Neighborhood environments and sleep among children and adolescents: A systematic review.

Neighborhood environments and sleep among children and adolescents: A systematic review.
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DOI:
10.1016/j.smrv.2021.101465
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发表时间:
2021-06
影响因子:
10.5
通讯作者:
Williamson AA
Williamson AA
中科院分区:
医学1区
文献类型:
--
作者:
Mayne SL;Mitchell JA;Virudachalam S;Fiks AG;Williamson AA

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了解儿童睡眠的主要环境决定因素对于提供干预措施和公共卫生举措至关重要。新出现的证据表明,邻里环境可能会影响儿童的睡眠,但这一证据尚未得到系统的审查。我们对关于社区环境与幼儿(0-5岁)、学龄儿童(6-12岁)和青少年(13-18岁)睡眠之间关系的科学文献进行了系统回顾。我们回顾了2003年至2020年间发表的85篇文章。最常检查的邻居暴露是低社会经济地位(40项研究),58%的研究与睡眠结果相关(主要是睡眠时间较短,睡眠时间较晚或阻塞性睡眠呼吸暂停)。邻里安全/犯罪/暴力的证据更强(21项研究),86%的研究报告与睡眠结果(主要是自我或他人报告的睡眠问题)有关。较少的研究调查了邻里物理环境暴露的相关性,包括噪音(15项研究),建筑环境(7项研究)和空气污染(6项研究)。现有证据的局限性包括:1)除社会经济地位或安全性外,对邻居暴露的检查有限; 2)主要采用横断面观察性研究设计; 3)缺乏客观的睡眠结果评估; 4)现有暴露评估方法的局限性。
Understanding salient environmental determinants of pediatric sleep is essential for informing interventions and public health initiatives. Emerging evidence suggests that the neighborhood environment can impact pediatric sleep, but this evidence has not yet been systematically reviewed. We conducted a systematic review of the scientific literature on associations between neighborhood environments and sleep in young children (0–5 years), school-aged children (6–12 years) and adolescents (13–18 years). We reviewed 85 articles published between 2003 and 2020. The most commonly examined neighborhood exposure was low socioeconomic status (40 studies), which was associated with sleep outcomes in 58% of studies (primarily shorter sleep duration, later sleep timing, or obstructive sleep apnea). Evidence was stronger for neighborhood safety/crime/violence (21 studies), with 86% of studies reporting associations with sleep outcomes (primarily self- or caregiver-reported sleep problems). Fewer studies examined associations of neighborhood physical environment exposures, including noise (15 studies), the built environment (seven studies), and air pollution (six studies). Limitations of the current body of evidence include 1) limited examination of neighborhood exposures other than socioeconomic status or safety, 2) use of primarily cross-sectional observational study designs, 3) lack of objective sleep outcome assessment, and 4) limits of current exposure assessment methods.
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