ArticleEnvironmental research2025
Greenspace proximity in relation to sleep health among a racially and ethnically diverse cohort of US women.
Article in Environmental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Environmental, social, and health burdens in relation to sleep-disordered breathing among patients of community-based health center clinics in the United States.Sleep medicine · 2026Article
- Environmental, Social, and Health Burdens in relation to Sleep-Disordered Breathing among Patients of Community-Based Health Centers in the United States.medRxiv : the preprint server for health sciences · 2025Article
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Authors and funding
12 authors.
Funding
Abstract
Sleep is essential for overall health. Greenspace may contribute to sleep health through, for instance, improving mood, reducing sleep disruptors (e.g., poor air quality), and promoting physical activity. Although greenspace likely differs across populations, few studies have included diverse populations. To investigate greenspace-sleep health associations, overall and by age, race and ethnicity, and socioeconomic status, we used data collected at enrollment (2003-2009) from women in the Sister Study (n = 1612 Hispanic/Latina, n = 4421 non-Hispanic (NH)-Black, and n = 41,657 NH-White). Participants' geocoded home addresses were linked to NASA's Moderate Resolution Imaging Spectroradiometer Normalized Difference Vegetation Index data (250m resolution) to capture greenspace tertiles (further categorized as low/moderate vs. high). Participants reported seven sleep dimensions, which we assessed individually, along with a multidimensional sleep health measure (categories: favorable, moderate, poor). Adjusting for individual- and environmental/neighborhood-level characteristics, we used Poisson regression with robust variance to estimate prevalence ratios and 95 % confidence intervals (PR[CI]). We tested for interaction and estimated age-, race and ethnicity-, and educational attainment category-specific associations. Among participants (mean ± SD age = 55.7 ± 9.0 years), those with low/moderate vs. high greenspace had a lower prevalence of favorable sleep (58 % vs. 66 %). After adjustment, low/moderate vs. high greenspace was associated with a 32 % higher prevalence of moderate (PR = 1.32 [1.27-1.38]) and 12 % higher prevalence of poor (PR = 1.12 [1.07-1.16]) vs. favorable sleep health. Magnitudes of associations were higher among NH-White women vs. minoritized racial-ethnic groups and women with higher vs. lower educational attainment. Higher greenspace was associated with favorable sleep, with stronger associations among groups with more social advantages.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.