Simonelli Guido, Patel Sanjay R, Rodríguez-Espínola Solange, Pérez-Chada Daniel, Salvia Agustín, Cardinali Daniel P, Vigo Daniel E
Applied Neuroscience Laboratory, Institute for Biomedical Research (BIOMED), School of Medical Sciences, Pontifical Catholic University of Argentina, and the National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA; Division of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Sleep Health. 2015 Jun;1(2):98-103. doi: 10.1016/j.sleh.2015.02.006. Epub 2015 Apr 8.
We sought to assess the impact of feelings of safety in one's neighborhood and home on sleep quality and sleep duration.
The design is a cross-sectional survey using face-to-face interviews, as part of the Argentine Social Debt Observatory assessment.
The setting is a nationwide data from Argentina.
There are 5636 participants aged 18 years and older.
INTERVENTION (IF ANY): N/A.
The relationships between both subjective sleep quality and self-reported sleep duration, categorized as short (<7 hours), normal (7-8 hours), and long (>8 hours) with safety in one's neighborhood and one's home, were analyzed. Age, sex, obesity, neighborhood socioeconomic status, and education were included as covariates.
Feeling unsafe in one's home was strongly associated with poorer sleep quality and with short sleep duration. Feeling unsafe in one's neighborhood was initially associated with reduced sleep quality but was no longer significant after controlling for home safety. In contrast, we found no correlation between safety measures and long sleep. In analyses stratified by sex, feeling unsafe in one's home was associated with poor sleep quality in women but not in men.
Our findings suggest that safety in the home has an important effect on both sleep quality and duration, particularly among women. In contrast, after accounting for safety in the home, neighborhood safety does not impact sleep. Further research is warranted to identify mechanisms underlying the sex differences in susceptibility to poor sleep quality and shorter sleep duration, as well as to assess whether interventions addressing safety in the home can be used to improve sleep and overall health.
我们试图评估邻里和家庭中的安全感对睡眠质量和睡眠时间的影响。
采用面对面访谈的横断面调查设计，作为阿根廷社会债务观察站评估的一部分。
数据来自阿根廷全国范围。
5636名18岁及以上的参与者。
干预措施（如有）：无。
分析主观睡眠质量和自我报告的睡眠时间（分为短睡眠[<7小时]、正常睡眠[7 - 8小时]和长睡眠[>8小时]）与邻里和家庭安全感之间的关系。将年龄、性别、肥胖、邻里社会经济地位和教育程度作为协变量纳入分析。
在家中感到不安全与较差的睡眠质量和短睡眠时间密切相关。在邻里中感到不安全最初与睡眠质量下降有关，但在控制家庭安全因素后不再显著。相比之下，我们发现安全措施与长睡眠之间没有相关性。在按性别分层的分析中，在家中感到不安全与女性睡眠质量差有关，而与男性无关。
我们的研究结果表明，家庭安全对睡眠质量和睡眠时间都有重要影响，尤其是对女性。相比之下，在考虑家庭安全因素后，邻里安全不会影响睡眠。有必要进一步研究以确定睡眠质量差和睡眠时间短的易感性存在性别差异的潜在机制，以及评估解决家庭安全问题的干预措施是否可用于改善睡眠和整体健康状况。
