Does sleep quality mediate the association between neighborhood disorder and self-rated physical health?
Abstract
Objectives We examine the association between perceived neighborhood disorder and self-rated physical health. Building on previous research, we test whether this association is mediated by sleep quality.Methods We use data from the 2004 Survey of Texas Adults (n=1323) to estimate a series of ordinary least squares regression models. We formally assess mediation by testing for significant changes in the effect of neighborhood disorder before and after adjusting for sleep quality.Results We find that residence in a neighborhood that is perceived as noisy, unclean, and crime-ridden is associated with poorer self-rated physical health, even with controls for irregular exercise, poor diet quality, smoking, binge drinking, obesity and a host of relevant sociodemographic factors. Our results also indicate that the relationship between neighborhood disorder and self-rated physical health is partially mediated by lower sleep quality.Conclusion Targeted interventions designed to promote sleep quality in disadvantaged neighborhoods may help to improve the physical health of residents in the short-term. Policies aimed at solving the problem of neighborhood disorder are needed to support sleep quality and physical health in the long-term.
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Sleep quality may partially mediate the relationship between neighborhood quality and physical health.
“Furthermore, sleep quality may partially mediate the relationship between neighborhood quality and both mental227 and physical225 health.”
From Sleep, Health, and Society (2017) · cites this paper as [225]
Neighborhoods that are crime-ridden, not socially cohesive, and dirty are associated with worse sleep quality.
“Several studies have investigated the role of the neighborhood in an individual’s sleep quality, showing that neighborhoods that are crime-ridden, not socially cohesive, and dirty, are associated with worse sleep quality.224–227”
From Sleep, Health, and Society (2017) · cites this paper as [225]
Neighbourhoods perceived to be dirty, dangerous, and disconnected are home to individuals more likely to report poor sleep quality.
“Not only have studies shown that neighbourhoods that are perceived to be dirty, dangerous, and disconnected are also home to individuals more likely to report poor sleep quality (Hale & Do, 2006; Hale et al., 2010, 2013; Hill et al., 2009)”
From Addressing sleep disturbances: an opportunity to prevent cardiometabolic disease? (2014) · cites this paper as Hale et al., 2010
Increased poor sleep quality may partially mediate the detrimental effect that these neighbourhoods have on health.
“but this increased poor sleep quality may partially mediate the detrimental effect that these neighbourhoods have on health (Hale et al., 2010).”
From Addressing sleep disturbances: an opportunity to prevent cardiometabolic disease? (2014) · cites this paper as Hale et al., 2010
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“…and disconnected are also home to individuals more likely to report poor sleep quality (Hale & Do, 2006; Hale et al., 2010, 2013; Hill et al., 2009), but this increased poor sleep quality may partially mediate the detrimental effect that these neighbourhoods have on health (Hale et al., 2010).”
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- Authors
- Hale, L., Hill, T. D., & Burdette, A. M.
- Affiliations
- Stony Brook University (US)
- Florida State University (US)
- Corresponding author
- Hale, Lauren
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2010-09
- Volume
- 51
- Issue
- 3-4
- Pages
- 275-278
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W1988649608
- Cited by
- 140
- References
- 57
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 5 · 2023: 9 · 2022: 5 · 2021: 8 · 2020: 9 · 2019: 11 · 2018: 15 · 2017: 10 · 2016: 14 · 2015: 17 · 2014: 8 · 2013: 8 · 2012: 7
- FWCI
- 6.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Transportation › Urban Transport and Accessibility
- Keywords
- neighborhood disorder, sleep quality, self-rated physical health, mediation, crime, noise, neighborhood environment, health disparities, disadvantaged neighborhoods
- MeSH terms
- Adult, Crime, Female, Health Status, Health Surveys, Humans, Male, Noise, Residence Characteristics, Sleep, Sleep Deprivation, Socioeconomic Factors, Texas, Multivariate Analysis, Least-Squares Analysis, Diagnostic Self Evaluation
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