Regional contextual influences on short sleep duration: a 50 universities population-based multilevel study in China

Mental health and sleep are intricately linked. This study characterized associations of psychological distress with short (≤6 hours) and long (≥9 hours) sleep duration among adults aged ≥18 years. 2013 Behavioral Risk Factor Surveillance System data (n=36,859) from Colorado, Minnesota, Nevada, Tennessee, and Washington included the Kessler 6 (K6) scale, which has been psychometrically validated for measuring severe psychological distress (SPD); three specifications were evaluated. Overall, 4.0% of adults reported SPD, 33.9% reported short sleep, and 7.8% reported long sleep. After adjustment, adults with SPD had 1.58 (95% CI: 1.45, 1.72) and 1.39 (95% CI: 1.08, 1.79) times higher probability of reporting short and long sleep duration, respectively. Using an ordinal measure showed a dose-response association with prevalence ratios of 1.00, 1.16, 1.38, 1.67, and 2.11 for short sleep duration. Each additional point added to the K6 scale was associated with 1.08 (95% CI: 1.07, 1.10) and 1.02 (95% CI: 1.00, 1.03) times higher probability of reporting short and long sleep duration, respectively. Some results were statistically different by gender. Any psychological distress, not only SPD, was associated with a higher probability of short sleep duration but not long sleep duration. These findings highlight the need for interventions.

Download Full-text

Sleep duration, health status, and subjective well-being

Revista de Saúde Pública ◽

10.11606/s1518-8787.2018052000602 ◽

2018 ◽

Vol 52 ◽

pp. 82 ◽

Cited By ~ 2

Author(s):

Margareth Guimarães Lima ◽

Marilisa Berti de Azevedo Barros ◽

Maria Filomena Ceolim ◽

Edilson Zancanella ◽

Tânia Aparecida Marchiori de Oliveira Cardoso

Keyword(s):

Sleep Duration ◽

Multinomial Logistic Regression ◽

Well Being ◽

Population Based ◽

Health Problems ◽

Subjective Well Being ◽

Short Sleep Duration ◽

Short Sleep ◽

Long Sleep ◽

Health And Well Being

OBJECTIVE: To evaluate, in a population-based approach, the association of extreme sleep duration with sociodemographic factors, health, and well-being. METHODS: We analyzed the data from the 2014/2015 Health Survey in the city of Campinas, State of São Paulo, Brazil (ISACamp), performed with 1,969 individuals (≥ 20 years old). Associations between the independent variable and short (≤ 6 hours) and long (≥ 9 hours) sleep were determined using the Rao-Scott chi-square test. The analyses were adjusted with multinomial logistic regression models. RESULTS: Men, individuals aged 40 to 59, those with higher schooling, those who have one (OR = 1.47, 95%CI 1.02–2.12), two (OR = 1.73, 95%CI 1.07–2.80), or three or more (OR = 1.62, 95%CI 1.16–2.28) chronic diseases, and those with three or more health problems (OR = 1.96, 95%CI 1.22–3.17) were more likely to have a short sleep. The chance of long sleep was higher in widowers and lower in those who have more years of schooling, with higher income, worked, lived with more residents at home, and reported three or more diseases (OR = 0.68, 95%CI 0.48–0.97) and health problems. The chance of either short (OR = 2.41, 95%CI 1.51–3.87) or long sleep (OR = 2.07, 95%CI 1.23–3.48) was higher in unhappy individuals. CONCLUSIONS: These findings highlight the higher chance of short sleep duration among men, among persons in productive age, and among those with a higher level of schooling in a Brazilian city. The association of short sleep with comorbidities and the association of happiness with extremes of sleep duration were also important results to understand the relation of sleep duration with health and well-being.

Download Full-text

The Association Between Obesity and Short Sleep Duration: A Population-Based Study

Journal of Clinical Sleep Medicine ◽

10.5664/jcsm.26361 ◽

2005 ◽

Vol 01 (04) ◽

pp. 357-363 ◽

Cited By ~ 106

Author(s):

Meeta Singh ◽

Christopher L. Drake ◽

Timothy Roehrs ◽

David W. Hudgel ◽

and Thomas Roth

Keyword(s):

Sleep Duration ◽

Population Based ◽

Short Sleep Duration ◽

Population Based Study ◽

Short Sleep

Download Full-text

Short sleep duration heralds essential tremor: A prospective, population-based study

Movement Disorders ◽

10.1002/mds.25590 ◽

2013 ◽

Vol 28 (12) ◽

pp. 1700-1707 ◽

Cited By ~ 16

Author(s):

Julián Benito-León ◽

Elan D. Louis ◽

Félix Bermejo-Pareja

Keyword(s):

Essential Tremor ◽

Sleep Duration ◽

Population Based ◽

Short Sleep Duration ◽

Population Based Study ◽

Short Sleep

Download Full-text

Sleep Disorders, Mental Health, and Dry Eye Disease: A Population-Based Study in South Korea

10.21203/rs.3.rs-799158/v1 ◽

2021 ◽

Author(s):

Youngju An ◽

Hyojin Kim

Keyword(s):

Mental Health ◽

Sleep Disorders ◽

Sleep Duration ◽

Dry Eye ◽

Multiple Logistic Regression Analysis ◽

Population Based ◽

Dry Eye Disease ◽

Eye Disease ◽

Short Sleep Duration ◽

Short Sleep

Abstract Dry eye disease (DED) is a multifactorial disease of the ocular surface that causes severe discomfort, mild ocular irritation, fatigue, pain, visual disturbance, and a foreign body sensation. Stress, depression, and sleep disorders are considered risk factors for DED. Our aim was to investigate the association between mental health, sleep disorders, and DED in Korean adults. This population-based, cross-sectional study examined ophthalmologic data of 16,471 Koreans aged ≥20 years from the 2010–2012 Korea National Health and Nutrition Examination Survey (KNHANES). DED was based on a medical diagnosis by a doctor, and data on mental health and sleep disorders were obtained using questionnaires. Multiple logistic regression analysis was conducted to examine the association between mental health, sleep disorders, and DED, and we also adjusted for possible covariates. Short sleep duration (≤5 h/night), stress perception (yes), and depressive symptoms (yes) were significantly associated with the risk of DED even after correcting for demographic factors, lifestyle factors, and medical factors. Combined short sleep duration, stress, and depression were most strongly associated with DED, and thus ophthalmologists must be aware of the possibility of a higher prevalence of sleep disorders, stress, and depression in patients with DED.

Download Full-text

Insomnia With Objective Short Sleep Duration Is Associated With Type 2 Diabetes: A population-based study

Diabetes Care ◽

10.2337/dc09-0284 ◽

2009 ◽

Vol 32 (11) ◽

pp. 1980-1985 ◽

Cited By ~ 287

Author(s):

A. N. Vgontzas ◽

D. Liao ◽

S. Pejovic ◽

S. Calhoun ◽

M. Karataraki ◽

...

Keyword(s):

Type 2 Diabetes ◽

Sleep Duration ◽

Population Based ◽

Short Sleep Duration ◽

Population Based Study ◽

Short Sleep

Download Full-text

1069 YOUNG WOMEN WITH SHORT SLEEP DURATION AND INSOMNIA RUN A HIGH RISK OF DEVELOPING HYPERTENSION AND DIABETES MELLITUS. A 10-YEAR FOLLOW-UP OF THE POPULATION-BASED SHE STUDY.

SLEEP ◽

10.1093/sleepj/zsx050.1068 ◽

2017 ◽

Vol 40 (suppl_1) ◽

pp. A397-A398

Author(s):

J Theorell-Haglöw ◽

M Ljunggren ◽

KA Franklin ◽

E Lindberg

Keyword(s):

Diabetes Mellitus ◽

High Risk ◽

Sleep Duration ◽

Young Women ◽

Population Based ◽

Short Sleep Duration ◽

Short Sleep

Download Full-text

Short Sleep Duration and Insomnia Symptoms were Associated with Lower Happiness Levels in Chinese Adults in Hong Kong

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16122079 ◽

2019 ◽

Vol 16 (12) ◽

pp. 2079 ◽

Cited By ~ 3

Author(s):

Sheng Zhi Zhao ◽

Man Ping Wang ◽

Kasisomayajula Viswanath ◽

Agnes Lai ◽

Daniel Yee Tak Fong ◽

...

Keyword(s):

Older Adults ◽

Sleep Duration ◽

Sleep Problems ◽

Early Morning ◽

Population Based ◽

Short Sleep Duration ◽

Younger Adults ◽

Study Objective ◽

Short Sleep ◽

Insomnia Symptoms

Study objective: To examine the association of sleep duration and insomnia symptoms with happiness. Methods: A random sample of 1691 Chinese adult (mean age 54 ± 20.1, male 51%) were interviewed in a population-based telephone survey. Happiness was measured by the subjective happiness scale (SHS) and the one-item global happiness index (GHI). Information on sleep included mean past seven-day sleep duration (<6 h, ≥6 to <8 h and ≥8 h) and insomnia symptoms: Difficulty in initiating sleep (DIS), difficulty in maintaining sleep (DMS), and early morning awakening (EMA). Adjusted beta-coefficient (β) of SHS and adjusted odds ratio (aOR) of GHI in relation to sleep problems were calculated. Interaction effects by age (18–65 vs. ≥65) and by sex were assessed. Results: Compared to ≥8 h of sleep, having <6 h of sleep had lower SHS (adjusted β −0.32, 95% CI −0.46 to −0.17) and GHI (aOR 0.54, 95% CI 0.38 to 0.78). The associations were stronger in younger adults and in women (p < 0.05). DIS, DMS, and EMA were associated with lower SHS (adjusted β ranged from −0.20 to −0.06) and GHI (aOR ranged from 0.57 to 0.89). Dose-response association between the number of insomnia symptoms and lower SHS was observed (p < 0.001). These associations were generally stronger in older adults and among women. Conclusions: Lower levels of happiness were observed, particularly in younger adults and females with short sleep duration and older adults and females with insomnia symptoms. Prospective studies are needed to confirm the findings and understand the mechanisms between sleep and happiness.

Download Full-text