Racial and Ethnic Disparities in the Perceived Neighborhood Walking Environment and Self-reported Sleep Health: a Nationally Representative Sample of the United States.

Details

• Alternative Title:
  Sleep Health, 2025, v. 11, no. 4: Racial and Ethnic Disparities in the Perceived Neighborhood Walking Environment and Self-reported Sleep Health: a Nationally Representative Sample of the United States.
• Journal Article:
  Sleep Health
• Personal Author:
  Adjaye-Gbewonyo, Dzifa ; Ng, Amanda E. ; Johnson, Dayna A. ; Jackson, Chandra L.
• Description:
  To identify associations between perceived neighborhood walkability and sleep across racial and ethnic groups of US adults.
  
  Data from the 2020 National Health Interview Survey (N=27,521) were used to assess self-reported measures of walkability (pedestrian access, accessible amenities, unsafe walking conditions) and sleep (short and long duration; frequency of waking up unrested, trouble falling and staying asleep, sleep medication use). Stratified by racial and ethnic group, we calculated the age-adjusted prevalence of neighborhood walkability features and sleep measures and estimated prevalence ratios assessing associations between neighborhood walkability and sleep while adjusting for sociodemographic and health covariates.
  
  The prevalence of unsafe walking conditions due to crime was lowest among non-Hispanic White adults (6.9%), and access to places to relax was lowest among non-Hispanic Black adults (72.5%). The prevalence of short sleep duration was highest among non-Hispanic Black adults (37.9%). Neighborhood environment features had differential associations with sleep when stratified by race and ethnicity. For example, walking path access was related to lower sleep medication use among non-Hispanic Asian adults (adjusted prevalence ratio (aPR): 0.42, 95% CI: 0.19-0.91) but greater use among non-Hispanic White adults (aPR: 1.24, 95% CI: 1.05-1.46). More associations were observed among non-Hispanic White adults than other groups; and the strongest magnitude of association was observed among non-Hispanic Asian adults (traffic and sleep medication aPR: 0.31, 95% CI: 0.12-0.84).
  
  Associations between the neighborhood environment and sleep vary and may be inconsistent by race and ethnicity. Future research may help identify determinants.
• Content Notes:
  Author manuscript
• Subjects:
  • Adolescent
  • Adult
  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Young Adult
  • Environment Design
  • Ethnicity
  More +
• Keywords:
  • Health disparities
  • Sleep duration
  • Sleep disturbances
  • Walkability
  • Built environment
  • National Health Interview Survey
• Source:
  Sleep Health, 2025, v. 11, no. 4
• DOI:
  https://doi.org/10.1016/j.sleh.2025.01.010
• ISSN:
  2352-7218 ; 2352-7226
• Pubmed ID:
  40074608
• Pubmed Central ID:
  PMC12353628
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; ZIA ES103325/ImNIH/Intramural NIH HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  495-505 (24 pdf pages)
• Volume:
  11
• Issue:
  4
• Download URL:
  https://stacks.cdc.gov/view/cdc/261603/cdc_261603_DS1.pdf
• File Type:
  [PDF - 862.24 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:5e92938059bf133bff201ed7ff14a85678df56140d16a39d6f24df7596973139dc6437e0c0395156b412d616ba470b16c42efbf5fc87dbc3b346b58da8366310