The impact of home safety on sleep in a Latin American country

Abstract: Objectives: We sought to assess the impact of feelings of safety in one’s neighborhood and home on sleep quality and sleep duration. Design: A cross-sectional survey using face-to-face interviews, as part of the Argentine Social Debt Observatory (ASDO) assessment. Setting: nationwide data from Argentina. Participants: 5636 participants aged 18 years and older. Intervention (if any): N/A Measurements: The relationships between both subjective sleep quality and self reported sleep duration, categorized as short (8h) with safety in one’s neighborhood and one’s home were analyze. Age, gender, obesity, neighborhood socioeconomic status and education were included as covariates. Results: Feeling unsafe in one’s home was strongly associated with poorer sleep quality and with short sleep duration. Feeling unsafe in one’s neighborhood was initially associated with reduced sleep quality but was no longer significant after controlling for home safety. In contrast, we found no correlation between safety measures and long sleep. In analyses stratified by gender, feeling unsafe in one’s home was associated with poor sleep quality in women but not in men. Conclusions: Our findings suggest that safety in the home has an important effect on both sleep quality and duration, particularly among women. In contrast, after accounting for safety in the home, neighborhood safety does not impact sleep. Further research is warranted to identify mechanisms underlying the gender differences in susceptibility as well as to assess whether interventions addressing safety in the home can be used to improve sleep and overall health