Abstract
Abstract Introduction Short sleep duration is associated with the risk of various chronic diseases, and it has been hypothesized to influence health behaviors and environmental exposure such as green space and noise. However, little studies have explored this relationship, especially with the consideration of the integrated environment information. The purpose of this study is to examine the influence of environmental exposure and individuals’ health behavior on sleep duration. Methods We examined aggregate national-level datasets regarding health information, noise, and green space. Sleep, health behavior, and socio-demographic variables were derived from 500 cities data, and the unit of analysis was the prevalence of each variable in the census tract. The insufficient sleep was calculated by the percentage of the population who had less than 7 hours of sleep in the census block. Spatial analysis was performed for green space and noise measurement; both values were calculated within the community activity space, which is a combined area with the census urban area and census place to examine the potential activity space. Multiple linear regression analysis was performed to model the relationship. Results The final sample was 29,610 census tracts from 497 cities, and the average median age of each census tract was 36.02±7.085. 36.64% of insufficient sleep was reported from the entire sample. The model (R2=0.804) indicate that green space (β=-.053, p<.001) and natural noise (β=-.029, p<.001) has negatively associated with insufficient sleep; while, smoker (β=.374, p<.001), binge drinker (β=.105, p<.001), no leisure physical activity time (β=.111, p<.001), and artificial noise (β=.034, p<.001) has positive association with insufficient sleep. Conclusion The results indicate that a better environment source in the community mitigates the insufficient sleep population as well as individual health behavior. Further studies are needed, however, to fully disentangle the association between sleep duration and sleep quality associated with other environmental exposure. Support N/A
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