Neighborhood Disadvantage Is Associated with Lower Quality Sleep and More Variability in Sleep Duration among Urban Adolescents

Nicole G. Nahmod, Lindsay Master, Heather F. McClintock, Lauren Hale, Orfeu M. Buxton

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Differential social and contextual environments may contribute to adolescent sleep disparities, yet most prior studies are limited to self-reported sleep data and have not been conducted at a national level, limiting the variation in neighborhood contexts. This study examined the association between neighborhood disadvantage and objective measures of adolescent sleep. A racially and geographically diverse sample of American adolescents (N = 682) wore wrist-worn accelerometers, “actigraphs,” for ≥ 5 nights. Neighborhood disadvantage was calculated using a standardized index of neighborhood characteristics (proportion of female-headed households, public assistance recipients, households in poverty, adults without high school degrees, and unemployed). Adolescents in more disadvantaged neighborhoods spent more time awake after falling asleep (4.0 min/night, p <.05), a greater percentage of nighttime sleep intervals awake (1%, p <.01), and had less consistent sleep duration (11.6% higher standard deviation, p <.05). Sleep duration and timing did not differ across neighborhood groups. These findings demonstrate that adolescents who live in more disadvantaged neighborhoods have lower quality, less consistent sleep.

Original languageEnglish (US)
Pages (from-to)102-115
Number of pages14
JournalJournal of Urban Health
Volume99
Issue number1
DOIs
StatePublished - Feb 2022

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Urban Studies
  • Public Health, Environmental and Occupational Health

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