Sleep Health最新文献

{"title":"Neighborhood social cohesion and sleep health among sexual minoritized US adults and intersections with sex/gender, race/ethnicity, and age","authors":"Symielle A. Gaston PhD, MPH ,&nbsp;Christopher Payne MA ,&nbsp;Dana M. Alhasan PhD, MPH ,&nbsp;Rupsha Singh PhD ,&nbsp;Jamie A. Murkey PhD, MPH ,&nbsp;W. Braxton Jackson II MPH ,&nbsp;Chandra L. Jackson PhD, MS","doi":"10.1016/j.sleh.2024.10.007","DOIUrl":"10.1016/j.sleh.2024.10.007","url":null,"abstract":"<div><h3>Objectives</h3><div>Neighborhood social cohesion or living in communities characterized by trust and social ties may mitigate sleep disparities among sexual minoritized vs. heterosexual persons; but its relation to sleep health is understudied among sexual minoritized groups. To investigate associations between perceived neighborhood social cohesion and sleep health among adult US men and women who identified as “lesbian or gay, bisexual, or something else,” we used cross-sectional National Health Interview Survey data (2013-2018).</div></div><div><h3>Methods</h3><div>Participants reported neighborhood social cohesion (categorized as low or medium vs. high) and sleep characteristics. Adjusting for sociodemographic, health, and residential characteristics, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals for poor sleep.</div></div><div><h3>Results</h3><div>Among 4666 sexual minoritized adults, 44% reported low, 32% medium, and 24% high neighborhood social cohesion. Women, minoritized racial/ethnic groups, and young adults disproportionately reported low neighborhood social cohesion. Overall, low vs. high neighborhood social cohesion was associated with a higher prevalence of short sleep (PR<!--> <!-->=<!--> <!-->1.27 [95% confidence interval:1.11-1.45]) and all sleep disturbances (e.g., PR_{insomnia symptoms} <!-->=<!--> <!-->1.36 [1.19-1.55]). PRs were often higher as intersectionality or membership to multiple minoritized groups increased.</div></div><div><h3>Conclusions</h3><div>Lower perceived neighborhood social cohesion was associated with poorer sleep. Fostering community cohesiveness may mitigate sleep disparities among sexual minoritized adults.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 439-448"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Photographing the night","authors":"Hrayr Attarian MD","doi":"10.1016/j.sleh.2025.05.006","DOIUrl":"10.1016/j.sleh.2025.05.006","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 406-407"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial and ethnic disparities in the perceived neighborhood walking environment and self-reported sleep health: A nationally representative sample of the United States","authors":"Dzifa Adjaye-Gbewonyo PhD ,&nbsp;Amanda E. Ng PhD ,&nbsp;Dayna A. Johnson PhD ,&nbsp;Chandra L. Jackson PhD","doi":"10.1016/j.sleh.2025.01.010","DOIUrl":"10.1016/j.sleh.2025.01.010","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify associations between perceived neighborhood walkability and sleep across racial and ethnic groups of US adults.</div></div><div><h3>Methods</h3><div>Data from the 2020 National Health Interview Survey (N<!--> <!-->=<!--> <!-->27,521) were used to assess self-reported measures of walkability (pedestrian access, accessible amenities, unsafe walking conditions) and sleep (short and long duration; frequency of waking up unrested, trouble falling and staying asleep, sleep medication use). Stratified by racial and ethnic group, we calculated the age-adjusted prevalence of neighborhood walkability features and sleep measures and estimated prevalence ratios assessing associations between neighborhood walkability and sleep while adjusting for sociodemographic and health covariates.</div></div><div><h3>Results</h3><div>The prevalence of unsafe walking conditions due to crime was lowest among non-Hispanic White adults (6.9%), and access to places to relax was lowest among non-Hispanic Black adults (72.5%). The prevalence of short sleep duration was highest among non-Hispanic Black adults (37.9%). Neighborhood environment features had differential associations with sleep when stratified by race and ethnicity. For example, walking path access was related to lower sleep medication use among non-Hispanic Asian adults (adjusted prevalence ratio (aPR): 0.42, 95% CI: 0.19-0.91) but greater use among non-Hispanic White adults (aPR: 1.24, 95% CI: 1.05-1.46). More associations were observed among non-Hispanic White adults than other groups; and the strongest magnitude of association was observed among non-Hispanic Asian adults (traffic and sleep medication aPR: 0.31, 95% CI: 0.12-0.84).</div></div><div><h3>Conclusions</h3><div>Associations between the neighborhood environment and sleep vary and may be inconsistent by race and ethnicity. Future research may help identify determinants.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 495-505"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between indoor fine particulate matter (PM2.5) and sleep-disordered breathing in an urban sample of school-aged children","authors":"Jing Wang MS ,&nbsp;Seyni Gueye-Ndiaye MD ,&nbsp;Cecilia Castro-Diehl DrPH ,&nbsp;Sanjana Bhaskar MPhil, MS ,&nbsp;Le Li MS ,&nbsp;Meg Tully MBiostat ,&nbsp;Michael Rueschman MPH ,&nbsp;Judith Owens MD, MPH ,&nbsp;Diane R. Gold MD, MPH ,&nbsp;Jarvis Chen ScD ,&nbsp;Wanda Phipatanakul MD, MS ,&nbsp;Gary Adamkiewicz PhD, MPH ,&nbsp;Susan Redline MD, MPH","doi":"10.1016/j.sleh.2024.06.004","DOIUrl":"10.1016/j.sleh.2024.06.004","url":null,"abstract":"<div><h3>Objectives</h3><div><span>Environmental risk factors may contribute to sleep-disordered breathing. We investigated the association between indoor particulate matter ≤2.5</span> <!-->µm in aerodynamic diameter (PM_2.5) and sleep-disordered breathing in children in an urban US community.</div></div><div><h3>Methods</h3><div>The sample consisted of children aged 6-12<!--> <!-->years living in predominantly low-income neighborhoods in Boston, Massachusetts. Indoor PM_2.5 was measured in participants’ main living areas for 7<!--> <!-->days using the Environmental Multipollutant Monitoring Assembly device. High indoor PM_2.5 exposure was defined as greater than the sample weekly average 80th percentile level (≥15.6 μg/m³). Sleep-disordered breathing was defined as an Apnea-Hypopnea-Index (AHI) or Oxygen-Desaturation-Index (ODI) (≥3% desaturation) of ≥5 events/hour. Habitual loud snoring was defined as caregiver-report of loud snoring (most or all the time each week) over the past 4<!--> <!-->weeks. We examined the associations of PM_2.5<span> with sleep-disordered breathing or snoring using logistic regression adjusting for potential confounders.</span></div></div><div><h3>Results</h3><div>The sample included 260 children (mean age 9.6<!--> <!-->years; 41% female), with 32% (n = 76) classified as having sleep-disordered breathing. In a logistic regression model adjusted for socioeconomics and seasonality, children exposed to high indoor PM_2.5 levels (n = 53) had a 3.53-fold increased odds for sleep-disordered breathing (95%CI: 1.57, 8.11, <em>p</em> = .002) compared to those with lower indoor PM_2.5. This association persisted after additional adjustments for physical activity, outdoor PM_2.5, environmental tobacco smoke, and health characteristics. Similar associations were observed for snoring and indoor PM_2.5.</div></div><div><h3>Conclusions</h3><div>Children with higher indoor PM_2.5 exposure had greater odds of sleep-disordered breathing and habitual loud snoring, suggesting that indoor air quality contributes to sleep disparities.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 408-414"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A socioecological model of neighborhood disorder, religious attendance, and sleep efficiency","authors":"Terrence D. Hill PhD ,&nbsp;Qiliang He PhD ,&nbsp;Jennifer Zhang MS ,&nbsp;Laura Upenieks PhD ,&nbsp;Christopher G. Ellison PhD","doi":"10.1016/j.sleh.2024.11.003","DOIUrl":"10.1016/j.sleh.2024.11.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Drawing on the socioecological model of sleep health, we formally examine the association between neighborhood disorder and sleep efficiency. While most studies focus on direct associations with neighborhood context, we also consider whether the relationship between religious attendance and sleep efficiency varies as a function of neighborhood disorder.</div></div><div><h3>Design</h3><div>We use ordinary least squares regression to model cross-sectional survey data.</div></div><div><h3>Setting</h3><div>The United States.</div></div><div><h3>Participants</h3><div>The <em>All of Us Research Program</em> is based on a nonprobability sample of 5168 adults aged 18 and over.</div></div><div><h3>Measurements</h3><div>Our analyses include an index of perceived neighborhood disorder, a single-item measure of religious attendance, and an objective measure of sleep efficiency based on wrist actigraphy.</div></div><div><h3>Results</h3><div>While perceptions of neighborhood disorder are inversely associated with sleep efficiency, religious attendance is positively associated with sleep efficiency. The association between religious attendance and sleep efficiency did not vary across levels of neighborhood disorder.</div></div><div><h3>Conclusion</h3><div>Our analyses add to a growing literature on the association of neighborhood disorder with objective indicators of sleep health. To our knowledge, we are among the first to observe any association between religious attendance and sleep efficiency. We extended the socioecological model of sleep health by framing neighborhood disorder as a moderator.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 515-521"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between household sleep environment and sleep health characteristics in middle-aged adults: The CARDIA sleep study","authors":"Swaty Chapagai PhD ,&nbsp;Thanh-Huyen Vu MD, PhD ,&nbsp;Shaina J. Alexandria PhD ,&nbsp;Kathryn J. Reid PhD ,&nbsp;Sabra Abbott MD, PhD ,&nbsp;Katharine Harrington MPH ,&nbsp;S. Justin Thomas PhD ,&nbsp;Cora E. Lewis MD ,&nbsp;Pamela J. Schreiner PhD ,&nbsp;Mercedes R. Carnethon PhD ,&nbsp;Kristen L. Knutson PhD","doi":"10.1016/j.sleh.2025.02.010","DOIUrl":"10.1016/j.sleh.2025.02.010","url":null,"abstract":"<div><h3>Objectives</h3><div>Household environmental factors<span> and sleep hygiene may contribute to poor sleep health. We identified associations between household sleep environment (HHSE) and sleep health characteristics in White and Black adults.</span></div></div><div><h3>Methods</h3><div><span>This study included cross-sectional data from the CARDIA sleep ancillary study at Year 35 (n</span> <!-->=<!--> <span><span><span>711). HHSE was assessed in two domains (sleep disruptors and sleep hygiene) using a questionnaire, and higher scores indicated more sleep disruptors or poorer sleep hygiene. Sleep outcomes included (1) self-reported sleep quality and </span>daytime sleepiness and (2) actigraphy-measured </span>sleep duration<span>, sleep percentage, sleep timing (midpoint sleep time), and sleep regularity. We used robust regression to estimate differences in sleep outcomes corresponding to each 1-point increment in HHSE. Racial differences in associations of interest were examined by testing for interaction.</span></span></div></div><div><h3>Results</h3><div>Participants’ mean age was 61.5 (SD<!--> <!-->=<!--> <span><span>3.6) years, 63% were women, and 36.7% were Black. After multivariable adjustment (β [95% CI]), more sleep disruptors (0.145 [0.04, 0.24]) and poor sleep hygiene (0.170 [0.10, 0.23]) were associated with self-reported poor sleep quality. Poor sleep hygiene was associated with actigraphy-measured shorter sleep duration (−1.397 [−2.73, −0.01]) and sleep irregularity (0.017 [0.01, 0.02]). In stratified analysis, more sleep disruptors were associated with poor sleep quality (0.320 [0.10, 0.53]) and greater </span>daytime sleepiness (0.330 [0.11, 0.54]) only in Black participants.</span></div></div><div><h3>Conclusions</h3><div>Poor HHSE was related to self-reported poor sleep quality and to objective shorter sleep duration and sleep irregularity. Targeted interventions to mitigate sleep disruptors and promote good sleep hygiene may help to improve sleep health.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 469-476"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of the 2024 US presidential election campaign on population sleep: A representative survey from National Sleep Foundation","authors":"Joseph M. Dzierzewski PhD ,&nbsp;Alysa N. Miller PhD, MPH ,&nbsp;Spencer A. Nielson MS ,&nbsp;Natalie D. Dautovich PhD","doi":"10.1016/j.sleh.2025.04.004","DOIUrl":"10.1016/j.sleh.2025.04.004","url":null,"abstract":"<div><h3>Objectives</h3><div>The dynamics of presidential campaigns and elections may have a negative effect on sleep health; however, most research is focused on election nights. The current study examined the impact of the 2024 presidential election on sleep during the broader election campaign period, exploring potential demographic differences in negative impact.</div></div><div><h3>Methods</h3><div>The National Sleep Foundation conducted a survey among a nationally-representative, random sample of 1421 American adults, including questions on election-related sleep impact, sleep duration and quality.</div></div><div><h3>Results</h3><div>Seventeen percent of US adults reported a negative impact of the 2024 presidential election campaign on their sleep, with significant group differences observed across age, race/ethnicity, employment status, and household composition.</div></div><div><h3>Conclusions</h3><div>Major social events like the 2024 presidential campaign and election can negatively impact sleep health, with some individuals being more susceptible to negative effects. Future studies are needed to better understand the potential widespread negative consequences of common social experiences and strategies to mitigate their effects.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 543-546"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the relationship between sleep duration and sense of community belonging: Insights from the 2015-16 Canadian Community Health Survey","authors":"Emmanuel Kyeremeh PhD ,&nbsp;Joseph Braimah PhD ,&nbsp;Daniel Amoak PhD ,&nbsp;Evans Batung MA ,&nbsp;Roger Antabe PhD ,&nbsp;Eugena Kwon PhD","doi":"10.1016/j.sleh.2025.06.004","DOIUrl":"10.1016/j.sleh.2025.06.004","url":null,"abstract":"<div><h3>Objective</h3><div>The Canadian 24-Hour Movement Guidelines for Adults and National Sleep Foundation recommend a sleep duration of 7-9<!--> <!-->hours for working aged adults aged 18-64 and 7-8<!--> <!-->hours for older adults aged 65+. While various factors associated with sleep duration have been identified in studies, the association between sleep duration and a sense of community belonging—a factor crucial for overall health—remains largely unexplored.</div></div><div><h3>Methods</h3><div>To fill this gap, we utilized the 2015-16 Canadian Community Health Survey to investigate this association among working aged-adults 18-64 and older adults aged 65+ using multivariable multinomial logit models.</div></div><div><h3>Results</h3><div>Our findings indicate that working-aged adults with a somewhat weak (RRR = 1.18, 95% CI = 1.02, 1.37) or very weak (RRR = 1.29, 95% CI = 1.05, 1.56) sense of community belonging are more likely to report “short duration” compared to those with a very strong sense of community belonging. Similarly, working-aged adults with a very weak sense of community belonging (RRR = 1.66, 95% CI = 1.02, 2.69) are more likely to report “long duration.” However, no significant relationship was found between sense of community belonging and sleep duration among older adults.</div></div><div><h3>Conclusion</h3><div>Our study highlights the association between sense of community belonging and sleep duration among working-aged adults and older adults in Canada.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 536-542"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating associations between neighborhood resources and sleep health among urban-dwelling Black adolescents","authors":"Amy M. Bohnert PhD ,&nbsp;Maureen T.S. Burns MA ,&nbsp;Julianna P. Adornetti BA ,&nbsp;Gregory J. Matthews PhD ,&nbsp;Patrick L. Tu ,&nbsp;Michelle A. Chen PhD ,&nbsp;Hee Moon BA ,&nbsp;Jungwon Kim BA ,&nbsp;Edith Chen PhD","doi":"10.1016/j.sleh.2025.07.001","DOIUrl":"10.1016/j.sleh.2025.07.001","url":null,"abstract":"<div><h3>Objective</h3><div>Despite policies that promote poor sleep environments for many Black families, the links between neighborhood characteristics and adolescent sleep health have received little attention.</div></div><div><h3>Methods</h3><div>Adolescents (<em>N</em> = 400; <em>M</em><span><span> age 16.39 years; 64% female at birth) who identified as Black/African American residing in a large metropolitan area and their caregivers participated. Caregivers provided demographic information and completed measures of neighborhood safety and cohesion. Home addresses were geocoded to census tract to generate COI 3.0 scores (overall, three domains and 14 subdomains). Adolescents wore </span>actigraphs for 8 days to derive sleep indices (timing, duration, efficiency, and regularity). Linear mixed models examined associations between neighborhood variables and sleep indices adjusting for age, sex, household income, caregivers’ highest level of education, and weekend status.</span></div></div><div><h3>Results</h3><div>Adolescents were underslept with sleep duration averaging 6.2 hours/night with sleep onset times of 12:57 AM and offset times of 8:17 AM averaged across 8 days. Males had later sleep onset, fewer hours of sleep, less efficient sleep, and more variability in their waketimes as compared with females. Living in a neighborhood with more educational and housing resources, less air pollution, and lower employment rates was associated with greater sleep efficiency, earlier bedtimes, and less bedtime variability.</div></div><div><h3>Conclusions</h3><div>Black urban-dwelling adolescents are not getting adequate sleep, and males are at greater risk. Residing in neighborhoods with fewer educational opportunities and more air pollution was linked to sleep. Future work should consider the role of policy changes and protective factors that may mitigate associations between neighborhood factors on sleep health.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 423-430"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of neighborhood deprivation on sleep and circadian health in a large US cohort","authors":"Lauren E. Barber PhD ,&nbsp;Lauren E. McCullough PhD ,&nbsp;Kierstin Faw MPH ,&nbsp;Charlie Zhong PhD ,&nbsp;Anita R. Peoples PhD ,&nbsp;Clara Bodelon PhD ,&nbsp;Dayna A. Johnson PhD ,&nbsp;Lauren R. Teras PhD ,&nbsp;Alpa V. Patel PhD","doi":"10.1016/j.sleh.2025.06.001","DOIUrl":"10.1016/j.sleh.2025.06.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Research on neighborhood socioeconomic conditions and sleep and circadian health shows inconsistent findings. Small sample sizes and few sleep measures may have limited prior studies. In a large cohort, we examined the association between neighborhood deprivation and sleep and circadian health.</div></div><div><h3>Methods</h3><div>The Cancer Prevention Study-3 is a prospective cohort of US adults enrolled in 2006-2013. The Neighborhood Deprivation Index (NDI) was derived using principal components analysis of census tract--level American Community Survey data and was linked to participants’ geocoded address at baseline. Participants (N = 180,379) self-reported their sleep duration, sleep midpoint, social jetlag, sleep quality, and chronotype on the 2015 or 2018 follow-up survey. Linear or logistic regression was used to estimate associations between NDI in quintiles and each outcome.</div></div><div><h3>Results</h3><div>Compared with the least deprived neighborhoods, living in the most deprived neighborhoods was associated with a higher odds of short (&lt;7 hours) and long (&gt;9 hours) sleep duration (short: odds ratio [OR] = 1.23, 95% confidence interval [CI] 1.17-1.30; long: OR = 1.08, 95% CI 1.04-1.13). Neighborhood deprivation was also associated with a 4.84-minute later sleep midpoint (beta = 4.84, 95% CI 2.77-6.91), high (&gt;120 minutes) social jetlag (OR = 1.38, 95% CI 1.30-1.48), poor sleep quality (OR = 1.04, 95% CI 1.00-1.09), and having an evening chronotype (OR = 1.07, 95% CI 1.03-1.11).</div></div><div><h3>Conclusion</h3><div>In this large study, neighborhood deprivation was associated with poor sleep and circadian health, particularly short and long sleep duration and high social jetlag. The neighborhood environment may be a useful target to improve sleep and circadian health and influence downstream health outcomes.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 486-494"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}