首页|Greenspace proximity in relation to sleep health among a racially and ethnically diverse cohort of US women

Greenspace proximity in relation to sleep health among a racially and ethnically diverse cohort of US women

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Sleep is essential for overall health. Greenspace may contribute to sleep health through, for instance, improving mood, reducing sleep disruptors (e.g., poor air quality), and promoting physical activity. Although greenspace likely differs across populations, few studies have included diverse populations. To investigate greenspace-sleep health associations, overall and by age, race and ethnicity, and socioeconomic status, we used data collected at enrollment (2003-2009) from women in the Sister Study (n = 1612 Hispanic/ Latina, n = 4421 non-Hispanic (NH)-Black, and n = 41,657 NH-White). Participants' geocoded home addresses were linked to NASA's Moderate Resolution Imaging Spectroradiometer Normalized Difference Vegetation Index data (250m resolution) to capture greenspace tertiles (further categorized as low/moderate vs. high). Participants reported seven sleep dimensions, which we assessed individually, along with a multidimensional sleep health measure (categories: favorable, moderate, poor). Adjusting for individual- and environmental/ neighborhood-level characteristics, we used Poisson regression with robust variance to estimate prevalence ratios and 95 % confidence intervals (PR[CI]). We tested for interaction and estimated age-, race and ethnicity-, and educational attainment category-specific associations. Among participants (mean ± SD age = 55.7 ± 9.0 years), those with low/moderate vs. high greenspace had a lower prevalence of favorable sleep (58 % vs. 66 %). After adjustment, low/moderate vs. high greenspace was associated with a 32 % higher prevalence of moderate (PR = 1.32 [1.27-1.38]) and 12 % higher prevalence of poor (PR = 1.12 [1.07-1.16]) vs. favorable sleep health. Magnitudes of associations were higher among NH-White women vs. minoritized racial-ethnic groups and women with higher vs. lower educational attainment. Higher greenspace was associated with favorable sleep, with stronger associations among groups with more social advantages.

GreenspaceNeighborhood environmentSleepHealth status disparitiesSocial classWomen

Symielle A. Gaston、Marina Sweeney、Shubhangi Patel、Viniece Jennings、Gregory N. Bratman、Erline Martinez-Miller、W. Braxton Jackson Ⅱ、Rena R. Jones、Peter James、Diana Grigsby-Toussaint、Dale P. Sandier、Chandra L. Jackson

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Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC, USA

DLH LLC, Bethesda, MD, USA

University of North Carolina, Chapel Hill, Chapel Hill, NC, USA

School of the Environment, Florida A&M University, Tallahassee, FL, USA

School of Environmental and Forest Sciences, University of Washington, Seattle, WA, USA

School of Environmental and Forest Sciences, University of Washington, Seattle, WA, USA||Department of Population and Data Sciences, University of Texas Southwestern Medical Center, Dallas, TX, USA

Occupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Rockville, MD, USA

Department of Public Health Sciences, University of California, Davis School of Medicine, Davis, CA, USA||Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA, USA||Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA

School of Public Health, Brown University, Providence, RI, USA

Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC, USA||Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA

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2025

Environmental research

Environmental research

SCI
ISSN:0013-9351
年,卷(期):2025.279(Pt.1)
  • 97