Alhasan Dana M, Gaston Symielle A, Jackson W Braxton, Williams Patrice C, Kawachi Ichiro, Jackson Chandra L
Epidemiology Branch, National Institute of Environmental Health Sciences, National Institute of Health, Department of Health and Human Services, Research Triangle Park, Durham, NC 27709, USA.
Social & Scientific Systems, Inc., Durham, NC 27703, USA.
Int J Environ Res Public Health. 2020 Dec 17;17(24):9475. doi: 10.3390/ijerph17249475.
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.
尽管邻里社会凝聚力低(nSC)与睡眠质量差有关,但使用多个睡眠维度对不同种族/族裔参与者进行的研究仍然很少。利用国家健康访谈调查数据,我们在167153名成年人中研究了nSC与睡眠健康之间的总体、年龄、性别和种族/族裔特异性关联。自我报告的nSC分为低、中、高三个等级。睡眠时间非常短定义为<6小时;短睡眠时间定义为<7小时,推荐睡眠时间为7 - 9小时,长睡眠时间定义为≥9小时。根据入睡困难、睡眠维持困难、醒来感觉未得到充分休息以及使用睡眠药物(均在前一周≥3天/次)来评估睡眠障碍。在调整了社会人口统计学和其他混杂因素后,我们使用稳健方差的泊松回归来估计低和中等nSC与高nSC相比,睡眠维度的患病率比值(PRs)和95%置信区间(CIs)。样本的平均年龄为47±0.1岁,其中52%为女性,69%为非西班牙裔(NH)白人。低nSC与高nSC相比,睡眠时间非常短的患病率更高(PR = 1.29;(95%CI = 1.23 - 1.36))。调整后,低nSC与高nSC相比,在NH白人(PR = 1.34(95%CI = 1.26 - 1.43))和NH黑人(PR = 1.14(95%CI = 1.02 - 1.28))成年人中,睡眠时间非常短有关。低nSC与较短的睡眠时间和睡眠障碍有关。