Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA; Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA.
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.
Sleep Health. 2022 Jun;8(3):322-333. doi: 10.1016/j.sleh.2022.03.005. Epub 2022 Apr 30.
Sleep is an important determinant of various health outcomes, and insufficient sleep and sleep disorders are a public health crisis in the United States. The objective of this review is to provide an update on scientific contributions to our understanding of the social/built environmental determinants of sleep health. In particular, this review focuses on the diverse measurements of neighborhood characteristics and sleep outcomes, as well as analytic approaches for quantifying the effect of neighborhood on sleep health.
Two major electronic databases were searched and reviewed for relevant articles that examined the associations of social/built environments with sleep health. Inclusion criteria included peer-reviewed empirical studies on neighborhood-level characteristics and sleep health among adult populations.
Systematic searches in MEDLINE/PubMed and SCOPUS identified 52 eligible articles (out of 11,084). Various social/built environmental characteristics of neighborhoods were identified as potential determinants of sleep health, and the majority of studies examined neighborhood social capital, safety, and environmental stressors. However, 88% of included articles employed cross-sectional study designs, limiting causal identification. We found substantial differences in neighborhood measures, variations in sleep health measurements with the majority employing self-reported methods, and inconsistent model specifications. While the majority of articles (48%) utilized perceived neighborhood conditions as the main exposure, more recent studies (23%) employed geographic information systems to measure neighborhood characteristics.
To establish the causal relationships between social/physical neighborhood characteristics and sleep health, more studies should be conducted with longitudinal, quasi-experimental, and randomized trial designs coupled with objectively measured neighborhood and sleep health parameters.
睡眠是多种健康结果的重要决定因素，而睡眠不足和睡眠障碍是美国的公共健康危机。本研究旨在提供有关社会/建筑环境对睡眠健康决定因素的科学贡献的最新信息。特别是，本综述重点介绍了邻里特征和睡眠结果的多种测量方法，以及量化邻里对睡眠健康影响的分析方法。
在两个主要的电子数据库中进行了搜索和综述，以查找检查社会/建筑环境与睡眠健康之间关联的相关文章。纳入标准包括对成人人群中邻里水平特征与睡眠健康之间关联的同行评审实证研究。
对 MEDLINE/PubMed 和 SCOPUS 的系统搜索确定了 52 篇符合条件的文章（在 11084 篇中）。各种邻里的社会/建筑环境特征被确定为睡眠健康的潜在决定因素，大多数研究都检查了邻里社会资本、安全和环境压力源。然而，88%的纳入文章采用了横断面研究设计，限制了因果关系的确定。我们发现邻里测量存在很大差异，睡眠健康测量也存在差异，大多数采用自我报告方法，模型规范不一致。尽管大多数文章（48%）将感知邻里条件作为主要暴露因素，但最近的研究（23%）采用地理信息系统来测量邻里特征。
为了确定社会/物理邻里特征与睡眠健康之间的因果关系，应更多地开展具有纵向、准实验和随机试验设计的研究，并结合客观测量的邻里和睡眠健康参数。
