Abstract:
BACKGROUND:Sleep plays an important role in health and varies by social determinants. Little is known, however, about geographic variations in sleep and the role of individual-level and neighbourhood-level factors. METHODS:We used a multilevel modelling approach to quantify neighbourhood variation in self-reported sleep duration (very short <5 h; short 5-6.9 h; normative 7-8.9 h; long ≥9 h) among 3591 participants of the Boston Area Community Health Survey. We determined whether geographic variations persisted with control for individual-level demographic, socioeconomic status (SES) and lifestyle factors. We then determined the role of neighbourhood SES (nSES) in geographic variations. Additional models considered individual health factors. RESULTS:Between neighbourhood differences accounted for a substantial portion of total variability in sleep duration. Neighbourhood variation persisted with control for demographics, SES and lifestyle factors. These characteristics accounted for a portion (6-20%) of between-neighbourhood variance in very short, short and long sleep, while nSES accounted for the majority of the remaining between-neighbourhood variances. Low and medium nSES were associated with very short and short sleep (eg, very short sleep OR=2.08; 95% CI 1.38 to 3.14 for low vs high nSES), but not long sleep. Further inclusion of health factors did not appreciably increase the amount of between-neighbourhood variance explained nor did it alter associations. CONCLUSIONS:Sleep duration varied by neighbourhood in a diverse urban setting in the northeastern USA. Individual-level demographics, SES and lifestyle factors explained some geographic variability, while nSES explained a substantial amount. Mechanisms associated with nSES should be examined in future studies to help understand and reduce geographic variations in sleep.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Fang SC,Subramanian SV,Piccolo R,Yang M,Yaggi HK,Bliwise DL,Araujo ABdoi
10.1136/jech-2013-203256subject
Has Abstractpub_date
2015-01-01 00:00:00pages
63-9issue
1eissn
0143-005Xissn
1470-2738pii
jech-2013-203256journal_volume
69pub_type
杂志文章abstract:OBJECTIVE:This study examines the politics of appropriating Question 1 tobacco tax revenues in the first budget year after Massachusetts voters passed the ballot initiative in 1992. The initiative increased the tobacco tax on cigarettes by 25 cents per pack and on smokeless tobacco by 25% of the wholesale price. METHO...
journal_title:Journal of epidemiology and community health
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pub_type: 杂志文章,多中心研究
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更新日期:2016-01-01 00:00:00
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更新日期:2014-12-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1997-12-01 00:00:00