ArticleSleep health2025
The impact of neighborhood deprivation on sleep and circadian health in a large US cohort.
Article in Sleep health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Environmental Determinants of Sleep and Hypertension: A Critical Review of Evidence and Mechanisms.Current hypertension reports · 2026Review
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9 authors.
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Abstract
introductionResearch on neighborhood socioeconomic conditions and sleep and circadian health shows inconsistent findings. Small sample sizes and few sleep measures may have limited prior studies. In a large cohort, we examined the association between neighborhood deprivation and sleep and circadian health.
methodsThe Cancer Prevention Study-3 is a prospective cohort of US adults enrolled in 2006-2013. The Neighborhood Deprivation Index (NDI) was derived using principal components analysis of census tract--level American Community Survey data and was linked to participants' geocoded address at baseline. Participants (N = 180,379) self-reported their sleep duration, sleep midpoint, social jetlag, sleep quality, and chronotype on the 2015 or 2018 follow-up survey. Linear or logistic regression was used to estimate associations between NDI in quintiles and each outcome.
resultsCompared with the least deprived neighborhoods, living in the most deprived neighborhoods was associated with a higher odds of short (<7 hours) and long (>9 hours) sleep duration (short: odds ratio [OR] = 1.23, 95% confidence interval [CI] 1.17-1.30; long: OR = 1.08, 95% CI 1.04-1.13). Neighborhood deprivation was also associated with a 4.84-minute later sleep midpoint (beta = 4.84, 95% CI 2.77-6.91), high (>120 minutes) social jetlag (OR = 1.38, 95% CI 1.30-1.48), poor sleep quality (OR = 1.04, 95% CI 1.00-1.09), and having an evening chronotype (OR = 1.07, 95% CI 1.03-1.11).
conclusionIn this large study, neighborhood deprivation was associated with poor sleep and circadian health, particularly short and long sleep duration and high social jetlag. The neighborhood environment may be a useful target to improve sleep and circadian health and influence downstream health outcomes.
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