scholarly journals Are U.S. adults reporting less sleep?: Findings from sleep duration trends in the National Health Interview Survey, 2004–2017

SLEEP ◽  
2018 ◽  
Vol 42 (2) ◽  
Author(s):  
Connor M Sheehan ◽  
Stephen E Frochen ◽  
Katrina M Walsemann ◽  
Jennifer A Ailshire

AbstractStudy ObjectivesTo document trends in self-reported sleep duration for the noninstitutionalized U.S. civilian population from 2004 to 2017 and examine how sleep trends vary by race/ethnicity.MethodsWe use data from the National Health Interview Survey (NHIS) for U.S. noninstitutionalized adults aged 18–84 from 2004 to 2017 (N = 398 382). NHIS respondents were asked how much they slept in a 24-hour period on average, which we categorized as ≤6 hr (short sleep), 7–8 hr (adequate sleep), and ≥9 hr (long sleep). We used multinomial logistic regression models to examine trends in self-reported sleep duration and assess race/ethnic differences in these trends. Our models statistically adjusted for demographic, socioeconomic, familial, behavioral, and health covariates.ResultsThe prevalence of short sleep duration was relatively stable from 2004 to 2012. However, results from multinomial logistic regression models indicated that there was an increasing trend toward short sleep beginning in 2013 (b: 0.09, 95% CI: 0.05–0.14) that continued through 2017 (b: 0.18, 95% CI: 0.13–0.23). This trend was significantly more pronounced among Hispanics and non-Hispanic blacks, which resulted in widening racial/ethnic differences in reports of short sleep.ConclusionsRecent increases in reports of short sleep are concerning as short sleep has been linked with a number of adverse health outcomes in the population. Moreover, growing race/ethnic disparities in short sleep may have consequences for racial and ethnic health disparities.

2021 ◽  
Author(s):  
César Caraballo ◽  
Shiwani Mahajan ◽  
Javier Valero-Elizondo ◽  
Daisy Massey ◽  
Yuan Lu ◽  
...  

Importance: Minoritized racial and ethnic groups are generally more likely to experience sleep deficiencies. It is unclear how these sleep duration disparities have changed over recent years. Objective: To determine 15–year trends in the racial and ethnic differences in self–reported sleep duration among adults in the US. Design: Serial cross–sectional study. Setting: National Health Interview Survey from years 2004–2018. Participants: 429,195 non–institutionalized adults. Exposures: Self–reported race, ethnicity, household income, and sex/gender. Main Outcomes: Temporal trends and racial/ethnic differences in short– and long–sleep duration (≤6 and ≥10 hours in a 24–hour period, respectively) and racial/ethnic differences in the relationship between sleep duration and age. Results: The study sample consisted of 429,195 individuals (mean age 46.5 [SE, 0.08] years; 51.7% female) of which 5.1% identified as Asian, 11.8% as Black, 14.7% as Latino/Hispanic, and 68.5% as White. In 2004, the adjusted estimated prevalence of short–sleep duration and long–sleep duration, respectively, were 31.3% and 2.5% among Asian individuals, 35.3% and 6.4% among Black individuals, 27.0% and 4.6% among Latino/Hispanic individuals, and 27.8% and 3.5% among White individuals. Over the study period, there was a significant increase in the short sleep prevalence among Black, Latino/Hispanic, and White individuals (P≤0.02 for each), whereas prevalence of long sleep changed significantly only among Latino/Hispanic individuals (–1.4 points, P=0.01). In 2018, compared with White individuals, short sleep prevalence among Black and Latino/Hispanic individuals was higher by 10.7 points and 2.6 points, respectively (P≤0.02 each), and long sleep prevalence among Black people was significantly higher by 1.4 points (P=0.01). These racial/ethnic disparities were the greatest among women and among those with middle/high household income. Over the study period, Black individuals younger than 60 years old had the highest prevalence of short sleep compared with those of the same age; and Black individuals had a higher long–sleep duration prevalence than White individuals across all age groups. Conclusions: From 2004 to 2018, the prevalence of unrecommended sleep duration was persistently higher among Black individuals. The Black–White disparities were highest among women, individuals who had middle or high income, and among young or middle–aged adults.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A419-A419
Author(s):  
J Garcia ◽  
J Moore ◽  
L Payano ◽  
A Rogers ◽  
P Poke ◽  
...  

Abstract Introduction Although Hispanics experience a high level of shorter sleep duration (< 7 hrs./24 period), a clear mechanism or cause is lacking. Previous research indicate that emotional distress may explain the burden of shorter sleep among blacks. Applying these findings to Hispanics, we investigated whether emotional distress explains the burden of short sleep duration (< 7 hrs.) among Hispanics and if this relationship varies by sex Methods We used data from the 2018 National Health Interview Survey (NHIS) dataset, a nationally representative sample, in which only Hispanic ethnicity participants (N=3,091) were analyzed. Average sleep duration was self-reported and measured in hours. Emotional distress was measured using Kessler 6, which measures how an individual felt over the past 30 days: nervous, hopeless, restless/fidgety, depressed, effortful and worthless. To assess the association between short sleep duration and emotional distress, we performed Pearson correlation, hierarchical regression analyses, and stratified this relationship by sex to determine if this relationship differed between males and females, adjusting for covariates. Results Of the total sample of 3,091 Hispanics, 1,762 were female, and 1,329 were male. Sleep duration and emotional distress were negatively correlated among females (r = -.27, p <.001) and males (r=-.18, p <.001). Among Hispanic females, sleep duration significantly predicted emotional distress, β = -.27, t = -11.60, p <.001, and explained a significant portion of variance in emotional distress, R2 = .07, F= 134.63, p <.001. While, among Hispanic males, sleep significantly predicted emotional distress (β = -.18, t =-6.5, p <.001) and explained a significant portion of the variance in emotional distress (R2 = .03, F= 42.37, p <.001). Conclusion Our findings indicate that a negative sleep-ED relationship, suggesting that shorter sleep was predictive of higher levels of emotional distress among Hispanics and that this relationship is greater among Hispanic females, compared males. Support K01HL135452, R01MD007716, R01HL142066, and K07AG052685


2021 ◽  
Author(s):  
Mengsha Sun ◽  
Qiyu Bo ◽  
Bing Lu ◽  
Xiaodong Sun ◽  
minwen zhou

Abstract Background Sleep disorders may heighten the risk of visual impairment to further impact health outcomes. Little is known regarding the association of visual impairment with sleep disorders in China. Our objective was to examine the association of visual impairment with sleep disorders. Methods This cross-sectional study used the data from 13264 respondents to the 2011 survey of the China Health and Retirement Longitudinal Study, a nationally representative survey of adults aged 45 years or older. Visual impairment (VI) and sleep duration were examined using self-reported questionnaires. Respondents were identified as having VI if they reported blindness or partial blindness. With regards to sleep duration, participants were categorized into three groups: 1) those reporting short sleep duration (≤ 6 hours/night), 2) those reporting long sleep duration (> 8 hours/night), and 3) those reporting 6 to 8 hours of sleep per night (used as the reference group). Weighted multilevel logistic regression models, adjusting for sociodemographic characteristics, health behaviors, and medical history, were used. Results Of 13,264 respondents, 6,880 (51.9%) were women. The mean, standard deviation (SD) age was 59.39 (9.71) years. A total of 842 (6.3%) of respondents reported VI. The prevalence of short and long sleep duration was significantly higher among respondents with VI than those without VI (P < 0.001). The associations also persisted after stratifying the sample by age or sex. Multilevel logistic regression models showed that compared with 6–8 h/night of sleep, sleep duration of ≤ 6h/night was associated with a 1.19-fold (95% confidence interval (CI) = 1.02–1.40) higher VI risk, and sleep duration of > 8 h/night was associated with a 1.36-fold (95% CI = 1.05–1.75) higher VI risk. Higher risk of VI was associated with short (odds ratio [OR] = 1.34, 95% CI: 1.04–1.73) and long (OR = 1.60, 95% CI: 1.04–2.44) sleep durations in middle-aged respondents, as well as short sleep duration (OR = 1.27, 95% CI: 1.05–1.55) in elderly respondents. However, the association between VI and long sleep duration (OR = 1.34, 95% CI = 0.97–1.84) was absent in elderly respondents. Conclusion In this study, both short and long sleep durations were associated with VI. More comprehensive and integrated health care and rehabilitation systems covering vision and sleep are needed to address age-related VI.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A329-A329
Author(s):  
O Eirene ◽  
O M Bubu ◽  
T Donley ◽  
J Blanc ◽  
C Madera ◽  
...  

Abstract Introduction We examined race and sex-dependent effects of metabolic burden across different age-categories on trends in self-reported sleep duration for the U.S. non-institutionalized civilian population. Methods We analyzed data from the National Health Interview Survey (NHIS) adults aged 18-85 from 2004 to 2013 (N=258,158). Metabolic burden was characterized by obesity (BMI&gt;30), dyslipidemia, diabetes, and hypertension morbidity burden levels. Racial/ethnic categories included non-Hispanic Whites (NHW), Blacks/African Americans (AAs) and Hispanics. Sleep duration within a 24-hour period on average was categorized as short sleep (≤ 6hrs), adequate sleep (7-8 hrs.), and long sleep (≥ 9hrs). Age was categorized as 18 - &lt;26, 26 - &lt;65 and 65 - 85. Adjusted multinomial logistic regression models stratified by race, sex and age-categories examined effects of metabolic burden on trends in self-reported sleep duration. Results The prevalence of short sleep duration was relatively stable from 2004-2012 for NHW and all females. However, AA and Hispanic males showed consistent increase in the rates of short sleepers beginning in 2007 through 2013 especially for ages 18 - &lt;26, and 26 - &lt;65 (P &lt;.001 for trend). For all racial/ethnic categories, compared to individuals aged 18 - &lt;26, individuals aged 26 - &lt;65 were more likely to report short sleep (aOR: 1.55, 95% CI: 1.50-1.61) and individuals aged 65 - 85 were more likely to be long sleepers (aOR: 1.95, 95% CI: 1.86-2.05). Interestingly, the rate of short sleep increased as the metabolic burden increased (P &lt;.001 for trend). This trend was more pronounced among AA and Hispanic males aged 65 - 85 with ≥ 2 metabolic conditions who were more likely to report short sleep (aOR: 1.77, 95% CI: 1.44-2.19 and aOR: 1.45, 95% CI: 1.17-1.93 respectively), compared to NHW males. Conclusion Increased metabolic burden among minority populations and especially in the elderly male, affect sleep and may have consequences for treating these populations. Support NIH/NIA/NHLBI (L30-AG064670, CIRAD P30AG059303 Pilot, T32HL129953, R01AG056531, R25HL105444, R25NS094093, K07AG05268503, R01HL142066, K23HL125939)


2016 ◽  
Vol 31 (3) ◽  
pp. 402-415 ◽  
Author(s):  
Rémi Boivin ◽  
Chloé Leclerc

This article analyzes reported incidents of domestic violence according to the source of the complaint and whether the victim initially supported judicial action against the offender. Almost three quarters of incidents studied were reported by the victim (72%), and a little more than half of victims initially wanted to press charges (55%). Using multinomial logistic regression models, situational and individual factors are used to distinguish 4 incident profiles. Incidents in which the victim made the initial report to the police and wished to press charges are the most distinct and involve partners who were already separated at the time of the incident or had a history of domestic violence. The other profiles also show important differences.


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