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      Linking Artificial Light at Night with Human Health via a Multi-Component Framework: A Systematic Evidence Map

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      Environments
      MDPI AG

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          Abstract

          The effects of artificial light at night (ALAN) on human health have drawn increased attention in the last two decades. Numerous studies have discussed the effects of ALAN on human health on diverse topics. A broader scope of how ALAN may affect human health is thus urgently needed. This paper depicts a systematic evidence map in a multi-component framework to link ALAN with human health through a comprehensive literature review of English research articles in the past two decades. A three-phase systematic review was conducted after a generalized search of relevant articles from three publication databases, namely Scopus, the Web of Science, and PubMed. In total, 552 research articles were found in four categories and on numerous topics within our framework. We cataloged the evidence that shows direct and indirect as well as positive and negative effects of ALAN on human physical and mental health. We also summarized the studies that consider ALAN as a social determinant of human health. Based on our framework and the systematic evidence map, we also suggest several promising directions for future studies, including method design, co-exposure and exposome studies, and social and environmental justice.

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          Most cited references179

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          The Uncertain Geographic Context Problem

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              Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness.

              In the past 50 y, there has been a decline in average sleep duration and quality, with adverse consequences on general health. A representative survey of 1,508 American adults recently revealed that 90% of Americans used some type of electronics at least a few nights per week within 1 h before bedtime. Mounting evidence from countries around the world shows the negative impact of such technology use on sleep. This negative impact on sleep may be due to the short-wavelength-enriched light emitted by these electronic devices, given that artificial-light exposure has been shown experimentally to produce alerting effects, suppress melatonin, and phase-shift the biological clock. A few reports have shown that these devices suppress melatonin levels, but little is known about the effects on circadian phase or the following sleep episode, exposing a substantial gap in our knowledge of how this increasingly popular technology affects sleep. Here we compare the biological effects of reading an electronic book on a light-emitting device (LE-eBook) with reading a printed book in the hours before bedtime. Participants reading an LE-eBook took longer to fall asleep and had reduced evening sleepiness, reduced melatonin secretion, later timing of their circadian clock, and reduced next-morning alertness than when reading a printed book. These results demonstrate that evening exposure to an LE-eBook phase-delays the circadian clock, acutely suppresses melatonin, and has important implications for understanding the impact of such technologies on sleep, performance, health, and safety.
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                Author and article information

                Contributors
                Journal
                Environments
                Environments
                MDPI AG
                2076-3298
                March 2023
                February 25 2023
                : 10
                : 3
                : 39
                Article
                10.3390/environments10030039
                34388cfb-fc52-4802-a90e-682d57b1d09d
                © 2023

                https://creativecommons.org/licenses/by/4.0/

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