Diaz Sarah Valentina, Alcántara Carmela
School of Social Work, Columbia University, New York, New York, USA.
School of Social Work, Columbia University, New York, New York, USA.
Sleep Health. 2025 Jun 23. doi: 10.1016/j.sleh.2025.05.004.
Neighborhood social cohesion has been linked to sleep health in the United States, but the association remains understudied among Latinxs. There is evidence that Latinxs may experience neighborhood social cohesion differentially based on nativity status and English language proficiency. We investigated the moderating role of nativity status and English language proficiency on the relationship between neighborhood social cohesion and two sleep outcomes: insomnia symptoms and sleep quality.
Using cross-sectional data from 201 healthy Latinx adults from the Latino Sleep and Health Study, two sets of regression models were run. We regressed neighborhood social cohesion on insomnia (Insomnia Severity Index) and sleep quality (The Pittsburgh Sleep Quality Index). Interaction terms-nativity status x neighborhood social cohesion and English language proficiency x neighborhood social cohesion-were added with sociodemographic covariates in two separate sets of models.
Participants were 64.68% female with a Mean age of 37.89 (SD = 14.01), and 33.83% completed less than a bachelor's degree. In the minimally adjusted model for sleep quality, the interaction term (neighborhood social cohesion x nativity status) was statistically significant (p=.04). Among US-born, in the fully adjusted model, neighborhood social cohesion was negatively statistically significantly associated poor sleep quality (B = -0.09, 95%CI = -0.15, -0.02; p<.01). Neighborhood social cohesion was not statistically significantly associated with insomnia symptoms. English language proficiency had no statistically significant interaction effect in any models.
The association between neighborhood social cohesion and sleep health differs by nativity status, but not by English language proficiency. These results suggest that neighborhood social cohesion may facilitate better sleep differently based on the acculturation marker. Future research should explore within-group differences in protective effects of neighborhood social cohesion on sleep health.
邻里社会凝聚力与美国的睡眠健康有关，但在拉丁裔群体中，这种关联仍未得到充分研究。有证据表明，拉丁裔可能会根据出生情况和英语语言能力而不同地体验邻里社会凝聚力。我们研究了出生情况和英语语言能力在邻里社会凝聚力与两种睡眠结果（失眠症状和睡眠质量）之间关系中的调节作用。
使用来自拉丁裔睡眠与健康研究的201名健康拉丁裔成年人的横断面数据，运行了两组回归模型。我们将邻里社会凝聚力对失眠（失眠严重程度指数）和睡眠质量（匹兹堡睡眠质量指数）进行回归分析。在两组单独的模型中，将交互项（出生情况×邻里社会凝聚力和英语语言能力×邻里社会凝聚力）与社会人口统计学协变量一起纳入。
参与者中64.68%为女性，平均年龄为37.89岁（标准差=14.01），33.83%的人完成的教育程度低于学士学位。在睡眠质量的最小调整模型中，交互项（邻里社会凝聚力×出生情况）具有统计学意义（p = 0.04）。在美国出生的人中，在完全调整模型中，邻里社会凝聚力与较差的睡眠质量呈负相关，具有统计学意义（B = -0.09，95%置信区间 = -0.15，-0.02；p < 0.01）。邻里社会凝聚力与失眠症状无统计学意义上的关联。英语语言能力在任何模型中均无统计学意义上的交互作用。
邻里社会凝聚力与睡眠健康之间的关联因出生情况而异，但不因英语语言能力而异。这些结果表明，邻里社会凝聚力可能会根据文化适应指标以不同方式促进更好的睡眠。未来的研究应探讨邻里社会凝聚力对睡眠健康保护作用的组内差异。
