Posters of the 28th Annual Meeting of the Associated Professional Sleep Societies - THE ASSOCIATION OF SAFETY IN NEIGHBORHOOD AND HOME WITH SLEEP QUALITY IN A LATIN AMERICAN COUNTRY
Congreso
Autoría:
Guido Simonelli ; Sanjay Patel ; Solange Rodríguez Espínola ; Daniel Pérez Chada ; Agustín Salvia ; Daniel Cardinali ; VIGO, DANIEL EDUARDOFecha:
2014Editorial y Lugar de Edición:
American Academy of Sleep Medicine and the Sleep Research SocietyResumen *
Introduction Neighborhood social and physical environments have been linked to cardiovascular risk factors such as diabetes, hypertension, and obesity. The mechanism by which neighborhood impacts health risk is not completely clear. One possibility is that the effect may be mediated through effects on sleep. An unsafe neighborhood environment may create feelings of insecurity impairing the ability of residents to initiate and/or maintain sleep. We sought to assess the impact of feelings of safety in one?s neighborhood and home on sleep quality. Methods A cross-sectional survey with a face-to-face interview was conducted in October 2012, as part of the Argentine Social Debt Barometer (ASDB). ASBD reflects nationwide data from 5636 participants aged 18 years and older about different aspects of their life including sleep. The relationship between subjective sleep quality [SQ] (rated 1-4) and both neighborhood and house safety (feeling safe/unsafe) was analyzed using multivariate linear regression. Age, gender, neighborhood socioeconomic status, education and employment status were included as covariates. Results The prevalence of poor sleepers (SQ≤2) was 15.5%. A total of 51.0% felt unsafe in their neighborhood and 27.9% felt unsafe in their home. Feeling unsafe in one?s neighborhood was strongly associated with poorer SQ (Beta=-0.075, p<0.001) in multivariate analyses. The effect size was similar in magnitude to having a high school diploma (Beta=0.074, p<0.001) and almost twice in magnitude to being female (Beta=-0.041, p=0.004). In contrast, the effect of feeling unsafe in one?s own home was only two thirds as great (Beta=-0.05, p=0.002). Conclusion Our findings suggest feelings of safety may promote improved SQ. While both a sense of safety in one?s home and one?s neighborhood are associated with improved sleep, neighborhood safety appears to have a stronger impact. Further research is warranted to assess whether interventions addressing safety can be used to improve sleep and overall health. Información suministrada por el agente en SIGEVAPalabras Clave
PUBLIC HEALTHSAFETYSLEEP