd86c68e58a7f9dfc5e598450ef19