Department of Sociology, Huazhong University of Science and Technology, Wuhan, Hubei province, 430074, PR China.
Department of Sociology, Central South University, Changsha, Hunan province, 410083, PR China.
Sleep Med. 2023 Mar;103:16-23. doi: 10.1016/j.sleep.2023.01.010. Epub 2023 Jan 20.
Sleep quality is an important dimension of sleep health. There are few studies on the relationship between residential environment and sleep quality in China. We validated the connection between them and explored the moderating role of spatial-geographic characteristics and the role of emotional stress and somatic function as mediators.
Using survey data collected by the Chinese General Social Survey in 2021, 2717 respondents were included in the analysis. First, OLS regression was used for baseline analysis. Second, a generalized ordered logit model was used to analyze the more precise correlations between residential environmental health and sleep quality. Finally, the mediating role of emotional stress and somatic function was explored using the KHB method.
In the baseline analysis, both the positive correlations of residential natural environmental health and residential health resources on people's sleep quality were tested. Further analysis revealed that the correlation of natural environmental health was more about protecting people from poor sleep quality (having "good" and "very good" sleep quality). The residential health resources correlated with whether people reported very good sleep quality. Regional development disparities played a negative moderating role in the relationship between residential health resources and sleep quality. Also, the mediating role of emotional stress and somatic function were supported, and the mediating role of somatic function was higher in proportion.
Sleep quality was positively correlated with residential environmental health; the economic development gap between regions played a moderating role; and the correlation was generated by people's emotional stress and somatic function. In the development of public health policy, it is necessary to actively address various environmental issues, provide convenient health facilities in living spaces, and bolster the policy inclinations of less developed areas.
睡眠质量是睡眠健康的一个重要维度。在中国，关于居住环境与睡眠质量之间关系的研究较少。本研究验证了两者之间的联系，并探讨了空间地理特征的调节作用以及情绪压力和躯体功能作为中介的作用。
使用 2021 年中国综合社会调查收集的数据，对 2717 名受访者进行了分析。首先，采用 OLS 回归进行基线分析。其次，采用广义有序逻辑回归模型分析居住环境健康与睡眠质量之间更精确的相关性。最后，采用 KHB 方法探讨情绪压力和躯体功能的中介作用。
在基线分析中，检验了居住自然环境健康和居住健康资源对人们睡眠质量的积极关联。进一步的分析表明，自然环境健康的相关性更多地在于保护人们免受较差的睡眠质量（有“好”和“非常好”的睡眠质量）的影响。居住健康资源与人们报告非常好的睡眠质量相关。区域发展差距在居住健康资源与睡眠质量之间的关系中起负向调节作用。此外，情绪压力和躯体功能的中介作用得到了支持，躯体功能的中介作用比例更高。
睡眠质量与居住环境健康呈正相关；区域经济发展差距起调节作用；这种相关性是通过人们的情绪压力和躯体功能产生的。在制定公共卫生政策时，有必要积极解决各种环境问题，在居住空间提供便利的健康设施，并加强欠发达地区的政策倾向。
