Impact of Residential Green Space on Sleep Quality and Sufficiency in Children and Adolescents Residing in Australia and Germany

Xiaoqi Feng, Claudia Flexeder, Iana Markevych, Marie Standl, Joachim Heinrich, Tamara Schikowski, Sibylle Koletzko, Gunda Herberth, Carl-Peter Bauer, Andrea von Berg, Dietrich Berdel and Thomas Astell-Burt
Additional contact information
Xiaoqi Feng: School of Public Health and Community Medicine, Faculty of Medicine, UNSW, Sydney NSW 2052, Australia
Claudia Flexeder: Institute of Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Ingolstädter Landstraße 1, 85764 Neuherberg, Germany
Iana Markevych: Institute of Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Ingolstädter Landstraße 1, 85764 Neuherberg, Germany
Marie Standl: Institute of Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Ingolstädter Landstraße 1, 85764 Neuherberg, Germany
Joachim Heinrich: Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Ziemssenstraße 1, 80336 Munich, Germany
Tamara Schikowski: IUF, Leibniz Research Institute for Environmental Medicine, 40225 Düsseldorf, Germany
Sibylle Koletzko: Department of Pediatrics, Dr. von Hauner Children’s Hospital, LMU Klinikum, University of Munich, 80337 Munich, Germany
Gunda Herberth: Department of Environmental Immunology/Core Facility Studies, Helmholtz Centre for Environmental Research-UFZ, 04318 Leipzig, Germany
Carl-Peter Bauer: Department of Pediatrics, Technical University of Munich, 80804 Munich, Germany
Andrea von Berg: Research Institute, Department of Pediatrics, Marien-Hospital Wesel, 46483 Wesel, Germany
Dietrich Berdel: Research Institute, Department of Pediatrics, Marien-Hospital Wesel, 46483 Wesel, Germany
Thomas Astell-Burt: Population Wellbeing and Environment Research Lab (PowerLab), School of Public Health, Faculty of Social Sciences, University of Wollongong, Wollongong NSW 2522, Australia

IJERPH, 2020, vol. 17, issue 13, 1-16

Abstract: Increasing evidence suggests adults living in greener areas tend to have more favourable sleep-related outcomes, but children and adolescents are under-researched. We hypothesised that children and adolescents living in greener areas would have better quality and more sufficient levels of sleep on average, especially within the context of high traffic noise exposure. These hypotheses were tested using multilevel logistic regressions fitted on samples from the nationally representative Longitudinal Study of Australian Children (10–11 years old, n = 3469, and 14–15 years old, n = 2814) and the GINIplus and LISA cohorts (10 years old, n = 1461, and 15 years old, n = 4172) from the Munich, Wesel, and Leipzig areas of Germany. Questionnaire-based binary indicators of sleep sufficiency and sleep quality in each cohort were assessed with respect to objectively measured green space exposures adjusting for age, sex, and maternal education. Models were augmented with proxy measures of traffic noise and two-way interaction terms to test for effect modification. Cross-tabulations illustrated little convincing evidence of association between green space and insufficient sleep or poor sleep quality in either sample, except for insufficient sleep among 10 year old participants in Germany. These null findings were replicated in adjusted models. The proxy for traffic noise was associated with poor quality sleep in 15 year old participants in Germany, but no convincing evidence of modified association with green space was observed.

Keywords: green space; children; epidemiology; noise; sleep (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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