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Article

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

1
School of Public Health and Community Medicine, Faculty of Medicine, UNSW, Sydney NSW 2052, Australia
2
Population Wellbeing and Environment Research Lab (PowerLab), School of Public Health, Faculty of Social Sciences, University of Wollongong, Wollongong NSW 2522, Australia
3
National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China
4
Menzies Centre for Health Policy, University of Sydney, Sydney 2006, Australia
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Institute of Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Ingolstädter Landstraße 1, 85764 Neuherberg, Germany
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Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Ziemssenstraße 1, 80336 Munich, Germany
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Institute of Psychology, Jagiellonian University, 30-060 Krakow, Poland
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Allergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne 3053, Australia
9
IUF, Leibniz Research Institute for Environmental Medicine, 40225 Düsseldorf, Germany
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Department of Pediatrics, Dr. von Hauner Children’s Hospital, LMU Klinikum, University of Munich, 80337 Munich, Germany
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Department of Pediatrics, Gastroenterology and Nutrition, School of Medicine Collegium Medicum University of Warmia and Mazury, 10-719 Olsztyn, Poland
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Department of Environmental Immunology/Core Facility Studies, Helmholtz Centre for Environmental Research-UFZ, 04318 Leipzig, Germany
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Department of Pediatrics, Technical University of Munich, 80804 Munich, Germany
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Research Institute, Department of Pediatrics, Marien-Hospital Wesel, 46483 Wesel, Germany
15
School of Public Health, Peking Union Medical College and The Chinese Academy of Medical Sciences, Beijing 100730, China
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(13), 4894; https://doi.org/10.3390/ijerph17134894
Received: 19 April 2020 / Revised: 24 June 2020 / Accepted: 25 June 2020 / Published: 7 July 2020
(This article belongs to the Special Issue Natural and Built Outdoor Environments and Children’s Health)
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. View Full-Text
Keywords: green space; children; epidemiology; noise; sleep green space; children; epidemiology; noise; sleep
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MDPI and ACS Style

Feng, X.; Flexeder, C.; Markevych, I.; Standl, M.; Heinrich, J.; Schikowski, T.; Koletzko, S.; Herberth, G.; Bauer, C.-P.; von Berg, A.; Berdel, D.; Astell-Burt, T. Impact of Residential Green Space on Sleep Quality and Sufficiency in Children and Adolescents Residing in Australia and Germany. Int. J. Environ. Res. Public Health 2020, 17, 4894. https://doi.org/10.3390/ijerph17134894

AMA Style

Feng X, Flexeder C, Markevych I, Standl M, Heinrich J, Schikowski T, Koletzko S, Herberth G, Bauer C-P, von Berg A, Berdel D, Astell-Burt T. Impact of Residential Green Space on Sleep Quality and Sufficiency in Children and Adolescents Residing in Australia and Germany. International Journal of Environmental Research and Public Health. 2020; 17(13):4894. https://doi.org/10.3390/ijerph17134894

Chicago/Turabian Style

Feng, Xiaoqi, 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. 2020. "Impact of Residential Green Space on Sleep Quality and Sufficiency in Children and Adolescents Residing in Australia and Germany" International Journal of Environmental Research and Public Health 17, no. 13: 4894. https://doi.org/10.3390/ijerph17134894

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