Key result
Greater neighborhood safety links to less sleep disturbance and higher sleep efficiency in urban AI/AN adolescents.
Why the study?
To examine the association between neighborhood social environment and sleep among urban American Indian and Alaska Native adolescents, along with the moderating role of cultural factors.
Cross-Sectional (n=133)
Effect estimate: b = -2.17
p-value: p=0.008
Higher perceived neighborhood safety is associated with better sleep outcomes among urban AI/AN adolescents, with cultural factors moderating these effects.
May guide community sleep interventions in urban AI/AN youth; leaves open causality pending longitudinal studies.
OBJECTIVE: This study examined the association between neighborhood social environment and sleep among urban American Indian and Alaska Native (AI/AN) adolescents as well as the moderating role of cultural factors in this association. METHOD: = 1.35). Perceived neighborhood social environment included safety and cohesion. Cultural factors included AI/AN cultural identification and historical loss. Sleep duration, efficiency, and wake after sleep onset (WASO) were measured via actigraphy. Sleep disturbance was measured via a questionnaire. Specifically, both neighborhood safety and cohesion were associated with lower sleep disturbance, only among individuals reporting higher levels of AI/AN cultural identification. Further, neighborhood safety was associated with greater sleep efficiency and lower WASO (i.e., better sleep) only among adolescents with higher contemplation of historical loss. CONCLUSIONS: Findings highlight the importance of considering cultural factors in addressing sleep and health disparities. AI/AN cultural identification and a sense of historical loss may be important targets for identifying adolescents who might benefit the most from policies and interventions focused on improving the social environment in order to improve sleep and other health outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Mousavi et al. (2023) conducted a cross-sectional in Sleep outcomes in urban American Indian and Alaska Native adolescents (n=133). Neighborhood safety and cohesion was evaluated on Sleep disturbance (b = -2.17, p=0.008). Greater neighborhood safety was significantly associated with lower sleep disturbance (b = -2.17), higher sleep efficiency (b = 1.75), and lower wake after sleep onset among urban AI/AN adolescents.
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