{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T14:36:18Z","timestamp":1792766178716,"version":"4.5.0"},"reference-count":64,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T00:00:00Z","timestamp":1582243200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Poor sleep is associated with lifestyle, however, few studies have addressed the association between sleep quality and the neighborhood environment. This study aimed to investigate the associations between living environment factors and sleep quality in older people. Participants were community-dwelling people aged \u226565 years who participated in the 2010 Japanese Gerontological Evaluation Study. The data of 16,650 people (8102 men, 8548 women) were analyzed. Sleep quality (good or poor) was evaluated using a self-administered questionnaire. Multilevel Poisson regression analysis stratified by depressive status (measured by the Geriatric Depression Scale-15 [GDS]) was conducted with sleep quality as the dependent variable and social and physical environmental factors as explanatory variables. The 12,469 non-depressive respondents and 4181 depressive respondents were evaluated. The regression analysis indicated that non-depressive participants slept better if they lived in environments with few hills or steps (prevalence ratio [PR] = 0.75, 95% CI: 0.56\u20130.9) and with places where they felt free to drop in (PR = 0.51, 95% CI: 0.26\u20130.98). For depressive participants, these associations were not evident. Living alone, poor self-rated health, low income, and unemployment were associated with poor sleep quality. In addition to support with these individual factors, improving environmental factors at the neighborhood level may improve the sleep quality of community-dwelling older adults.<\/jats:p>","DOI":"10.3390\/ijerph17041398","type":"journal-article","created":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T08:59:47Z","timestamp":1582275587000},"page":"1398","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Association between Neighborhood Environment and Quality of Sleep in Older Adult Residents Living in Japan: The JAGES 2010 Cross-Sectional Study"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6181-920X","authenticated-orcid":false,"given":"Michiko","family":"Watanabe","sequence":"first","affiliation":[{"name":"Division of International Health, Graduate School of Medical and Dental Sciences, Niigata University, 1-757 Asahimachi dori, Chuo-ku, Niigata city, Niigata 951-8510, Japan"},{"name":"Department of Nursing, Faculty of Nursing, Niigata Seiryo University, 1-5939, Suidocho, Chuo-ku Niigata 951-8121, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yugo","family":"Shobugawa","sequence":"additional","affiliation":[{"name":"Division of International Health, Graduate School of Medical and Dental Sciences, Niigata University, 1-757 Asahimachi dori, Chuo-ku, Niigata city, Niigata 951-8510, Japan"},{"name":"Department of Active Aging (donated by Tokamachi city, Niigata Japan), Graduate School of Medical and Dental Sciences, Niigata University 1-757 Asahimachi dori, Chuo-ku, Niigata city, Niigata 951-8510, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Tashiro","sequence":"additional","affiliation":[{"name":"Niigata City Public Health Center, 3-1-1, Shichikuyama, Chuo-ku Niigata 950-0914, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asami","family":"Ota","sequence":"additional","affiliation":[{"name":"Division of Health and Nutrition, University of Niigata Prefecture, 471 Ebigase Higashi-ku, Niigata city, Niigata 950-8680, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsubasa","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Niigata Health Service Center, 2-180-5 Hakusanu-ura, chuo-ku, Niigata-shi, Niigata 951-8680, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoko","family":"Tsubokawa","sequence":"additional","affiliation":[{"name":"Division of International Health, Graduate School of Medical and Dental Sciences, Niigata University, 1-757 Asahimachi dori, Chuo-ku, Niigata city, Niigata 951-8510, Japan"},{"name":"Department of Nursing, Faculty of Nursing, Niigata Seiryo University, 1-5939, Suidocho, Chuo-ku Niigata 951-8121, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsunori","family":"Kondo","sequence":"additional","affiliation":[{"name":"Center for Preventive Medical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba city, Chiba 260-8670, Japan"},{"name":"Department of Gerontology and Evaluation Study, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi 474-8511, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reiko","family":"Saito","sequence":"additional","affiliation":[{"name":"Division of International Health, Graduate School of Medical and Dental Sciences, Niigata University, 1-757 Asahimachi dori, Chuo-ku, Niigata city, Niigata 951-8510, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,2,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"727","DOI":"10.5665\/sleep.1846","article-title":"Sleep: A Health Imperative","volume":"35","author":"Luyster","year":"2012","journal-title":"Sleep"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.sleep.2016.05.012","article-title":"Associations between sleep duration and abnormal serum lipid levels: Data from the Korean National Health and Nutrition Examination Survey (KNHANES)","volume":"24","author":"Shin","year":"2016","journal-title":"Sleep Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.5665\/sleep.5848","article-title":"The Link of Self-Reported Insomnia Symptoms and Sleep Duration with Metabolic Syndrome: A Chinese Population-Based Study","volume":"39","author":"Lin","year":"2016","journal-title":"Sleep"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jad.2011.01.011","article-title":"Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies","volume":"135","author":"Baglioni","year":"2011","journal-title":"J. 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