title: Neighborhood Factors as Predictors of Poor Sleep in the Sueño Ancillary Study of the Hispanic Community Health Study/Study of Latinos.
abstract: To evaluate whether an adverse neighborhood environment has higher prevalence of poor sleep in a US Hispanic/Latino population.
  
  
  
  A cross-sectional analysis was performed in 2156 US Hispanic/Latino participants aged 18-64 years from the Sueño ancillary study of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Participants completed surveys of neighborhood environment including perceived safety, violence and noise, the Insomnia Severity Index (ISI), and 7 days of wrist actigraphy.
  
  
  
  In age and sex-adjusted analyses, short sleep, low sleep efficiency, and late sleep midpoint were all more prevalent among those living in an unsafe neighborhood. After adjustment for background, site, nativity, income, employment, depressive symptoms, and sleep apnea, the absolute risk of sleeping <6 hours was 7.7 (95% CI [0.9, 14.6]) percentage points greater in those living in an unsafe compared to a safe neighborhood. There were no differences in the prevalence of insomnia by level of safety or violence. Insomnia was more prevalent among those living in a noisy neighborhood. In adjusted analysis, the absolute risk of insomnia was 4.4 (95% CI [0.4, 8.4]) percentage points greater in those living in noisy compared to non-noisy neighborhoods.
  
  
  
  Using validated measures of sleep duration and insomnia, we have demonstrated the existence of a higher prevalence of short sleep and insomnia by adverse neighborhood factors. An adverse neighborhood environment is an established risk factor for a variety of poor health outcomes. Our findings suggest negative effects on sleep may represent one pathway by which neighborhood environment influences health.
authors.affiliation: Behavioral Biology Branch, Walter Reed Army Institute of Research, Silver Spring, MD.
authors.forename: Guido
authors.initials: G
authors.lastname: Simonelli
authors.affiliation: Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Dudley
authors.affiliation: Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
authors.forename: Jia
authors.initials: J
authors.lastname: Weng
authors.affiliation: Department of Psychology San Diego State University, San Diego, CA.
authors.forename: Linda C
authors.initials: LC
authors.lastname: Gallo
authors.affiliation: Department of Public Policy, University of North Carolina, Chapel Hill, NC.
authors.forename: Krista
authors.initials: K
authors.lastname: Perreira
authors.affiliation: Division of Pulmonary, Critical Care and Sleep, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Neomi A
authors.initials: NA
authors.lastname: Shah
authors.affiliation: School of Social Work, Columbia University, New York, NY.
authors.forename: Carmela
authors.initials: C
authors.lastname: Alcantara
authors.affiliation: Center for Circadian and Sleep Medicine, Northwestern University Feinberg School of Medicine, Evanston, IL.
authors.forename: Phyllis C
authors.initials: PC
authors.lastname: Zee
authors.affiliation: Department of Neurology, University of Miami, Miller School of Medicine, Miami, FL.
authors.forename: Alberto R
authors.initials: AR
authors.lastname: Ramos
authors.affiliation: Department of Psychology, University of Miami, Coral Gables, FL.
authors.forename: Maria M
authors.initials: MM
authors.lastname: Llabre
authors.affiliation: Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC.
authors.forename: Daniela
authors.initials: D
authors.lastname: Sotres-Alvarez
authors.affiliation: Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
authors.forename: Rui
authors.initials: R
authors.lastname: Wang
authors.affiliation: Division of Pulmonary, Allergy and Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA.
authors.forename: Sanjay R
authors.initials: SR
authors.lastname: Patel
mesh_terms: D056044:Actigraphy; D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011446:Prospective Studies; D012111:Residence Characteristics; D012307:Risk Factors; D012449:Safety; D007319:Sleep Initiation and Maintenance Disorders / Q000208:ethnology / Q000209:etiology*; D014481:United States / Q000453:epidemiology; D014754:Violence; D055815:Young Adult
keywords: actigraphy.; insomnia; neighborhood; noise; safety; sleep