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

Connor M. Sheehan, Stephen E. Frochen, Katrina M. Walsemann, Jennifer A. Ailshire

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Study Objectives To 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. Methods We 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. Results The 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. Conclusions Recent 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.

Original languageEnglish (US)
JournalSleep
Volume42
Issue number2
DOIs
StatePublished - Feb 1 2019
Externally publishedYes

Fingerprint

Health Surveys
Sleep
Interviews
Logistic Models
Health
Hispanic Americans
Population
Demography

Keywords

  • disparities
  • race/ethnicity
  • sleep
  • sleep duration
  • trends

ASJC Scopus subject areas

  • Clinical Neurology
  • Physiology (medical)

Cite this

Are U.S. adults reporting less sleep? Findings from sleep duration trends in the National Health Interview Survey, 2004-2017. / Sheehan, Connor M.; Frochen, Stephen E.; Walsemann, Katrina M.; Ailshire, Jennifer A.

In: Sleep, Vol. 42, No. 2, 01.02.2019.

Research output: Contribution to journalReview article

Sheehan, Connor M. ; Frochen, Stephen E. ; Walsemann, Katrina M. ; Ailshire, Jennifer A. / Are U.S. adults reporting less sleep? Findings from sleep duration trends in the National Health Interview Survey, 2004-2017. In: Sleep. 2019 ; Vol. 42, No. 2.
@article{2a89410f294c4db38317fe04f20bbc58,
title = "Are U.S. adults reporting less sleep?: Findings from sleep duration trends in the National Health Interview Survey, 2004-2017",
abstract = "Study Objectives To 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. Methods We 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. Results The 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. Conclusions Recent 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.",
keywords = "disparities, race/ethnicity, sleep, sleep duration, trends",
author = "Sheehan, {Connor M.} and Frochen, {Stephen E.} and Walsemann, {Katrina M.} and Ailshire, {Jennifer A.}",
year = "2019",
month = "2",
day = "1",
doi = "10.1093/sleep/zsy221",
language = "English (US)",
volume = "42",
journal = "Sleep",
issn = "0161-8105",
publisher = "American Academy of Sleep Medicine",
number = "2",

}

TY - JOUR

T1 - Are U.S. adults reporting less sleep?

T2 - Findings from sleep duration trends in the National Health Interview Survey, 2004-2017

AU - Sheehan, Connor M.

AU - Frochen, Stephen E.

AU - Walsemann, Katrina M.

AU - Ailshire, Jennifer A.

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Study Objectives To 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. Methods We 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. Results The 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. Conclusions Recent 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.

AB - Study Objectives To 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. Methods We 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. Results The 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. Conclusions Recent 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.

KW - disparities

KW - race/ethnicity

KW - sleep

KW - sleep duration

KW - trends

UR - http://www.scopus.com/inward/record.url?scp=85061485204&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061485204&partnerID=8YFLogxK

U2 - 10.1093/sleep/zsy221

DO - 10.1093/sleep/zsy221

M3 - Review article

C2 - 30452725

AN - SCOPUS:85061485204

VL - 42

JO - Sleep

JF - Sleep

SN - 0161-8105

IS - 2

ER -