Sleep insufficiency and the natural environment: Results from the US Behavioral Risk Factor Surveillance System survey |
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| Affiliation: | 1. Department of Kinesiology and Community Health, Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, United States;2. Global Health and Social Medicine, Harvard Medical School, Boston, MA, United States;3. Bouve College of Health Sciences, Northeastern University, Boston, MA, United States;4. Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, United States;5. Department of Geography, University of Illinois at Urbana-Champaign, Champaign, IL, United States;6. Center for Healthful Behavioral Change, Department of Population Health, New York University School of Medicine, New York, NY, United States;1. Division of Sleep and Circadian Disorders, Brigham and Women''s Hospital and Harvard Medical School, 221 Longwood Ave BLI 225, Boston, MA 02115, USA;2. Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights 2649B SPH 1, Ann Arbor, MI 48109, USA;3. Department of Neurology, University of Michigan, 1920 Taubman Center, Ann Arbor, MI 48109, USA;4. Department of Emergency Medicine, University of Michigan, Ann Arbor, MI 48109, USA;5. Stroke Program, University of Michigan, 1500 E Medical Center Dr CVC 3393, Ann Arbor, MI 48109, USA;1. Institute for Social Science Research, Long Pocket Precinct, The University of Queensland, Queensland 4068, Australia;2. Cities Research Centre, Gold Coast Campus, Griffith University, Queensland 4222, Australia |
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| Abstract: | BackgroundExposure to the natural environment may improve health behaviors and mental health outcomes such as increased levels of physical activity and lower levels of depression associated with sleep quality. Little is known about the relationship between insufficient sleep and the natural environment.PurposeTo determine whether exposure to attributes of the natural environment (e.g., greenspace) attenuates the likelihood of reporting insufficient sleep among US adults.MethodsMultiple logistic regression models were used to explore the association between self-reported days of insufficient sleep (in the past 30 days) and access to the natural environment in a multi-ethnic, nationally representative sample (n = 255,171) of US adults ≥ 18 years of age enrolled in the 2010 Behavioral Risk Factor Surveillance System.ResultsUsing 1-to-6 days of insufficient sleep as the referent group for all analyses, lower odds of exposure to natural amenities were observed for individuals reporting 21-to-29 days (OR = 0.843, 95% confidence interval (CI) = 0.747, 0.951) of insufficient sleep. In stratified analyses, statistically significant lower odds of exposure to natural amenities were found among men reporting 7-to-13-days (OR = 0.911, 95% CI = 0.857, 0.968), 21-to-29-days (OR = 0.838, 95% CI = 0.759, 0.924), and 30-days (OR = 0.860, 95% CI = 0.784, 0.943) of insufficient sleep. Greenspace access was also protective against insufficient sleep for men and individuals aged 65 +.ConclusionsIn a representative sample of US adults, access to the natural environment attenuated the likelihood of reporting insufficient sleep, particularly among men. Additional studies are needed to examine the impact of natural environment exposure on sleep insufficiency across various socio-demographic groups. |
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