Intermediate- and Long-Term Exposure to PM_2.5 and Its Chemical Components in Relation to Nocturnal Sleep Duration and...

While the association between criteria air pollutants and sleep duration is well-documented, evidence on the impact of fine particulate matter (PM_2.5) chemical components on sleep remains limited. This study investigated the effects of intermediate- (6-month) and long-term (2-year) exposure to PM_2.5 and its five major components-black carbon (BC), organic matter (OM), sulfate (SO₄^2-), nitrate (NO₃^-), and ammonium (NH₄⁺)-on nocturnal sleep and daytime napping duration. We included 19,505 participants aged ≥ 45 years from the China Health and Retirement Longitudinal Study (CHARLS, 2011-2018). Residential PM_2.5 and component concentrations were estimated via the Tracking Air Pollution in China dataset, and sleep data were collected through self-reported questionnaires. Linear mixed-effects models and quantile-based g-computation (qgcomp) were used to assess single- and multi-pollutant effects. Results showed that both intermediate- and long-term exposure to PM_2.5 components was associated with shorter nocturnal sleep and longer daytime napping. Subgroup analyses revealed greater susceptibility among rural residents, solid fuel users, and individuals without pensions. These findings emphasize the need for component-specific PM_2.5 control strategies and targeted public health interventions to reduce sleep-related health inequalities, especially in socioeconomically disadvantaged populations.