Abstract
Objective
To examine the association of neighborhood socioeconomic status (SES) with sleep duration
among a large cohort of Black and white men and women in the United States.
Methods
We used data from the Southern Community Cohort Study (SCCS, N = 75,248). Neighborhood
SES was based on census data and sleep duration was measured by self-report. Multinomial
logistic regression analysis was performed to assess the association between neighborhood
SES and short (<7 hours) and long (≥9 hours) sleep in the overall sample and according
to race–sex subgroups.
Results
In the total sample, when compared with the highest quintile of neighborhood SES,
the lowest quintile was associated with higher odds of both short (adjusted ORQ5 vs. Q1 [95% CI], 1.10 [1.03, 1.17]) and long sleep (1.37 [1.24, 1.52]). In race–sex specific
analysis, the association between lower neighborhood SES and short sleep was only
observed among white women (1.21 [1.05, 1.40]), but not in other subgroups. On the
other hand, the association between lower neighborhood SES and long sleep duration
was primarily observed among Black women (1.31 [1.06, 1.60]).
Conclusions
The association between neighborhood SES and sleep duration varied among race-and-sex
subgroups. These findings provide new evidence on the importance of considering individual
sociodemographic characteristics in understanding the potential effects of neighborhood
socioeconomic context on sleep health.
Keywords
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References
- Sleep duration and health in adults: an overview of systematic reviews.Appl Physiol Nutr Metab. 2020; 45: S218-S231https://doi.org/10.1139/apnm-2020-0034
- Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society.Sleep. 2015; 38: 843-844https://doi.org/10.5665/sleep.4716
CDC. Did you get enough sleep last night? 2016. Available at 〈https://www.cdc.gov/sleep/pdf/publicationsmediaproducts/did-you-get-enough-sleep.pdf〉. Accessed September 15, 2022.
- Short sleep duration in working American adults, 2010–2018.J Community Health. 2020; 45: 219-227https://doi.org/10.1007/s10900-019-00731-9
- Sleep duration and mortality: a systematic review and meta-analysis.J Sleep Res. 2009; 18: 148-158https://doi.org/10.1111/j.1365-2869.2008.00732.x
- Mortality associated with short sleep duration: the evidence, the possible mechanisms, and the future.Sleep Med Rev. 2010; 14: 191-203https://doi.org/10.1016/j.smrv.2009.07.006
- Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies.Sleep. 2010; 33: 585-592https://doi.org/10.1093/sleep/33.5.585
- Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States.Soc Sci Med. 2010; 71: 1027-1036https://doi.org/10.1016/j.socscimed.2010.05.041
- Association between short and long sleep durations and cardiovascular outcomes: a systematic review and meta-analysis.Eur Heart J Acute Cardiovasc Care. 2019; 8: 762-770https://doi.org/10.1177/2048872617741733
- Short sleep duration and health outcomes: a systematic review, meta-analysis, and meta-regression.Sleep Med. 2017; 32: 246-256https://doi.org/10.1016/j.sleep.2016.08.006
- The association of sleep with neighborhood physical and social environment.Public Health. 2018; 162: 126-134https://doi.org/10.1016/j.puhe.2018.05.003
- Geographic variations in sleep duration: a multilevel analysis from the Boston Area Community Health (BACH) Survey.J Epidemiol Community Health. 2015; 69: 63-69https://doi.org/10.1136/jech-2013-203256
- Sleep duration and area-level deprivation in twins.Sleep. 2016; 39: 67-77
- Neighborhood socioeconomic status, sleep duration, and napping in middle-to-old aged US men and women.Sleep. 2018; 41zsy076https://doi.org/10.1093/sleep/zsy076
- Racial differences in self-reports of sleep duration in a population-based study.Sleep. 2007; 30: 1096-1103https://doi.org/10.1093/sleep/30.9.1096
- Sleep duration in the United States: a cross-sectional population-based study.Am J Epidemiol. 2009; 169: 1052-1063https://doi.org/10.1093/aje/kwp023
- Disparities in sleep characteristics by race/ethnicity in a population-based sample: Chicago Area Sleep Study.Sleep Med. 2016; 18: 50-55https://doi.org/10.1016/j.sleep.2015.07.005
- Evaluation of temporal trends in racial and ethnic disparities in sleep duration among US adults, 2004-2018.JAMA Netw Open. 2022; 5e226385https://doi.org/10.1001/jamanetworkopen.2022.6385
- Racial/ethnic disparities in self-reported short sleep duration among US-born and foreign-born adults.Ethn Health. 2016; 21: 628-638https://doi.org/10.1080/13557858.2016.1179724
- Racial/ethnic disparities in short sleep duration by occupation: the contribution of immigrant status.Soc Sci Med. 2014; 118: 71-79https://doi.org/10.1016/j.socscimed.2014.07.059
- Are sleep patterns influenced by race/ethnicity – a marker of relative advantage or disadvantage? Evidence to date.Nat Sci Sleep. 2019; 11: 79-95
- Large-scale data from wearables reveal regional disparities in sleep patterns that persist across age and sex.Sci Rep. 2019; 9: 3415https://doi.org/10.1038/s41598-019-40156-x
- Sex and racial/ethnic disparities in sleep duration and timing on weekdays and weekends across lifespan in the US population: sex and racial/ethnic disparities in sleep.Sleep Epidemiol. 2022; 2100026https://doi.org/10.1016/j.sleepe.2022.100026
- Gender and time for sleep among U.S. adults.Am Sociol Rev. 2013; 78: 51-69https://doi.org/10.1177/0003122412472048
- Gender differences in nighttime sleep patterns and variability across the adult lifespan: a global-scale wearables study.Sleep. 2021; 44zsaa169https://doi.org/10.1093/sleep/zsaa169
- Gender differences in sleep disorders.Curr Opin Pulm Med. 2006; 12: 383-389
- Individual and neighborhood socioeconomic status and long-term individual trajectories of sleep duration among Black and White adults: The Southern Community Cohort Study.Sleep. 2022; zsac225https://doi.org/10.1093/sleep/zsac225
- The Southern Community Cohort Study: investigating health disparities.J Health Care Poor Underserved. 2010; 21: 26-37https://doi.org/10.1353/hpu.0.0245
- The development of a standardized neighborhood deprivation index.J Urban Health. 2006; 83: 1041-1062https://doi.org/10.1007/s11524-006-9094-x
- R: A language and environment for statistical computing.R Foundation for Statistical Computing, Vienna, Austria2021
- Associations of neighborhood characteristics with sleep timing and quality: the Multi-Ethnic Study of Atherosclerosis.Sleep. 2013; 36: 1543-1551https://doi.org/10.5665/sleep.3054
- Race/ethnicity, socioeconomic status, residential segregation, and spatial variation in noise exposure in the contiguous United States.Environ Health Perspect. 2017; 125077017https://doi.org/10.1289/EHP898
- A dynamic view of neighborhoods: the reciprocal relationship between crime and neighborhood structural characteristics.Soc Probl. 2010; 57: 205-230https://doi.org/10.1525/sp.2010.57.2.205
- Collateral consequences of violence in disadvantaged neighborhoods.Soc Forces. 2009; 88: 757-784https://doi.org/10.1353/sof.0.0281
- Resources for physical activity participation: does availability and accessibility differ by neighborhood socioeconomic status?.Ann Behav Med. 2003; 25: 100-104https://doi.org/10.1207/S15324796ABM2502_05
- Neighborhood socioeconomic disadvantage and access to health care.J Health Soc Behav. 2005; 46: 15-31https://doi.org/10.1177/002214650504600103
- Exploring sex and gender differences in sleep health: a Society for Women's Health Research Report.J Womens Health. 2014; 23: 553-562https://doi.org/10.1089/jwh.2014.4816
- Racial/ethnic differences in sleep disturbances: the Multi-Ethnic Study of Atherosclerosis (MESA).Sleep. 2015; 38: 877-888https://doi.org/10.5665/sleep.4732
- Normal sleep in African-Americans and Caucasian-Americans: A meta-analysis.Sleep Med. 2011; 12: 209-214https://doi.org/10.1016/j.sleep.2010.12.010
- Differences in short and long sleep durations between blacks and whites attributed to emotional distress: analysis of the National Health Interview Survey in the United States.Sleep Health. 2017; 3: 28-34https://doi.org/10.1016/j.sleh.2016.11.003
- Perceived racial discrimination as an independent predictor of sleep disturbance and daytime fatigue.Behav Sleep Med. 2012; 10: 235-249https://doi.org/10.1080/15402002.2012.654548
- Chronic exposure to everyday discrimination and sleep in a multiethnic sample of middle-aged women.Health Psychol. 2013; 32: 810-819https://doi.org/10.1037/a0029938
- "Every shut eye, ain't sleep": the role of racism-related vigilance in racial/ethnic disparities in sleep difficulty.Race Soc Probl. 2013; 5: 100-112https://doi.org/10.1007/s12552-013-9095-9
- Discrimination, other psychosocial stressors, and self-reported sleep duration and difficulties.Sleep. 2014; 37: 147-156https://doi.org/10.5665/sleep.3326
- Racial/ethnic disparities in women's sleep duration, continuity, and quality, and their statistical mediators: study of Women's Health Across the Nation.Sleep. 2019; 42: zsz042https://doi.org/10.1093/sleep/zsz042
- The contribution of psychosocial stressors to sleep among African Americans in the Jackson Heart Study.Sleep. 2016; 39: 1411-1419https://doi.org/10.5665/sleep.5974
- Opposite educational gradients in sleep duration between black and white adults, 2004-2018.Sleep Health. 2021; 7: 3-9https://doi.org/10.1016/j.sleh.2020.10.003
- Examining family and neighborhood level predictors of sleep duration in urban youth.Fam Syst Health. 2018; 36: 439-450
- Associations between neighbourhood street pattern, neighbourhood socioeconomic status and sleep in adults.Prev Med Rep. 2021; 22101345https://doi.org/10.1016/j.pmedr.2021.101345
Article info
Publication history
Published online: April 10, 2023
Accepted:
January 30,
2023
Received in revised form:
December 19,
2022
Received:
April 7,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.