The association between neighborhood social cohesion and sleep duration in Latinos

Abstract

ABSTRACT Objectives To examine the association between neighborhood social cohesion and sleep duration among Latinos, and whether this association varies by Latino subgroup. Design We used cross-sectional data from the 2013–2015 National Health Interview Survey (NHIS) on 13,537 Latino adults aged ≥18 years originating from 5 countries/regions (i.e. Latinos of Mexican/Mexican-American, Puerto Rican, Dominican, Central or South American, and Cuban/Cuban-American origin). Multivariate logistic regression models were used to estimate the associations between neighborhood social cohesion and sleep duration, and whether associations varied by Latino subgroup. Results Among Mexicans/Mexican-Americans, medium and high levels of neighborhood social cohesion were associated with normal sleep duration, relative to short sleep duration (Odds Ratio [OR]: 1.31; 95% Confidence Interval [CI]: 1.08–1.57, and OR: 1.46; 95% CI: 1.26–1.69, respectively). Among Puerto Ricans, Cubans/Cuban Americans, and Central or South Americans, high neighborhood social cohesion was significantly associated with normal sleep duration (OR: 1.53; 95% Confidence Interval [CI]: 1.10–2.11, OR: 1.94; 95% CI: 1.10–3.42, and OR: 1.78; 95% CI: 1.35–2.34, respectively). Conclusions The variation in the contribution of neighborhood social cohesion to sleep duration by Latino subgroup should be considered in health promotion programs aimed at improving sleep among Latinos.