Multidimensional Environmental Factors and Sleep Health for Aging Adults: A Focused Narrative Review

Int J Environ Res Public Health. 2022 Nov 22;19(23):15481. doi: 10.3390/ijerph192315481.

Abstract

The timing, amount, and quality of sleep are critical for an individual's health and quality of life. This paper provides a focused narrative review of the existing literature around multidimensional environments and sleep health for aging adults. Five electronic databases, Scopus, Web of Science, PubMed/Medline; EBSCOhost, PsycINFO (ProQuest), and Google Scholar yielded 54,502 total records. After removing duplicates, non-peer reviewed academic articles, and nonrelevant articles, 70 were included for review. We were able to categorize environmental factors into housing security, home environment, and neighborhood environment, and, within each environmental category, specific elements/aspects are discussed. This paper provides a comprehensive map connecting identified levels of influence (individual, home/house, and neighborhood-level) in which subfactors are listed under each level of influence/category with the related literature list. Our review highlights that multidimensional environmental factors can affect aging adults' sleep health and eventually their physical, mental, and cognitive health and that sleep disparities exist in racial minorities in socioeconomically disadvantaged communities in which cumulative environmental stressors coexist. Based on this focused narrative review on the multidimensional sleep environments for aging adults, knowledge gaps are identified, and future research directions are suggested.

Keywords: aging adults; built environment; psychosocial environments; sleep disparities; sleep health.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Quality of Life*
  • Residence Characteristics*
  • Sleep

Grants and funding

Charlie and Harriet Shaffer Cognitive Empowerment Program, a research partnership between Emory Brain Health and the Georgia Institute of Technology, through the generosity of The James M. Cox Foundation.