TY - JOUR
T1 - Sleep and neighborhood socioeconomic status
T2 - a micro longitudinal study of chronic low-back pain and pain-free individuals
AU - Rumble, Deanna D.
AU - O’Neal, Katherine
AU - Overstreet, Demario S.
AU - Penn, Terence M.
AU - Jackson, Pamela
AU - Aroke, Edwin N.
AU - Sims, Andrew M.
AU - King, Annabel L.
AU - Hasan, Fariha N.
AU - Quinn, Tammie L.
AU - Long, D. Leann
AU - Sorge, Robert E.
AU - Goodin, Burel R.
N1 - Funding Information:
This work was supported by Examining Racial And SocioEconomic Disparities in cLBP; ERASED; R01MD010441.
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/12
Y1 - 2021/12
N2 - Individuals with chronic low back pain (cLBP) frequently report sleep disturbances. Living in a neighborhood characterized by low-socioeconomic status (SES) is associated with a variety of negative health outcomes, including poor sleep. Whether low-neighborhood SES exacerbates sleep disturbances of people with cLBP, relative to pain-free individuals, has not previously been observed. This study compared associations between neighborhood-level SES, pain-status (cLBP vs. pain-free), and daily sleep metrics in 117 adults (cLBP = 82, pain-free = 35). Neighborhood-level SES was gathered from Neighborhood Atlas, which provides a composite measurement of overall neighborhood deprivation (e.g. area deprivation index). Individuals completed home sleep monitoring for 7-consecutive days/nights. Neighborhood SES and pain-status were tested as predictors of actigraphic sleep variables (e.g., sleep efficiency). Analyses revealed neighborhood-level SES and neighborhood-level SES*pain-status interaction significantly impacted objective sleep quality. These findings provide initial support for the negative impact of low neighborhood-level SES and chronic pain on sleep quality.
AB - Individuals with chronic low back pain (cLBP) frequently report sleep disturbances. Living in a neighborhood characterized by low-socioeconomic status (SES) is associated with a variety of negative health outcomes, including poor sleep. Whether low-neighborhood SES exacerbates sleep disturbances of people with cLBP, relative to pain-free individuals, has not previously been observed. This study compared associations between neighborhood-level SES, pain-status (cLBP vs. pain-free), and daily sleep metrics in 117 adults (cLBP = 82, pain-free = 35). Neighborhood-level SES was gathered from Neighborhood Atlas, which provides a composite measurement of overall neighborhood deprivation (e.g. area deprivation index). Individuals completed home sleep monitoring for 7-consecutive days/nights. Neighborhood SES and pain-status were tested as predictors of actigraphic sleep variables (e.g., sleep efficiency). Analyses revealed neighborhood-level SES and neighborhood-level SES*pain-status interaction significantly impacted objective sleep quality. These findings provide initial support for the negative impact of low neighborhood-level SES and chronic pain on sleep quality.
KW - Chronic low back pain
KW - Neighborhood area deprivation
KW - Sleep
KW - Sociocultural influences on health and illness
KW - Socioeconomic status
UR - http://www.scopus.com/inward/record.url?scp=85107512476&partnerID=8YFLogxK
U2 - 10.1007/s10865-021-00234-w
DO - 10.1007/s10865-021-00234-w
M3 - Article
C2 - 34106368
AN - SCOPUS:85107512476
SN - 0160-7715
VL - 44
SP - 811
EP - 821
JO - Journal of Behavioral Medicine
JF - Journal of Behavioral Medicine
IS - 6
ER -