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