Sleep quality and air pollution: evidence from patients attending Family Health Centers in a Turkish metropolitan city

Pak T., Come O., LİMNİLİ G., Guldal D.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH, 2025 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1080/09603123.2025.2574402
  • Dergi Adı: INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, PASCAL, Agricultural & Environmental Science Database, Aquatic Science & Fisheries Abstracts (ASFA), BIOSIS, CAB Abstracts, CINAHL, Educational research abstracts (ERA), EMBASE, Environment Index, Food Science & Technology Abstracts, Geobase, MEDLINE, Pollution Abstracts, Veterinary Science Database
  • Anahtar Kelimeler: Air pollution, chronic disease, coal stove use, sleep quality, pittsburgh sleep quality index
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

This cross-sectional study examined whether air pollution is linked to poorer sleep quality among 654 adults from two districts in Izmir, Turkey, with differing pollution levels. This study investigated whether increased air pollution is associated with reduced sleep quality. Adults aged 18-65 were recruited from Family Health Centers in Bayrakl & imath; (higher pollution) and Kars & imath;yaka (lower pollution) between December 1-31, 2020. Air Quality Index and PM10 levels were obtained from local stations. Sleep quality was assessed using the Pittsburgh Sleep Quality Index. Sociodemographic, health, and behavioral data were collected via questionnaires. Poor sleep was reported by 15% of participants, more often in Bayrakl & imath; (18. 8%) than Kars & imath;yaka (11. 1%) (p=0. 006). Poor sleep correlated with older age, higher BMI, chronic disease, and medication use. Logistic regression showed that living in Kars & imath;yaka was protective (OR=0. 48, p=0. 006), but this effect disappeared after adjusting for stove use (p=0. 092). Stove use strongly predicted poor sleep (OR=5. 11, p<0. 001). Higher air pollution was associated with poorer sleep, and household coal/wood stove use was an independent risk factor. Public health measures promoting cleaner energy and managing chronic conditions may improve sleep outcomes.