Troxel Wendy M, Shih Regina A, Ewing Brett, Tucker Joan S, Nugroho Alvin, D'Amico Elizabeth J
RAND Corporation, Behavioral and Policy Sciences, 4501 Fifth Avenue, Suite 600, Pittsburgh, PA 15213, USA.
RAND Corporation, Behavioral and Policy Sciences, 1200 South Hayes Street, Arlington, VA 22202-5050, USA.
Health Place. 2017 May;45:39-45. doi: 10.1016/j.healthplace.2017.03.002. Epub 2017 Mar 10.
Neighborhood-level socioeconomic disadvantage and lower individual-level socioeconomic status are associated with poorer sleep health in adults. However, few studies have examined the association between neighborhood-level disadvantage and sleep in adolescents, a population at high-risk for sleep disturbances.
The current study is the first to examine how objective (i.e. via census tract-level data) and subjective measures of neighborhood disadvantage are associated with sleep in a racially/ ethnically and socioeconomically diverse sample of 2493 youth [Non-Hispanic White (20%), Hispanic (46%), Asian (21%), and Multiracial/ Other (13%)].
Findings indicated that greater perceived neighborhood-level social cohesion and lower neighborhood-level poverty were associated with better sleep outcomes in adolescents. However, there was some evidence that the magnitude of the associations differed according to family-level socioeconomic status and race/ ethnicity.
Findings suggest that subjective and objective neighborhood characteristics may affect the sleep health of older adolescents, with certain demographic subgroups being particularly vulnerable.
社区层面的社会经济劣势以及个体层面较低的社会经济地位与成年人较差的睡眠健康状况相关。然而，很少有研究探讨社区层面的劣势与青少年睡眠之间的关联，而青少年是睡眠障碍的高危人群。
本研究首次考察了在一个种族/民族和社会经济背景多样的2493名青少年样本（非西班牙裔白人占20%，西班牙裔占46%，亚裔占21%，多种族/其他占13%）中，社区劣势的客观指标（即通过普查区层面的数据）和主观指标与睡眠之间的关联。
研究结果表明，青少年对社区层面社会凝聚力的感知越强以及社区层面的贫困程度越低，其睡眠质量越好。然而，有证据表明，这些关联的程度因家庭层面的社会经济地位和种族/民族而异。
研究结果表明，社区的主观和客观特征可能会影响大龄青少年的睡眠健康，某些人口亚群体尤其脆弱。
