142nd APHA Annual Meeting and Exposition

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Sleep and the housing and neighborhood environment of urban Latino adults living in low-income housing: The AHOME Study

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 8:50 AM - 9:10 AM

Margaret Pichardo, M.P.H. , Program in Public Health, Department of Preventive Medicine, Stony Brook University, Stony Brook, NY
Emily Rosenbaum, Ph.D. , Department of Sociology and Anthropology, Fordham University, Bronx, NY
Earle C. Chambers, PhD, MPH , Department of Family and Social Medicine, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY
Background

Latinos are at increased risk for many chronic diseases for which inadequate sleep may be an important risk factor. While many Latinos in the U.S. live in low-income areas that lack the resources to support a healthy lifestyle, little is known about the living conditions in these areas that may influence sleep. The purpose of this study was to examine whether housing and neighborhood conditions were associated with sleep outcomes among Latino adults living in low-income housing.

Measurements

Latino adults eligible for federal housing rental assistance and living in low-income housing in the Bronx, New York were recruited between 2010- 2012 (n=370). Household crowding and neighborhood physical and social disorder were measured using a composite score of questionnaire items asked during the in-home interview. Sleep outcomes included self-reported sleep quality, short (<6.5 h) and long sleep duration (≥8.5 h), sleep disturbances (mean score), and sleep latency (≥3 nights/week).

Results

Household crowding was positively associated with short sleep duration (p<.01), poor sleep quality (p<.01), and frequency of sleep disturbance (p<.01). Neighborhood physical disorder was associated with sleep disturbance (b=.132, p<.05) and poor sleep quality (OR=1.75, 95% CI=1.17-2.62). Neighborhood social disorder was associated with increased sleep disturbances (b=.140, p<.05), poor sleep quality (OR=1.87, 95% CI= 1.28-2.74), and sleep latency (OR=1.45, 95% CI= 1.10-2.08). Perceived building problems were associated with sleep disturbance (b=.159, p<.05), poor sleep quality (OR=2.01, 95% CI=1.28-3.17), and sleep latency (OR=1.74, 95% CI= 1.13-2.67).

Conclusion

Adverse conditions of both the housing and neighborhood environments can undermine adequate sleep.

Learning Areas:

Epidemiology
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the relationship between perceived household crowding and four sleep outcomes. Describe the relationship between neighborhood social and physical characteristics and sleep.

Keyword(s): Latinos, Low-Income

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I graduated with an MPH degree, with a concentration in evaluative sciences (quantitative and qualitative research). I have worked and collaborated extensively with Dr. Earle Chambers including, the data collection process (conducting interviews for the AHOME stud), performing data analysis, and writing of this abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.