外部居住环境与残疾的低收入老年人群体中客观测量的睡眠质量差有关。
Exterior housing conditions are associated with objective measures of poor sleep among low-income older adults with disabilities.
机构信息
Johns Hopkins University School of Nursing, Baltimore, Maryland, USA; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; Johns Hopkins Center on Aging and Health, Baltimore, Maryland, USA.
Johns Hopkins Center on Aging and Health, Baltimore, Maryland, USA; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
出版信息
Sleep Health. 2021 Dec;7(6):731-734. doi: 10.1016/j.sleh.2021.09.002. Epub 2021 Oct 8.
OBJECTIVE
To examine the association of housing and neighborhood conditions with sleep among disadvantaged older adults.
METHODS
We used data from 136 low-income, predominantly Black older adults with disabilities. Predictors were indices of: interior housing conditions (eg, pests, tripping hazards); exterior housing conditions (eg, broken windows); and neighborhood disorder (eg, litter, vacant buildings). Outcomes were actigraphic total sleep time (TST), wake after sleep onset (WASO), and sleep efficiency (SE).
RESULTS
In models adjusted for age, sex, education, living arrangement, comorbidities, and physical performance, each additional exterior housing problem was associated with 20.9-minutes less TST (95% confidence interval [CI]: -39.2, -2.6), 8.6-minutes more WASO (95% CI: 0.7, 16.5), and 2.3% lower SE (95% CI: -4.2, -0.4). The associations of interior housing conditions and neighborhood disorder with the sleep parameters were of smaller magnitude and not statistically significant.
CONCLUSIONS
Future studies should examine the effects of housing repair on sleep health.
目的
探讨住房和邻里条件与弱势老年人群体睡眠的关系。
方法
我们使用了来自 136 名低收入、以黑人为主要族裔且存在残疾的老年成年人的数据。预测指标包括：内部住房条件（如虫害、绊倒危险）；外部住房条件（如破损窗户）；以及邻里混乱程度（如垃圾、闲置建筑物）。结果是通过活动记录仪测量的总睡眠时间（TST）、睡眠后觉醒时间（WASO）和睡眠效率（SE）。
结果
在调整了年龄、性别、教育程度、居住安排、合并症和身体表现后，每个额外的外部住房问题与 TST 减少 20.9 分钟（95%置信区间 [CI]：-39.2，-2.6）、WASO 增加 8.6 分钟（95% CI：0.7，16.5）和 SE 降低 2.3%（95% CI：-4.2，-0.4）有关。内部住房条件和邻里混乱程度与睡眠参数的关联程度较小，且没有统计学意义。
结论
未来的研究应该检查住房维修对睡眠健康的影响。
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