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Sleep and neighborhood socioeconomic status: a micro longitudinal study of chronic low-back pain and pain-free individuals

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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.

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Data availability

The data that support the findings of this study are available from the corresponding author, upon reasonable request.

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Funding

This work was supported by Examining Racial And SocioEconomic Disparities in cLBP; ERASED; R01MD010441.

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Authors and Affiliations

  1. Department of Psychology, University of Alabama at Birmingham, 1300 University Boulevard, Campbell Hall, Room 237B, Birmingham, AL, 35294, USA

    Deanna D. Rumble, Demario S. Overstreet, Terence M. Penn, Annabel L. King, Fariha N. Hasan, Tammie L. Quinn, Robert E. Sorge & Burel R. Goodin

  2. Department of Biology, Samford University, Homewood, AL, USA

    Katherine O’Neal

  3. School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA

    Pamela Jackson & Edwin N. Aroke

  4. Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA

    Andrew M. Sims & D. Leann Long

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  1. Deanna D. Rumble
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Contributions

All authors were fully involved in the study and preparation of the manuscript, each of the authors has read and concurs with the content in the final manuscript.

Corresponding author

Correspondence to Deanna D. Rumble.

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Conflict of interest

Deanna D. Rumble declare that they have no conflict of interest. Katherine O’Neal declare that they have no conflict of interest. Demario S. Overstreet declare that they have no conflict of interest. Terence M. Penn declare that they have no conflict of interest. Pamela Jackson declare that they have no conflict of interest. Edwin N. Aroke declare that they have no conflict of interest. Andrew M. Sims declare that they have no conflict of interest. Annabel L. King declare that they have no conflict of interest. Fariha N. Hasan declare that they have no conflict of interest. Tammie L. Quinn declare that they have no conflict of interest. D. Leann Long declare that they have no conflict of interest. Robert E. Sorge declare that they have no conflict of interest. Burel R. Goodin declare that they have no conflict of interest.

Ethics approval

It was reviewed and approved the Institutional Review Board at [Anon] (IRB-170119003) and carried out in a manner consistent with ethical research guidelines and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards; written informed consent was obtained from all individual participants included in the study.

Human and animal rights

All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.

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Written informed consent was obtained from all individual participants included in the study.

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Rumble, D.D., O’Neal, K., Overstreet, D.S. et al. Sleep and neighborhood socioeconomic status: a micro longitudinal study of chronic low-back pain and pain-free individuals. J Behav Med 44, 811–821 (2021). https://doi.org/10.1007/s10865-021-00234-w

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  • DOI: https://doi.org/10.1007/s10865-021-00234-w

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