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DOI10.1093/sleep/zsaa292
Does investing in low-income urban neighborhoods improve sleep?
Dubowitz, Tamara; Haas, Ann; Ghosh-Dastidar, Bonnie; Collins, Rebecca L.; Beckman, Robin; Holliday, Stephanie Brooks; Richardson, Andrea S.; Hale, Lauren; Buysse, Daniel J.; Buman, Matthew P.; Troxel, Wendy M.
通讯作者Dubowitz, T (corresponding author), RAND Corp, 4570 Fifth Ave,Suite 600, Pittsburgh, PA 15213 USA.
来源期刊SLEEP
ISSN0161-8105
EISSN1550-9109
出版年2021
卷号44期号:6
英文摘要Study Objectives: Neighborhood disadvantage is associated with poor sleep, which may contribute to and exacerbate racial and socioeconomic health disparities. Most prior work has been cross-sectional and thus it has not been possible to estimate causal effects. Methods: We leveraged a natural experiment opportunity in two low-income, predominantly African American Pittsburgh, PA neighborhoods, following a randomly selected cohort of households (n = 676) between 2013 and 2016. One of the neighborhoods received substantial public and private investments (housing, commercial) over the study period, while the other socio-demographically similar neighborhood received far fewer investments. Primary analyses used a difference-in-difference analysis based on neighborhood, to examine changes in actigraphy-assessed sleep duration, efficiency, and wakefulness after sleep onset (WASO), and self-reported sleep quality. Secondary analyses examined whether residents' proximity to investments, regardless of neighborhood, was associated with changes in sleep outcomes. Results: Resident sleep worsened over time in both neighborhoods with no significant differences among residents between the two neighborhoods. Secondary analyses, including covariate adjustment and propensity score weighting to improve comparability, indicated that regardless of neighborhood, those who lived in closer proximity to investments (<0.1 mile) were significantly less likely to experience decreases in sleep duration, efficiency, and quality, or increases in WASO, compared to those who lived farther away. Conclusions: While we did not observe sleep differences among residents between neighborhoods, living closer to a neighborhood investment was associated with better sleep outcomes. Findings have relevance for public health and policy efforts focused on investing in historically disinvested neighborhoods.
英文关键词sleep natural experiment social determinants disparities socioeconomic status neighborhoods
类型Article
语种英语
收录类别SCI-E
WOS记录号WOS:000671572000019
WOS关键词QUALITY-OF-LIFE ; FOOD DESERT ; PSYCHOLOGICAL DISTRESS ; PHYSICAL-ACTIVITY ; ACTIGRAPHY ; HEALTH ; ASSOCIATION ; ENVIRONMENT ; SYMPTOMS ; PATTERNS
WOS类目Clinical Neurology ; Neurosciences
WOS研究方向Neurosciences & Neurology
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/351768
作者单位[Dubowitz, Tamara; Haas, Ann; Richardson, Andrea S.; Troxel, Wendy M.] RAND Corp, 4570 Fifth Ave,Suite 600, Pittsburgh, PA 15213 USA; [Ghosh-Dastidar, Bonnie; Collins, Rebecca L.; Beckman, Robin; Holliday, Stephanie Brooks] RAND Corp, Santa Monica, CA USA; [Hale, Lauren] SUNY Stony Brook, Dept Family Populat & Prevent Med, Program Publ Hlth, Stony Brook, NY 11794 USA; [Buysse, Daniel J.] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA USA; [Buman, Matthew P.] Arizona State Univ, Coll Hlth Solut, Phoenix, AZ USA
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GB/T 7714
Dubowitz, Tamara,Haas, Ann,Ghosh-Dastidar, Bonnie,et al. Does investing in low-income urban neighborhoods improve sleep?[J],2021,44(6).
APA Dubowitz, Tamara.,Haas, Ann.,Ghosh-Dastidar, Bonnie.,Collins, Rebecca L..,Beckman, Robin.,...&Troxel, Wendy M..(2021).Does investing in low-income urban neighborhoods improve sleep?.SLEEP,44(6).
MLA Dubowitz, Tamara,et al."Does investing in low-income urban neighborhoods improve sleep?".SLEEP 44.6(2021).
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