Self-reported short sleep duration among US adults by disability status and functional disability type: Results from the 2016 Behavioral Risk Factor Surveillance System
Open accessAbstract
Background Short sleep duration is associated with an increased risk of chronic disease and all-cause death. A better understanding of sleep disparities between people with and without disabilities can help inform interventions designed to improve sleep duration among people with disabilities. Objective To examine population-based prevalence estimates of short sleep duration by disability status and disability type among noninstitutionalized adults aged ≥18 years. Methods Data from the 2016 Behavioral Risk Factor Surveillance System were used to assess prevalence of short sleep duration among adults without and with disabilities (serious difficulty with cognition, hearing, mobility, or vision; any difficulty with self-care or independent living). Short sleep duration was defined as <7 h per 24-h period. We used log-binomial regression to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) while adjusting for socioeconomic and health-related characteristics. Results Adults with any disability had a higher prevalence of short sleep duration than those without disability (43.8% vs. 31.6%; p < .001). After controlling for selected covariates, short sleep was most prevalent among adults with multiple disabilities (PR 1.40, 95% CI: 1.36-1.43), followed by adults with a single disability type (range: PR 1.13, 95% CI: 1.03-1.24 [for independent living disability] to PR 1.25, 95% CI: 1.21-1.30 [for mobility disability]) compared to adults without disability. Conclusions People with disabilities had a higher likelihood of reporting short sleep duration than those without disabilities. Assessment of sleep duration may be an important component in the provision of medical care to people with disabilities.
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Sleep debt, circadian misalignment, and sleep disruption from obstructive sleep apnea are widespread in modern society.
“Sleep debt, circadian misalignment and sleep disruption from obstructive sleep apnea is widespread in modern society and accumulates with life because recovery sleep is not completely restorative.”
From Sleep, testosterone and cortisol balance, and ageing men (2022) · cites this paper as [10]
The Introduction (page unavailable) says that more than one-third of US adults sleep less than recommended, supporting the broad point that insufficient sleep is common. It does not establish that circadian misalignment or obstructive sleep apnea is widespread. The searched passages also do not support the citing sentence’s added claim that sleep debt accumulates over life because recovery sleep is not fully restorative. (LLM, conf=0.84)
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Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Anderson, C. A. M., Arora, P., Avery, C. L., Baker-Smith, C. M., Beaton, A. Z., Boehme, A. K., Buxton, A. E., et al. (2023) · Circulation · doi:10.1161/cir.0000000000001123 · Cited by 8,300 · see citing works
Sleep, testosterone and cortisol balance, and ageing men
Liu, P. Y., & Reddy, R. T. (2022) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-022-09755-4 · Cited by 80 · see citing works
“Furthermore, the accumulation of sleep debt is widespread in modern society: approximately one in three sleep insufficiently (< 7 h per night) [10], up to 20% are shiftworkers with work schedules that misalign sleep [11], and 10% of men (3% of women) aged 30–49 years and 17% of men (9% of women) aged 50–70 years have…”
Background
- Authors
- Okoro, C. A., Courtney-Long, E., Cyrus, A. C., Zhao, G., & Wheaton, A. G.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Okoro, Catherine A.
- Venue
- Disability and Health Journal
- Publisher
- Elsevier BV
- Published
- 2020-07
- Volume
- 13
- Issue
- 3
- Pages
- 100887
- ISSN
- 1876-7583 (ISSN-L)
- 1936-6574
- PMC
- PMC7527024
- OpenAlex
- W3001917032
- Cited by
- 34
- References
- 2
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 2 · 2023: 6 · 2022: 6 · 2021: 4
- FWCI
- 3.87
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Disability and health journal (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (CC999999)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- short sleep duration, sleep duration, disability, functional disability, multiple disabilities, mobility impairment, visual impairment, hearing loss, cognitive impairment, sleep disparities, prevalence, adults
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Persons with Disabilities, Disabled Persons, Humans, Male, Middle Aged, Population Surveillance, Risk Factors, Sleep, Sleep Deprivation, Time Factors, United States, Prevalence, Behavioral Risk Factor Surveillance System, Young Adult, Self Report, Healthy Volunteers
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