Neighborhood physical disorder, social cohesion, and insomnia: Results from participants over age 50 in the Health and Retirement Study

Lenis P. Chen-Edinboro, Christopher N. Kaufmann, Jura L. Augustinavicius, Ramin Mojtabai, Jeanine M. Parisi, Alexandra M.V. Wennberg, Michael T. Smith, Adam P. Spira

Research output: Contribution to journalArticle

Abstract

Background: We determined the association between neighborhood socio-environmental factors and insomnia symptoms in a nationally representative sample of US adults aged >50 years. Methods: Data were analyzed from two waves (2006 and 2010) of the Health and Retirement Study using 7,231 community-dwelling participants (3,054 men and 4,177 women) in the United States. Primary predictors were neighborhood physical disorder (e.g. vandalism/graffiti, feeling safe alone after dark, and cleanliness) and social cohesion (e.g. friendliness of people, availability of help when needed, etc.); outcomes were insomnia symptoms (trouble falling asleep, night awakenings, waking too early, and feeling unrested). Results: After adjustment for age, income, race, education, sex, chronic diseases, body mass index, depressive symptoms, smoking, and alcohol consumption, each one-unit increase in neighborhood physical disorder was associated with a greater odds of trouble falling asleep (odds ratio (OR) = 1.09, 95% confidence interval (CI): 1.04-1.14), waking too early (OR = 1.05, 95% CI: 1.00-1.10), and, in adults aged ≥69 years (adjusting for all variables above except age), feeling unrested in the morning (OR = 1.11, 95% CI: 1.02-1.22 in 2006). Each one-unit increase in lower social cohesion was associated with a greater odds of trouble falling asleep (OR = 1.06, 95% CI: 1.01-1.11) and feeling unrested (OR = 1.09, 95% CI: 1.04-1.15). Conclusions: Neighborhood-level factors of physical disorder and social cohesion are associated with insomnia symptoms in middle-aged and older adults. Neighborhood-level factors may affect sleep, and consequently health, in our aging population.

Original languageEnglish (US)
Pages (from-to)289-296
Number of pages8
JournalInternational psychogeriatrics
Volume27
Issue number2
DOIs
StatePublished - Jul 3 2015

Keywords

  • aging
  • epidemiology
  • insomnia
  • neighborhood
  • older adults
  • physical disorder
  • sleep
  • social cohesion

ASJC Scopus subject areas

  • Clinical Psychology
  • Gerontology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Neighborhood physical disorder, social cohesion, and insomnia: Results from participants over age 50 in the Health and Retirement Study'. Together they form a unique fingerprint.

  • Cite this