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Sustainable development goals and sleep: an integrative review of sleep health disparities and social, economic, and environmental sustainability

Published online by Cambridge University Press:  03 December 2024

A response to the following question: How do psychosocial and cultural factors influence sleep and circadian health disparities?

Michael Jackson Oliveira de Andrade*
Affiliation:
Neuroscience, Chronobiology, and Sleep Psychology Laboratory, State University of Minas Gerais, UEMG, Brazil
*
Corresponding author: Michael Jackson Oliveira de Andrade; Email: michael.andrade@uemg.br
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Abstract

Sleep is a topic of scientific and technological relevance, as it is closely related to cognition, emotional well-being, and human health. In addition, health-related geopolitical and social changes have significant implications for sleep research, which in turn is linked to the sustainable development goals (SDGs). An integrative review is conducted to analyze multidisciplinary studies in the field of sleep, considering the socioecological model of sleep health and the SDGs. Sleep was found to play a key role in promoting several SDG: (1) Social and economic inclusion: sleep is linked to poverty eradication, food security, reducing inequalities, and promoting peace and justice; (2) Promoting well-being and quality of life: sleep quality directly affects health, education, gender equality, environmental protection, and combating climate change; (3) Economic and environmental sustainability: Adequate sleep contributes to decent work, innovation, infrastructure, responsible consumption, sustainable communities and collaboration through partnerships. This thematic organization provides an overview of the different aspects of the intersection between sleep health disparities and the SDG.

Information

Type
Impact Paper
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use and/or adaptation of the article.
Copyright
© The Author(s), 2024. Published by Cambridge University Press
Figure 0

Figure 1. Integrating sleep quality into achieving social, economic, and global well-being.

Figure 1

Table 1. Social and economic integration for sleep health

Figure 2

Table 2. Promotion of well-being for sleep health

Figure 3

Table 3. Economic and environmental sustainability for sleep health

Author comment: Sustainable Well-being: The critical role of sleep in human health and ecology — R0/PR1

Comments

No accompanying comment.

Review: Sustainable Well-being: The critical role of sleep in human health and ecology — R0/PR2

Comments

No accompanying comment.

Review: Sustainable Well-being: The critical role of sleep in human health and ecology — R0/PR3

Comments

Manuscript Review for the Impact Paper SLP-2024-0009 titled “Sustainable Well-being: The critical role of sleep in human health and ecology”

The reviewer’s understanding of this manuscript’s purpose is that sleep quality, as defined through the perspectives of human health and sleep ecology, should be considered in the accomplishment of Sustainable Development Goals (SDGs) as proposed by the United Nations. The author attempts to demonstrate this by connecting the importance of sleep quality in the accomplishment of three SDG themes: Social and economic inclusion; Promoting well-being and quality of life; and Economic and environmental sustainability. The reviewer praises the thoughtfulness and creativity of the paper’s stated goal. The reviewer agrees that the apparent connections between sleep health (as defined by sleep quality) and sustainable development success is worth sharing through this journal, but not without numerous major revisions. The reviewer offers the following critiques and suggestions for the author’s future consideration.

Suggestions for Revisions:

a. Conceptualization.

The paper’s strength is introducing the link between SDGs and Sleep. Its greatest weakness is its absence of any propositions for HOW these can be connected in any observable/measurable way psychologically besides general statements.

The reviewer supports the rationale of the paper, but while the author’s coverage of the UN’s SDGs is well defined, the definitions of sleep and sleep quality lack psychological depth. What does the author mean by “quality” in a psychological way? Relatedly, sleep ecology is defined in the paper (lines 98-117) as a discipline and situated in general issues (e.g., noise, light pollution, air pollution), but its specific conceptual and empirical linkages to sleep quality are unclear.

The reviewer has trouble identifying the paper’s ability to tangibly link the highly macro-defined SDGs (defined at the Global and institutional levels) with what is the individualized and sample-based measurement tendencies of sleep quality. How can sleep quality be measured within these SDGs? Are sleep quality’s links with the SDGs observed by qualitative improvements to sleep hygienic conditions across the globe? At the nation state level? Does it refer to measurable qualitative outcomes of emotional or psychological health? Or are sleep quality and SDGs measured quantitatively? How can sleep quality be measured so it aligns with the accomplishment of these SDGs? Take for instance how we might measure improved nutrition through the SDG of Zero Hunger. We could measure the achievement of nutrition in empirical ways on a global scale. Can we do this with sleep quality? This leaves the paper devoid of any methodological definitions (which the reviewer believes is important to define given the papers aspirations to improve sleep quality globally, which requires measurement for such an achievement to be seen). The reviewer suggests that the paper consider defining the role that population health methodologies and measurements (or any other empirical strategies the author might consider) could play in empirically demonstrating the achievement of sleep quality within these SDGs.

The author is unclear about whether the author is proposing a role for sleep “science” in the achievement of the UNs SDGs, or if the author is proposing that sleep quality be seriously considered as a legitimate issue to be addressed through these SDGs? Given the content of the paper, the reviewer thinks the paper is about the latter, but it gets confusing when the author refers to “sleep science” in some generic sense.

b. Editing Suggestions Throughout the Manuscript

The Introduction needs improving:

Lines 76-78. The reviewer suggests deleting this sentence and beginning the paragraph with strict focus on defining the SDGs. The sentence also refers to “rigorous scientific evidence,’ of which the current paper does not articulate.

Lines 79-80. The paper mentions the SDG goals of eradicating poverty, promoting gender equality, and addressing climate change. These are not the focus of the paper. Rather, the reviewer suggests the author mention the three SDGs the author has chosen to discuss in the paper.

Lines 87-88. Modify this sentence as the paper does not clearly identifiable tangible strategies for promoting healthy sleep. Also, quality of life is not within the scope of the paper.

Lines 88-92. The paper’s main questions. Although the questions are good ones, organization of the paper does not reflect these in a clear way. Rather than proposing these questions as foundations for the paper’s content, the reviewer suggests reforming this paragraph to summarize the organization of paper itself (e.g., this paper discusses the role of sleep and sleep quality by defining Sleep Ecology’s contributions to the study and advancement of sleep quality, how to incorporate sleep into the promotion of sustainable development, and the integration of sleep science into the advancement of sustainable development goals). This might better reflect the logic of the paper’s current flow.

Line 144. The reviewer sees that two United Nations (2015) citations are included in the list of Works Cited. The reviewer suggests referring to each citation as United Nations, 2015a or 2015b, so the reader can know which reference is cited

Lines 149-150. The reviewer suggests editing this sentence to read “Sustainable development is crucial to promoting healthy sleep.” The reviewer believes the authors are more motivated to help people achieve more than just ‘sustainable’ sleep, but to achieve optimal or ideal sleep quality.

Lines 151-152. “Among these measures…” The previous sentence offers no measures, but rather “actions.” The elements referred to in the paragraph seem to reflect goals and objectives rather than tangible measures.

Lines157-159. These sentences do not seem to flow well in terms of their contents and do not clearly define the purpose of this section.

Line 156. Section title. The reviewer suggests editing this title heading. For example, how about “Integrating Sleep Quality into the Achievement of Social, Economic, and Global Well-being.” Sleep science itself is rarely mentioned in this section while sleep quality is the more central concern (rightfully).

Line 170. Heading. The reviewer suggests just referring the specific SDG goal being discussed as readers already know at this point that sleep quality is the central topic of discussion with each of these sections.

Line 198. “scientific integration.” Why not just say “integration” since the reviewer does not see any clear presence of scientific inquiry here?

Lines 207-216. Paragraph needs to recognize the realities about educational access and achievement and their correlations with sleep by acknowledging first that, before any sleep can positively affect learning, sustainable development must successfully increase access to basic education to begin with as so many parts of the globe do not even have the educational infrastructures required for student success.

Line 227. Sentence needs revision.

Lines 245-254. It is the reviewer’s understanding of the UN’s SDGs that Climate Action and Clean Water and Sanitation are two separate goals. Also, the author proposed that the paper would focus on the three themes outlines in Lines 160-167 (climate and water are not mentioned). The reviewer is also not convinced here about a profound connection between water management and sleep quality.

Line 259. Ebben, Yan, and Kreiger 2021 speak about ‘white noise’ and insomnia. This source does not seem to relate to the content being discussed here. Is there a more valid citation available?

Lines 279 and 281. Reference to “safe and decent jobs” and shift are repeated in subsequent sentences. The reviewer suggests eliminating this repetition. The reviewer also suggests that the author comb through the manuscript for other repetitive parts to the paper.

Lines 291-299. In a work of global inequality, how does the author propose the technologies be established and accessed in the impoverished areas of the Global South? Might this require an expansion of middle classes before these sleep technologies can be made possible?

Line 315. The author refers to SDG 17 for the first time in the paper. The reviewer suggests removing this term from here or else using and defining it when first defining the SDGs earlier in the paper.

Tables

The reviewer’s assessment of the tables is that they do help to advance the paper’s case by compressing the detailed links between sleep quality and SDGs into readable form. But the reviewer also believes that the tables reveal an alternative direction for this paper, which is to generate a systematic literature review of sleep quality (for a certain interval of years since the sleep quality research is immense as we know) to identify specific sleep quality publications that most directly speaks to the UN’s SDGs. While the tables of this manuscript are useful for summarizing speculative linkages (i.e., contents in the table are not supported with direct source citations), similar tables in the form of a systematic literature review might offer something evidence based.

Source Citations

Works Cited within the body of the paper and in the Reference List are very well done with only a few exceptions referred to above.

Decision: Sustainable Well-being: The critical role of sleep in human health — R1/PR6

Comments

Thank you for submitting your revised manuscript. These changes have clarified the intention and aims of this integrative review. Further editorial correction and refinement is needed before we can accept the manuscript for publication as outlined below.

1. Line 37: The following sentence requires editing to be understood: "Integrative review was conducted to analyze the multidisciplinary in the field of knowledge sleep considering the socioecological model and the SDGs."

2. As indicated in the previous review, please focus on "sleep health disparities" rather than sleep quality. In most cases, "sleep quality" should be replaced by the term "sleep health disparities" Sleep health is a comprehensive concept that includes not only sleep quality but also sleep duration, timing, regularity, and the presence or absence of sleep disorders. When there are noted differences in sleep health in a particular group, it is a "sleep health disparity." In contrast, sleep quality is a more focused measure of how well someone sleeps on a particular night or over a period of time, emphasizing self reported restfulness and sleep efficiency.

3. Please translate the legend for Table 1 into English. It currently reads: Figure 1. Integrando a Qualidade do Sono na Realização do Bem-Estar Social,

Econômico e Global

4. Please be more explicit in how this review addresses the question of How do psycho-social-cultural factors influence sleep health disparities and circadian rhythms? This would include reframing the title, abstract, rationale, and conclusion to focus on the psycho-social-cultural factors that impact sleep disparities, rather than on Sleep’s Role in Social, Economic, and Environmental Sustainability. This will largely be addressed by changing sleep quality to sleep health disparities. A possible title might be, Sustainable Development Goals and Sleep: An Integrative Review of Sleep Health Disparities and Social, Economic, and Environmental Sustainability

Decision: Sustainable Development Goals and Sleep: An Integrative Review of Sleep Health Disparities and Social, Economic, and Environmental Sustainability — R2/PR8

Comments

Thank you for your rapid response. There remain several areas that need to be edited to address my prior comments:

1. Lines 36-38: change the sentence to “An integrative review was conducted to analyze multidisciplinary studies in the field of sleep, considering the socioecological model of sleep health and the Sustainable Development Goals (SDGs).”

2. Lines 68, 182, 197, 224, 247, 299, 309, Table 1 title, and Table 2 title : Change “sleep quality” to “sleep health”

3. Lines 89, 216, and 243: remove “disparities.” As it currently reads, it sounds like you are advocating for poor sleep.

4. Line 225-: rewrite this sentence as “Table 2 highlights the connection between health, well-being, and sleep health, emphasizing the importance of raising awareness about sleep health disparities and identifying solutions to address the challenges impacting sleep quality.”

Author comment: Sustainable Development Goals and Sleep: An Integrative Review of Sleep Health Disparities and Social, Economic, and Environmental Sustainability — R3/PR9

Comments

No accompanying comment.

Decision: Sustainable Development Goals and Sleep: An Integrative Review of Sleep Health Disparities and Social, Economic, and Environmental Sustainability — R3/PR10

Comments

Thank you for executing the recommended changes. The paper is now accepted for publication. I noticed two final typos in the manuscript, line 69 should read "Sleep health" rather than "The sleep health" and line 166 still needs to have "disparities" removed so it does not say to "prompt sleep health disparities."