title: Examination of neighborhood disadvantage and sleep in a multi-ethnic cohort of adolescents.
abstract: Neighborhood-level socioeconomic disadvantage and lower individual-level socioeconomic status are associated with poorer sleep health in adults. However, few studies have examined the association between neighborhood-level disadvantage and sleep in adolescents, a population at high-risk for sleep disturbances.
  
  
  
  The current study is the first to examine how objective (i.e. via census tract-level data) and subjective measures of neighborhood disadvantage are associated with sleep in a racially/ ethnically and socioeconomically diverse sample of 2493 youth [Non-Hispanic White (20%), Hispanic (46%), Asian (21%), and Multiracial/ Other (13%)].
  
  
  
  Findings indicated that greater perceived neighborhood-level social cohesion and lower neighborhood-level poverty were associated with better sleep outcomes in adolescents. However, there was some evidence that the magnitude of the associations differed according to family-level socioeconomic status and race/ ethnicity.
  
  
  
  Findings suggest that subjective and objective neighborhood characteristics may affect the sleep health of older adolescents, with certain demographic subgroups being particularly vulnerable.
authors.affiliation: RAND Corporation, Behavioral and Policy Sciences, 4501 Fifth Avenue, Suite 600, Pittsburgh, PA 15213, USA. Electronic address: wtroxel@rand.org.
authors.forename: Wendy M
authors.initials: WM
authors.lastname: Troxel
authors.affiliation: RAND Corporation, Behavioral and Policy Sciences, 1200 South Hayes Street, Arlington, VA 22202-5050, USA. Electronic address: rshih@rand.org.
authors.forename: Regina A
authors.initials: RA
authors.lastname: Shih
authors.affiliation: RAND Corporation, Behavioral and Policy Sciences, 1776 Main Street, Santa Monica, CA 90407-2138, USA. Electronic address: bewing@rand.org.
authors.forename: Brett
authors.initials: B
authors.lastname: Ewing
authors.affiliation: RAND Corporation, Behavioral and Policy Sciences, 1776 Main Street, Santa Monica, CA 90407-2138, USA. Electronic address: jtucker@rand.org.
authors.forename: Joan S
authors.initials: JS
authors.lastname: Tucker
authors.affiliation: RAND Corporation, Behavioral and Policy Sciences, 4501 Fifth Avenue, Suite 600, Pittsburgh, PA 15213, USA. Electronic address: anugroho@rand.org.
authors.forename: Alvin
authors.initials: A
authors.lastname: Nugroho
authors.affiliation: RAND Corporation, Behavioral and Policy Sciences, 1776 Main Street, Santa Monica, CA 90407-2138, USA. Electronic address: damico@rand.org.
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: D'Amico
mesh_terms: D000293:Adolescent; D019352:Censuses; D015331:Cohort Studies; D005006:Ethnicity; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D011203:Poverty; D044469:Racial Groups; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012307:Risk Factors; D012890:Sleep; D012923:Social Class; D012931:Social Environment
keywords: Adolescents; Neighborhoods, socioeconomic status, poverty; Sleep; Social environments