A socioecological model of neighborhood disorder, religious attendance, and sleep efficiency.

Objectives: Drawing on the socioecological model of sleep health, we formally examine the association between neighborhood disorder and sleep efficiency. While most studies focus on direct associations with neighborhood context, we also consider whether the relationship between religious attendance and sleep efficiency varies as a function of neighborhood disorder.

Design: We use ordinary least squares regression to model cross-sectional survey data.

Setting: The United States.

Participants: The All of Us Research Program is based on a nonprobability sample of 5168 adults aged 18 and over.

Measurements: Our analyses include an index of perceived neighborhood disorder, a single-item measure of religious attendance, and an objective measure of sleep efficiency based on wrist actigraphy.

Results: While perceptions of neighborhood disorder are inversely associated with sleep efficiency, religious attendance is positively associated with sleep efficiency. The association between religious attendance and sleep efficiency did not vary across levels of neighborhood disorder.

Conclusion: Our analyses add to a growing literature on the association of neighborhood disorder with objective indicators of sleep health. To our knowledge, we are among the first to observe any association between religious attendance and sleep efficiency. We extended the socioecological model of sleep health by framing neighborhood disorder as a moderator.