The perceived neighborhood walking environment and self-reported sleep health in a nationally representative sample of the United States

• Type of Material: Article
• Authors: Dzifa Adjaye-Gbewonyo, Centers for Disease Control and Prevention; Amanda E. Ng, Centers for Disease Control and Prevention; Chandra L. Jackson, National Institutes of Health; Dayna A. Johnson, Emory University
• Language: English
• Date: 2023-06-27
• Publisher: Elsevier
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2023 Published by Elsevier Ltd.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): https://doi.org/10.1016/j.healthplace.2023.103066
• Title of Journal or Parent Work: Health and Place
• Volume: 83
• Start Page: 103066
• Grant/Funding Information: This work was funded, in part, by the Intramural Program at the NIH, National Institute of Environmental Health Sciences (Z1AES103325, Dr. Jackson) and the National Heart, Lung, and Blood Institute (K01HL138211, Dr. Johnson).
• Keywords: National health interview survey; Social environment; Sleep health; Sleep quality; Built environment; Walkability
• Research Categories: Health Sciences, Epidemiology; Health Sciences, Public Health

Abstract

Neighborhood environment can influence sleep health; yet, there is a lack of data on specific environment features in nationally representative samples. We used the 2020 National Health Interview Survey to determine associations between perceived built and social environment factors related to pedestrian access (walking paths, sidewalks), amenities (shops, transit stops, entertainment/services, places to relax), and unsafe walking conditions (traffic, crime) and self-reported sleep duration and disturbances. Places to relax and pedestrian access were associated with better sleep health while unsafe walking conditions were associated with worse sleep health. Access to amenities (shops, transit stops, entertainment venues) had null associations with sleep health.