Associations between neighbourhood street pattern, neighbourhood socioeconomic status and sleep in adults

Abstract

Sleep duration is a risk factor for poor health and all-cause mortality. Evidence suggests that neighbourhood characteristics such as built environment and socioeconomic status (SES) may affect sleep duration in adults. This study examined the relationship between neighbourhood built environment (i.e., measured via the street pattern) and SES with sleep duration in adults (n = 797) from 12 neighbourhoods in Calgary (Canada). Covariate adjusted linear and multinomial logistic regression models estimated the associations between street pattern (grid, warped-grid, curvilinear), SES and sleep duration. We also tested if the interaction between street pattern and SES was associated with sleep duration. Although neighbourhood street pattern and neighbourhood SES were not independently associated with sleep, the interaction between street pattern and neighbourhood SES, was associated with mean sleep duration. Individuals living in curvilinear low SES neighbourhoods had the shortest sleep duration (6.93 h per day; 95% CI 6.68, 7.18), while those living in curvilinear high SES neighbourhoods slept the longest (7.43 h per day; 95% CI 7.29, 7.57). Neighbourhood street pattern and SES, as well as their interaction, were not associated with the odds of sleeping shorter or longer than 7 to 8 h per day. Our findings suggest that the combined effect of the neighbourhood built environment and SES is potentially important for influencing sleep duration. More research is needed to understand the complex interrelationships between the built environment, SES, and sleep.

Sleep patterns and long-term mortality among older Israeli adults: a population-based study

“…First, our study's observational nature makes it difficult to establish causality. Second, although we controlled for various potential confounders, including PAL, 41 socioeconomic status 42 and pre-existing comorbidities, residual confounding is likely due to other unknown or unmeasured factors. Possible confounders are depression and subjective health, 24 28 for which we adjusted (online supplemental table 3) without attenuating the observed associations.…”

A segregação residencial socioeconômica está associada aos problemas do sono? Insights do ELSA-Brasil

“…Outras pesquisas não encontraram relação entre a duração curta 6 , 11 , 12 e longa do sono 11 , 12 , a sonolência diurna 11 e a insônia 6 com o baixo nível socioeconômico da vizinhança. Vale ressaltar que esses tiveram menor tamanho de amostra quando comparados com os que evidenciaram a associação entre os desfechos do sono e o nível socioeconômico da vizinhança.…”

“…Além disso, existem evidências de associação entre vizinhanças com alto nível de desemprego e maior frequência de insônia 10 . Por outro lado, os resultados de alguns estudos sugerem que não há associação do nível socioeconômico da vizinhança com a duração do sono 11 , 12 e a insônia 6 .…”

Covid-19 and changes in sleep health in the Blackfeet Community

“…In order to contain the spread of the virus, many of these tribal communities restricted travel to and from the reservations, thereby further increasing social isolation. Second, changes to employment and financial security linked to the pandemic likely exacerbated already high levels of poverty in these communities, and financial insecurity and low income have been previously linked to poor sleep [ [36] , [37] , [38] , [39] ].…”