Insomnia and urban neighbourhood contexts – are associations modified by individual social characteristics and change of residence? Results from a population-based study using residential histories

BMC Public Health

Nico Dragano³  Joachim Scheiner⁴  Andreas Stang⁵  Anja Viehmann⁶  Raimund Erbel¹  Johannes Siegrist³  Simone Weyers³  Barbara Hoffmann²  Kateryna Fuks²  Natalie Riedel³ 

[1] West German Heart Centre, University of Duisburg-Essen, University Hospital Essen, Essen, Germany;IUF- Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany, and Heinrich-Heine University of Düsseldorf, Medical Faculty, Düsseldorf, Germany;Institute of Medical Sociology, Heinrich Heine University of Düsseldorf, Düsseldorf, Germany;Faculty of Spatial Planning, Department of Transport Planning, TU Dortmund University, Dortmund, Germany;Institute of Clinical Epidemiology, Martin-Luther-University of Halle-Wittenberg, Halle, Germany;Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, University Hospital Essen, Essen, Germany

关键词: Change of residence.;    Social isolation;    Education;    Income;    Residential turnover;    Neighbourhood unemployment;    Insomnia;   

Others  :  1163053
DOI  :  10.1186/1471-2458-12-810

 received in 2012-05-16, accepted in 2012-09-13,  发布年份 2012

【 摘 要 】

Background

Until now, insomnia has not been much of interest in epidemiological neighbourhood studies, although literature provides evidence enough for insomnia-related mechanisms being potentially dependent on neighbourhood contexts. Besides, studies have shown differences in sleep along individual social characteristics that might render residents more vulnerable to neighbourhood contextual exposures. Given the role of exposure duration and changes in the relationship between neighbourhoods and health, we studied associations of neighbourhood unemployment and months under residential turnover with insomnia by covering ten years of residential history of nearly 3,000 urban residents in the Ruhr Area, Germany.

Methods

Individual data were retrieved from the Heinz Nixdorf Recall Study, a population-based study of randomly chosen participants from adjacent cities, which contains self-rated insomnia symptoms and individual social characteristics. Participants’ residential addresses were retrospectively assessed using public registries. We built individually derived exposure measures informing about mean neighbourhood unemployment rates and months under high residential turnover. These measures were major predictors in multivariate logistic regressions modelling the association between social neighbourhood characteristics and insomnia in the whole sample and subgroups defined by low income, low education, social isolation, and change of residence. Traffic-related noise, age, gender, economic activity, and education were considered as covariates.

Results

Nearly 12 per cent of the participants complained about insomnia. Associations of neighbourhood unemployment with insomnia were more consistent than those of residential turnover in the whole sample (adjusted OR 1.42, 95% CI 1.00-2.03 for neighbourhood unemployment and OR 1.33, 95% CI 0.78-2.25 for residential turnover in the highest exposure categories). In low-income and socially isolated participants, neighbourhood unemployment odds of reporting insomnia were particularly elevated (adjusted OR 2.90, 95% CI 1.39-6.02 and OR 3.32, 95% CI 1.11-9.96, respectively). Less educated participants displayed relatively high odds of reporting insomnia throughout all upper neighbourhood unemployment exposure categories. Change of residence weakened associations, whereas undisrupted exposure sharpened them by trend.

Conclusions

Our findings hint at multiple stressors being effective in both the neighbourhood context and individual resident, possibly reflecting precarious life situations undermining residents’ sleep and health chances. Moreover, our results suggest a temporal dependency in the association between neighbourhood and insomnia.

【 授权许可】

   
2012 Riedel et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Diez-Roux AV, Mair C: Neighbourhoods and health.Annals of the New York Academy of Sciences. Issue: The Biology of Disadvantage 2010, 1186:125-145.
• [2]Riemann D, Fischer J, Mayer G, Peter HJ: The Guidelines for ‘Non-Restorative Sleep’: Relevance of Diagnosis and Therapy of Insomnia. Somnologie 2003, 7:66-67.
• [3]Ohayon MM: Epidemiological Overview of Sleep Disorders in the General Population. Sleep Med Res 2011, 2:1-9.
• [4]Hale L, Do DP: Racial Differences in Self-Reports of Sleep Duration in a Population-Based Study. Sleep 2007, 30(9):1096-1103.
• [5]Hill TD, Burdette AM, Hale L: Neighbourhood disorder, sleep quality, and psychological distress: Testing a model of structural amplification. Health and Place 2009, 15:1006-1013.
• [6]Hale L, Hill TD, Burdette AM: Does sleep quality mediate the association between neighborhood disorder and self-rated physical health? Preventive Medicine 2010, 51:275-278.
• [7]Foley D, Ancoli-Israel S, Britz P, Walsh J: Sleep disturbances and chronic disease in older adults. Results of the 2003 National Sleep Foundation. Sleep in America Survey. J Psychosomatic Research 2004, 56:497-502.
• [8]Sivertsen B, Krokstad S, Øverland S, Mykletun A: The epidemiology of insomnia: Associations with physical and mental health. The HUNT-2 study. J Psychosomatic Research 2009, 67:109-116.
• [9]Crowley K: Sleep and Sleep Disorders in Older Adults. Neuropsychological Review 2011, 21:41-51.
• [10]Benham G: Sleep: An Important Factor in Stress-Health Models. Stress Heal 2010, 26:204-214.
• [11]Lenfant C: The interdependence of sleep and health – a commentary. Metab Clin Exp 2010, 55(Suppl 2):50-53.
• [12]Lenthe van F, Mackenbach JP: Aggregate deprivation and health. In Social inequalities in health. Edited by Siegrist J, Marmot M. Oxford: Oxford University; 2006:167-192.
• [13]Daniel M, Moore S, Kestens Y: Framing the biosocial pathways underlying associations between place and cardiometabolic disease. Health and Place 2008, 14:117-132.
• [14]WHO Europe: Environmental health inequalities in Europe. Assessment Report. 2012.
• [15]Gee GC, Payne-Sturges DC: Environmental Health Disparities: A Framework Integrating Psychosocial and Environmental Concepts. Environ Heal Perspect 2004, 112(17):1645-1653.
• [16]Linder SH, Sexton K: Conceptual Models for Cumulative Risk Assessment. Am J Public Health 2011, 101(Suppl 1):74-81.
• [17]Riva M, Gauvin L, Barnett TA: Toward the next generation of research into small area effects on health: a synthesis of multilevel investigations published since July 1998. J Epidemiol Community Health 2007, 61(10):853-861.
• [18]Braubach M: The health relevance of the immediate housing environment. In Housing and Health in Europe. The WHO LARES Project. Edited by Ormandy D. London and New York: Routledge; 2009:247-274.
• [19]Hale L, Do DP, Basurto-Davila R, Heron M, Finch BK, Dubowitz T, Lurie N, Bird CE: Does mental health history explain gender disparities in insomnia symptoms among young adults? Sleep Medicine 2009, 10:1118-1123.
• [20]Ross CE, Reynolds JR, Geis KJ: The contingent meaning of neighborhood stability for residents’ psychological well-being. Am Sociol Rev 2000, 65:581-597.
• [21]Boardman JD: Stress and physical health: The role of neighborhoods as mediating and moderating mechanisms. Soc Sci Med 2004, 58:2473-2583.
• [22]Chaix B, Rosvall M, Merlo J: Neighborhood socioeconomic deprivation and residential instability: effects on incidence of ischemic heart disease and survival after myocardial infarction. Epidemiology 2007, 18:104-111.
• [23]Brown D, Leyland AH: Population mobility, deprivation and self-reported limiting long-term illness in small areas across Scotland. Health and Place 2009, 15(1):37-44.
• [24]Brown D, Leyland AH: Scottish mortality rates 2000–2002 by deprivation and small area population mobility. Soc Sci Med 2010, 71(11):1951-1957.
• [25]Drukker M, Kaplan C, van Os J: Residential instability in socioeconomically deprived neighbourhoods, good or bad? Health and Place 2005, 11:121-129.
• [26]Ohayon MM: Epidemiology of insomnia: what we know and what we still need to learn. Clinical Review. Sleep Medicine Reviews 2002, 6(2):97-111.
• [27]Arber S, Bote R, Meadows R: Gender and socio-economic patterning of self-reported sleep problems in Britain. Soc Sci Med 2009, 68:281-289.
• [28]Grandner MA, Patel NP, Gehrman PR, Xie D, Sha D, Weaver T, Gooneratne N: Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints. Sleep Medicine 2010, 11:470-478.
• [29]Patel NP, Grandner MA, Xie D, Branas CC, Gooneratne N: ‘Sleep disparity’ in the population: poor sleep quality is strongly associated with poverty and ethnicity. BMC Publ Health 2010, 10:475. BioMed Central Full Text
• [30]Steptoe A, O’Donnell K, Marmot M, Wardle J: Positive affect, psychological well-being, and good sleep. J Psychosomatic Research 2008, 64:409-415.
• [31]Schmermund A, Möhlenkamp S, Stang A, Grönemeyer D, Seibel R, Hirche H, Mann K, Siffert W, Lauterbach K, Siegrist J, Jöckel KH, Erbel R: Assessment of clinically silent atherosclerotic disease and established and novel risk factors for predicting myocardial infarction and cardiac death in healthy middle-aged subjects: rationale and design of the Heinz Nixdorf RECALL Study. Risk Factors, Evaluation of Coronary Calcium and Lifestyle. Am Heart J 2002, 144:212-218.
• [32]Erbel R, Möhlenkamp S, Moebus S, Schmermund A, Lehmann N, Stang A, Dragano N, Grönemeyer D, Seibel R, Kälsch H, Bröcker-Preuss M, Mann K, Siegrist J, Jöckel KH: Coronary Risk Stratification, Discrimination, and Reclassification Improvement Based on Quantification of Subclinical Coronary Atherosclerosis. JACC 2010, 56:1397-1406.
• [33]Petzina D: The Ruhr Area: Historical Development. In Regional Structural Change and Industrial Policy in International Perspectives. Edited by Hesse JJ. Baden-Baden: Nomos, United States, Great Britain, France, Federal Republic of Germany; 1998.
• [34]Bronny HM, Jansen N, Wetterau B: The Ruhr Area. Structural Changes of an Outstanding European Region. Essen: Kommunalverband Ruhrgebiet; 2004.
• [35]Kunzmannn KR: Creative Brownfield Redevelopment: The Experience of the IBA Emscher Park Initiative in the Ruhr in Germany. In Recycling the City: The Use and Reuse of Urban Land. Edited by Greenstein R, Sungu-Eryrlmaz Y. Cambridge: Lincoln Institute of Land Policy; 2004:201-217.
• [36]Dragano N, Hoffmann B, Stang A, Moebus S, Verde PE, Weyers S, Möhlenkamp S, Schmermund A, Mann K, Jöckel KH, Erbel R, Siegrist J: Subclinical coronary atherosclerosis and neighbourhood deprivation in an urban region. Eur J Epidemiol 2009, 24:25-35.
• [37]Terschüren C, Mekel O, Samson R, Claßen TKD, Hornberg C, Fehr R: Health status of ‘Ruhr-City’ in 2025 – predicted disease burden for the metropolitan Ruhr area in North Rhine-Westphalia. Eur J Public Health 2009, 19(5):534-540.
• [38]Stang A, Moebus S, Dragano N, Beck EM, Möhlenkamp S, Schmermund A, Siegrist J, Erbel R, Jöckel KH: Baseline recruitment and analyses of nonresponse of the Heinz Nixdorf Recall Study: Identifiability of phone numbers as the major determinant of response. Eur J Epidemiol 2005, 20:489-496.
• [39]Siegrist J, Peter R, Junge A, Cremer P, Seidel D: Low status control, high effort at work and ischemic heart disease: prospective evidence from blue-collar men. Soc Sci Med 1990, 31:1127-1136.
• [40]Stang A, Dragano N, Poole C, Moebus S, Möhlenkamp S, Schmermund A, Siegrist J, Erbel R, Jöckel KH: Daily Siesta. Cardiovascular Risk Factors, and Measures of Subclinical Atherosclerosis: Results from the Heinz Nixdorf Recall Study. Sleep 2007, 30(9):1111-1119.
• [41]Jaussent I, Dauvilliers Y, Ancelin ML, Dartigues JF, Tavernier B, Touchon J, Ritchie K, Besset A: Insomnia Symptoms in Older Adults: Associated Factors and Gender Differences. American Journal of Geriatric Psychiatry 2011, 19:88-97.
• [42]Landesinstitut für Gesundheit und Arbeit: Schritte zu einer kleinräumigen Gesundheitsberichterstattung für Nordrhein-Westfalen. Anregungen für die kommunale Praxis am Beispiel Kinder- und Jugendgesundheit. Düsseldorf: LIGA.Praxis 1; 2008.
• [43]Weyers S, Dragano N, Moebus S, Beck EM, Stang A, Möhlenkamp S, Jöckel KH, Erbel R, Siegrist J: Low socio-economic position is associated with poor social networks and social support: results from the Heinz Nixdorf Recall Study. Int J Equity Health 2008, 5:7-13.
• [44]Berkman LF, Melchior M, Chastang JF, Niedhammer I, Leclerc A, Goldberg M: Social Integration and Mortality: A Prospective Study of French Employees of Electricity of France-Gas of France. The GAZEL Cohort. Am J Epidemiol 2004, 159(2):167-174.
• [45]Pirrera S, de Valck E, Cluydts R: Nocturnal road traffic noise: A review on its assessment and consequences on sleep and health. Environ Int 2010, 36:492-498.
• [46]Hesse M, Scheiner J: Residential Location, Mobility and the City: Mediating and Reproducing Social Inequity. In Mobilities and Inequality. Edited by Ohnmacht T, Maksim H, Bergman MM. London: Ashgate; 2009:188-206.
• [47]Braubach M, Fairburn J: Social Inequities in environmental risks associated with housing and residential location-a review of evidence. Eur J Public Health 2010, 20(1):36-42.
• [48]World Health Organisation Europe: Night Noise Guidelines for Europe. Copenhagen; 2009.
• [49]Musterd S, Murie A, Kesteloot C: (Eds): Neighbourhoods of Poverty: Urban Social Exclusion and Integration in Europe. Houndmills: Palgrave Macmillian; 2006.
• [50]Frohlich KL, Corin E, Potvin L: A theoretical proposal for the relationship between context and disease. Sociology of Health and Illness 2001, 23(6):776-797.
• [51]Bernard P, Charafeddine R, Frohlich KL, Daniel M, Kestens Y, Potvin L: Health inequalities and health. A theoretical conception of neighbourhood. Soc Sci Med 2007, 65:1839-1852.
• [52]Weyers S, Dragano N, Moebus S, Beck EM, Stang A, Möhlenkamp S, Jöckel KH, Erbel R, Siegrist J: Poor social relations and adverse health behaviour: stronger associations in low socioeconomic groups? Int J Public Health 2010, 55:17-23.
• [53]Musterd S, Ostendorf W: Social Exclusion, Segregation, and Neighbourhood Effects. In Cities of Europe. Edited by Kazepov Y. Oxford: Blackwell Publishing; 2005:170-189.
• [54]Hu P, Mason WM, Song S, Treiman DJ, Wang W: Differential of Insomnia Symptoms between Migrants and Non-migrants in China. On-Line Working Paper Series: California Center for Population Research Los Angeles; 2007:46.
• [55]Pickett KE, Pearl M: Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. J Epidemiol Community Health 2001, 55:111-122.
• [56]Jacquez GM, Slotnick MJ, Meliker JR, AvRuskin G, Copeland G, Nriagu J: Accuracy of Commercially Available Residential Histories for Epidemiologc Studies. Am J Epidemiol 2010, 173(2):236-243.
• [57]Do PD: The dynamics of income and neighbourhood context for population health: Do long-term measures of socioeconomic status explain more of the black/white health disparity than single-point-in-time-measures? Soc Sci Med 2009, 68:1368-1375.
• [58]Regidor E, Gutiérrez-Fisca JL, Ronda E, Calle ME, Martinéz D, Domínguez V: Impact of cumulative area-based adverse socioeconomic environment on body mass index and overweight. J Epidemiol Community Health 2008, 62:231-238.
• [59]Murray ET, Diez Roux AV, Carnthon M, Lustsey PL, Ni H, O’Meara ES: Trajectories of neighbourhood poverty and associations with subclinical atherosclerosis and associated risk factors. The Multi-Ethnic Study of Atherosclerosis. Am J Epidemiol 2010, 171(10):1099-1108.
• [60]Frohlich KL, Potvin L: The Inequality Paradox: The Population Approach and Vulnerable Populations. Am J Public Health 2008, 98(2):216-221.