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- Title
Sleep and neighborhood socioeconomic status: a micro longitudinal study of chronic low-back pain and pain-free individuals.
- Authors
Rumble, Deanna D.; O'Neal, Katherine; Overstreet, Demario S.; Penn, Terence M.; Jackson, Pamela; Aroke, Edwin N.; Sims, Andrew M.; King, Annabel L.; Hasan, Fariha N.; Quinn, Tammie L.; Long, D. Leann; Sorge, Robert E.; Goodin, Burel R.
- Abstract
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.
- Subjects
UNITED States; LUMBAR pain; CHRONIC pain; POPULATION geography; POLYSOMNOGRAPHY; ACTIGRAPHY; REGRESSION analysis; SLEEP; SOCIOECONOMIC factors; T-test (Statistics); DESCRIPTIVE statistics; DATA analysis software; STATISTICAL correlation; LONGITUDINAL method
- Publication
Journal of Behavioral Medicine, 2021, Vol 44, Issue 6, p811
- ISSN
0160-7715
- Publication type
Article
- DOI
10.1007/s10865-021-00234-w