Environmental Determinants of Insufficient Sleep and Sleep Disorders: Implications for Population Health.

Environmental Determinants of Insufficient Sleep and Sleep Disorders: Implications for Population Health.
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DOI:
10.1007/s40471-018-0139-y
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发表时间:
2018-06
影响因子:
3.3
通讯作者:
Hale L
Hale L
中科院分区:
医学4区
文献类型:
--
作者:
Johnson DA;Billings ME;Hale L

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睡眠对整体健康和幸福很重要。睡眠不足和睡眠障碍在成人和儿童中非常普遍,因此是一种公共卫生负担,特别是因为睡眠不足与不良健康结果有关。新出现的证据表明,家庭和社区层面的环境因素可以改变健康的睡眠。本文将回顾近年来有关成人以及儿童和青少年睡眠的环境决定因素的文献,并讨论推进环境与睡眠研究的机遇和挑战。流行病学研究表明,环境、家庭、社会凝聚力、安全、噪音和邻里关系障碍等社会特征可以塑造和/或影响睡眠模式;光、噪音、交通、污染和步行能力等物理特征也会影响睡眠,并与成人和儿童的睡眠障碍有关。以前的研究主要测量环境的一个方面,依赖于自我报告的睡眠,这与客观测量结果没有很好的相关性,并调查了横截面的关联。虽然大多数研究是在非西班牙裔白色人群中进行的,但越来越多的证据表明,少数民族人群特别容易受到环境对睡眠不足和睡眠障碍的影响。有明确的证据表明,环境因素与睡眠不足和睡眠障碍有关。然而,还需要更多的研究来评估哪些环境因素以及如何影响睡眠健康。应该开发、测试和评估针对环境变化以促进健康睡眠的干预措施,作为改善睡眠健康差异和随后的健康差异的可能途径。
Sleep is important for overall health and well-being. Insufficient sleep and sleep disorders are highly prevalent among adults and children and therefore a public health burden, particularly because poor sleep is associated with adverse health outcomes. Emerging evidence has demonstrated that environmental factors at the household- and neighborhood-level can alter healthy sleep. This paper will review recent literature on the environmental determinants of sleep among adults as well as children and adolescents; and discuss the opportunities and challenges for advancing research on the environment and sleep. Epidemiologic research has shown that social features of environments, family, social cohesion, safety, noise, and neighborhood disorder can shape and/or impact sleep patterns; and physical features such as light, noise, traffic, pollution, and walkability can also influence sleep and is related to sleep disorders among adults and children. Prior research has mainly measured one aspect of the environment, relied on self-reported sleep, which does not correlate well with objective measures, and investigated cross-sectional associations. Although most studies are conducted among non-Hispanic white populations, there is growing evidence that indicates that minority populations are particularly vulnerable to the effects of the environment on insufficient sleep and sleep disorders. There is clear evidence that environmental factors are associated with insufficient sleep and sleep disorders. However, more research is warranted to evaluate how and which environmental factors contribute to sleep health. Interventions that target changes in the environment to promote healthy sleep should be developed, tested, and evaluated as a possible pathway for ameliorating sleep health disparities and subsequently health disparities.
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