Shigaki Leonardo, Cardoso Letícia de Oliveira, Silva-Costa Aline, Barreto Sandhi Maria, Giatti Luana, Fonseca Maria de Jesus Mendes da, Griep Rosane Harter
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Universidade Federal do Triângulo Mineiro, Uberaba, Brasil.
Cad Saude Publica. 2024 Jul 29;40(7):e00111323. doi: 10.1590/0102-311XPT111323. eCollection 2024.
Several factors influence sleep, which is essential for health. While the role of neighborhood socioeconomic context on sleep health has been studied in recent years, results are inconsistent. The study aimed to investigate the association between socioeconomic residential segregation and sleep problems, using data from the second evaluation (2012-2014) of 9,918 public servants participating in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Socioeconomic residential segregation was assessed using the Getis-Ord Local Gi* statistic. Sleep duration and deprivation, complaints of insomnia, and daytime sleepiness were obtained through interviews. Binomial and multinomial logistic regression models were used to estimate the odds ratio (OR). Regarding sleep, 49% had short duration and 3% long duration, 23% reported complaints of insomnia, 45% sleep deprivation, 42% daytime sleepiness, and 48% reported ≥ 2 sleep problems. In the model adjusted for demographic and socioeconomic variables, there was an association between high socioeconomic residential segregation and short sleep duration (OR = 1.22; 95%CI: 1.07; 1.40), sleep deprivation (OR = 1.20; 95%CI: 1.05; 1.37), daytime sleepiness (OR = 1.17; 95%CI: 1.03; 1.34) and ≥ 2 associated sleep problems (OR = 1.24; 95%CI: 1.08; 1.41). Individuals living in neighborhoods with high socioeconomic residential segregation are more likely to have short sleep duration, sleep deprivation, daytime sleepiness, and ≥ 2 associated sleep problems. This information reinforces that public policy measures to reduce socioeconomic inequalities can improve the population's sleep health.
有几个因素会影响睡眠，而睡眠对健康至关重要。近年来，虽然邻里社会经济环境对睡眠健康的作用已得到研究，但结果并不一致。本研究旨在利用参与巴西成人健康纵向研究（ELSA - Brasil）的9918名公务员第二次评估（2012 - 2014年）的数据，调查社会经济居住隔离与睡眠问题之间的关联。使用Getis - Ord局部Gi*统计量评估社会经济居住隔离情况。通过访谈获取睡眠时间和睡眠不足、失眠主诉以及日间嗜睡情况。采用二项式和多项逻辑回归模型来估计优势比（OR）。关于睡眠，49%的人睡眠时间短，3%的人睡眠时间长，23%的人报告有失眠主诉，45%的人睡眠不足，42%的人日间嗜睡，48%的人报告有≥2种睡眠问题。在针对人口统计学和社会经济变量进行调整的模型中，高社会经济居住隔离与睡眠时间短（OR = 1.22；95%置信区间：1.07；1.40）、睡眠不足（OR = 1.20；95%置信区间：1.05；1.37）、日间嗜睡（OR = 1.17；95%置信区间：1.03；1.34）以及≥2种相关睡眠问题（OR = 1.24；95%置信区间：1.08；1.41）之间存在关联。生活在社会经济居住隔离程度高的社区的个体更有可能睡眠时间短、睡眠不足、日间嗜睡以及有≥2种相关睡眠问题。这一信息强化了减少社会经济不平等的公共政策措施可改善民众睡眠健康的观点。
