TY - JOUR PY - 2010// TI - Does sleep quality mediate the association between neighborhood disorder and self-rated physical health? JO - Preventive medicine A1 - Hale, Lauren A1 - Hill, Terrence D. A1 - Burdette, Amy M. SP - 275 EP - 278 VL - 51 IS - 3-4 N2 - 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=1,323) 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.

Language: en

LA - en SN - 0091-7435 UR - http://dx.doi.org/10.1016/j.ypmed.2010.06.017 ID - ref1 ER -