Sleep Duration in the United States: A Cross-sectional Population-based Study
Open accessAbstract
Sleep duration is associated with cardiovascular disease and diabetes risk factors, depression, automobile and workplace accidents, and prospective mortality. Little is known, however, about sleep patterns in the US population. The 2004-2007 National Health Interview Survey-Sample Adult Files provide nationally representative data for 110,441 noninstitutionalized US adults aged 18 years or older, and multinomial logistic regression examines whether variables in 5 domains-demographic, family structure, socioeconomic, health behavior, and health status-are associated with long or short sleep duration. Being older, non-Hispanic black, or a current or former smoker; having low levels of education, income, or few income sources; consuming few or numerous drinks in a week; or reporting cardiovascular disease, diabetes, depression, underweight, or activity limitations is associated with increased odds of both long and short sleep duration. Other variables are associated with shorter (e.g., living with young children, being unmarried, working long hours, more frequent binge drinking) or longer (e.g., being younger, Mexican American, pregnant, or having low levels of physical activity) sleep hours. The authors identify numerous risk factors for long and short sleep; many of those variables are potential confounders of the relation between sleep hours and other health outcomes.
AI snapshot
Written from the paper’s full text.
TL;DR
In a nationally representative sample of 110,441 US adults, long and short sleep durations were common and were associated with numerous demographic, family, socioeconomic, health behavior, and health status factors. The authors conclude that many of these factors may confound the relation between sleep duration and health outcomes.
Key findings
- Only 63.3% of adults reported sleeping 7 or 8 hours; 28.3% slept 6 or fewer hours and 8.5% slept 9 or more hours.
- Being older, non-Hispanic black, a current or former smoker, having low education/income/few income sources, consuming few or numerous drinks, or reporting cardiovascular disease, diabetes, depression, underweight, or activity limitations was associated with increased odds of both long and short sleep.
- Living with young children, being unmarried, working long hours, and more frequent binge drinking were associated with shorter sleep; being younger, Mexican American, pregnant, or having low physical activity was associated with longer sleep.
- Specific estimates included: parents of children aged <2 years had 34% higher odds of sleeping ≤5 hours and 28% lower odds of sleeping ≥9 hours; pregnant women were 77% more likely to sleep 8 hours and 3.7 times as likely to sleep ≥9 hours; working ≥41 hours was associated with 40% higher odds of ≤5 hours and 59% lower odds of ≥9 hours.
Methods
- Cross-sectional analysis of pooled 2004–2007 National Health Interview Survey–Sample Adult Files, including 110,441 noninstitutionalized US adults aged 18 years or older; response rate was 81%.
- Sleep duration was self-reported in 1-hour increments and categorized as ≤5, 6, 7, 8, or ≥9 hours; multinomial logistic regression used 7 hours as the comparison group.
- Models were nested across demographic, family structure/socioeconomic, health behavior, and health status domains; multiple imputation used 10 complete datasets because 29% of respondents had missing information on at least one variable.
Limitations
- The authors state that data include only self-reported sleep duration, with no information on daytime sleepiness or difficulty falling or staying asleep.
- The authors state that data lack clinical measures of mental health or medical conditions and information on shift work, caffeine consumption, or medication usage.
- The authors state that cross-sectional data preclude identifying causal relations; the text also makes evident that sleep duration was reported only in 1-hour increments and that missing data were imputed.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 75 cited sources checked · 0 supported · 0 flagged
- Findingown data
Alcohol consumption has a J-shaped relation with the logged odds of sleeping 6 or fewer hours, or 9 or more hours, with the lowest logged odds among those who consume 6-12 drinks per week.
“Alcohol consumption has a J-shaped relation with the logged odds of sleeping 6 or fewer hours, or 9 or more hours, with the lowest logged odds among those who consume 6-12 drinks per week.”
Quote in the paperSubstantial claim - Findingown data
The logged odds of sleeping 8 hours increase fairly linearly with increasing alcohol consumption.
“The logged odds of sleeping 8 hours increase fairly linearly with increasing alcohol consumption.”
Quote in the paperNot a substantial claim - Findingown data
The presence of children aged 18 years or younger is associated with short sleep.
“The presence of children aged 18 years or younger is associated with short sleep”
Quote in the paperSubstantial claim - Findingown data
Married individuals have lower odds of short sleep.
“Married individuals have lower odds of short sleep.”
Quote in the paperSubstantial claim - Findingown data
Binge drinking more days per year is associated with higher odds of sleeping 6 or fewer hours.
“Binge drinking more days per year is associated with higher odds of sleeping 6 or fewer hours.”
Quote in the paperSubstantial claim
- Findingown data
Males have reduced odds of sleeping 5 or fewer hours or 8 or more hours.
“males have reduced odds of sleeping 5 or fewer hours or 8 or more hours.”
Quote in the paperSubstantial claim - Findingown data
A 1-standard-deviation increase in the physical activity index is associated with 14% lower odds of sleeping 9 or more hours.
“A 1-standard-deviation increase in the physical activity index is associated with 14% lower odds of sleeping 9 or more hours.”
Quote in the paperSubstantial claim - Findingnone given
Higher levels of education, family income, and the family income portfolio are associated with midrange sleep hours.
“Higher levels of education, family income, and the family income portfolio are associated with midrange sleep hours.”
Quote in the paperSubstantial claim - Findingown data
Being pregnant is associated with long sleep.
“being pregnant is associated with long sleep.”
Quote in the paperNot a substantial claim - Findingown data
High levels of anxiety are associated with lower odds of long sleep.
“high levels of anxiety are associated with lower odds of long sleep.”
Quote in the paperSubstantial claim - Findingown data
Living with children aged from 2 to less than 18 years is associated with lower odds of long sleep.
“Living with children aged from 2 to less than 18 years is also associated with lower odds of long sleep.”
Quote in the paperSubstantial claim - Findingown data
Former smokers have increased odds of short and long sleep.
“Former smokers also have increased odds of short and long sleep.”
Quote in the paperNot a substantial claim - Findingown data
Working 41 or more hours is associated with short sleep.
“Working 41 or more hours is associated with short sleep”
Quote in the paperSubstantial claim- Rests on an assumption: Long work hours can limit the time available for sleep.
- Findingown data
Not working is associated with long sleep.
“not working is associated with long sleep.”
Quote in the paperSubstantial claim - Findingown data
Foreign-born individuals have reduced odds of sleeping 6 or fewer hours or 9 or more hours.
“Foreign-born individuals have reduced odds of sleeping 6 or fewer hours or 9 or more hours.”
Quote in the paperSubstantial claim - Findingown data
Our research did not find that women report shorter sleep than men do after adjustment for other variables.
“Contrary to prior research, our research did not find that women report shorter sleep than men do (22) after adjustment for other variables.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [22] source
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- Study design and conductown data
Twenty-nine percent of the respondents had missing information on at least 1 variable.
“Twenty-nine percent of the respondents had missing information on at least 1 of our variables.”
Quote in the paperNot a substantial claim - Study design and conductcitation
The 2004-2007 National Health Interview Survey-Sample Adult Files provide nationally representative data for 110,441 noninstitutionalized US adults aged 18 years or older.
“The 2004-2007 National Health Interview Survey-Sample Adult Files provide nationally representative data for 110,441 noninstitutionalized US adults aged 18 years or older”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [51] source
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- Interpretationreasoning
Many of the variables associated with long and short sleep are potential confounders of the relation between sleep hours and other health outcomes.
“The authors identify numerous risk factors for long and short sleep; many of those variables are potential confounders of the relation between sleep hours and other health outcomes.”
Quote in the paperSubstantial claim - Premisecitation
Those who sleep 7 hours have lower risks of death than those who sleep 8 hours.
“those who sleep 7 hours have lower risks of death than those who sleep 8 hours (14,(16)(17)(18).”
Quote in the paperSubstantial claim0 of 4 sources checked - Premisecitation
Multinomial logistic regression models used 7 hours of sleep as the comparison group because that sleep duration is associated with the lowest mortality risk.
“Multinomial logistic regression models used 7 hours of sleep as the comparison group, because that sleep duration is associated with the lowest mortality risk (14,(16)(17)(18)”
Quote in the paperSubstantial claim0 of 4 sources checked - Interpretationown data
We find important differences in the predictors of short and long sleep.
“We find important differences in the predictors of short and long sleep”
Quote in the paperSubstantial claim - Interpretationown data
Poor health does not account for the relation between sleep and the other variables.
“Table 3 demonstrates that poor health does not account for the relation between sleep and the other variables.”
Quote in the paperSubstantial claim - Interpretationown data
Possible confounders of the sleep-mortality relation may differ across very short, short, and long sleep.
“Thus, the possible confounders of the sleep-mortality relation may differ across very short, short, and long sleep.”
Quote in the paperNot a substantial claim - Interpretationcitation
Many covariates have established relations with the risk of death and might account for the relation between sleep duration and mortality.
“Many of our covariates have established relations with the risk of death (25,65) and might account for the relation between sleep duration and mortality (13)(14)(15)(16)(17)(18).”
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- Interpretationown data
Numerous demographic, family structure, socioeconomic, and health behavior factors might shape sleep duration in the noninstitutionalized and relatively healthy US population, even after adjustment for physical and mental health.
“our findings suggest that numerous demographic, family structure, socioeconomic, and health behavior factors might also shape sleep duration, even in the noninstitutionalized and relatively healthy US population, and after adjustment for physical and mental health.”
Quote in the paperSubstantial claim - Study design and conductown data
Cross-sectional data preclude the identification of causal relations.
“our cross-sectional data preclude the identification of causal relations.”
Quote in the paperSubstantial claim
- May combine two claims. 34
- Classified as probably not a substantial claim. 10
May combine two claims.
Findingown dataOther variables are associated with longer sleep hours, including being younger, Mexican American, pregnant, or having low levels of physical activity.
“Other variables are associated with shorter (e.g., living with young children, being unmarried, working long hours, more frequent binge drinking) or longer (e.g., being younger, Mexican American, pregnant, or having low levels of physical activity) sleep hours.”
Quote in the paperNot a substantial claim- Rests on an assumption: The determinants of long and short sleep may differ.
May combine two claims.
Findingown dataOther variables are associated with shorter sleep hours, including living with young children, being unmarried, working long hours, and more frequent binge drinking.
“Other variables are associated with shorter (e.g., living with young children, being unmarried, working long hours, more frequent binge drinking) or longer (e.g., being younger, Mexican American, pregnant, or having low levels of physical activity) sleep hours.”
Quote in the paperSubstantial claim- Rests on an assumption: Long work hours can limit the time available for sleep.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataThe sleep duration item ranged from 0 to 23, with 99% of the cases falling between 4 and 12 hours.
“The item ranged from 0 to 23, with 99% of the cases falling between 4 and 12 hours.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataBeing older, non-Hispanic black, or a current or former smoker; having low levels of education, income, or few income sources; consuming few or numerous drinks in a week; or reporting cardiovascular disease, diabetes, depression, underweight, or activity limitations is associated with increased odds of both long and short sleep duration.
“Being older, non-Hispanic black, or a current or former smoker; having low levels of education, income, or few income sources; consuming few or numerous drinks in a week; or reporting cardiovascular disease, diabetes, depression, underweight, or activity limitations is associated with increased odds of both long and short sleep duration.”
Quote in the paperSubstantial claim- Rests on an assumption: The determinants of long and short sleep may differ.
May combine two claims.
Findingown dataCardiovascular disease, acute or chronic respiratory conditions, diabetes, pain, anxiety, depression, obesity, overweight, underweight, and activity limitations are associated with increased odds of short sleep, after adjustment for demographic, family structure, socioeconomic, and health behavior variables.
“cardiovascular disease, acute or chronic respiratory conditions, diabetes, pain, anxiety, depression, obesity, overweight, underweight, and activity limitations are associated with increased odds of short sleep, after adjustment for demographic, family structure, socioeconomic, and health behavior variables.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataPregnant women are 77% more likely to sleep 8 hours and 3.7 times as likely to sleep 9 or more hours compared with nonpregnant women.
“pregnant women are 77% more likely to sleep 8 hours and 3.7 times as likely to sleep 9 or more hours.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenHigh levels of education or income or additional sources of income per family member are associated with lower odds of short or long sleep.
“High levels of education or income or additional sources of income per family member are associated with lower odds of short or long sleep.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataRelative to non-Hispanic whites, non-Hispanic blacks are more likely to report both short and long sleep hours.
“Relative to non-Hispanic whites, non-Hispanic blacks are more likely to report both short and long sleep hours”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataNon-Hispanic black race/ethnicity, low levels of socioeconomic status, depression, and cardiovascular disease and diabetes are associated with both long and short sleep duration.
“our results show that non-Hispanic black race/ethnicity (23), low levels of socioeconomic status (7,35), depression (6, 7), and cardiovascular disease and diabetes (1, 2) are associated with both long and short sleep duration.”
Quote in the paperSubstantial claim0 of 4 sources checkedMay combine two claims.
Findingown dataAfter adjustment for health status, low levels of exercise are positively associated with short sleep, the odds ratios for current or former smoking are closer to 0, and binge drinking is no longer jointly significant across the sleep hours at the P 0.05 level.
“after adjustment for health status, low levels of exercise are positively associated with short sleep, the odds ratios for current or former smoking are closer to 0, and binge drinking is no longer jointly significant across the sleep hours at the P 0.05 level.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe logged odds of sleeping 8 or more hours are highest among the youngest and oldest individuals and lowest among those aged 45 years.
“the logged odds of sleeping 8 or more hours are highest among the youngest and oldest individuals and lowest among those aged 45 years.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataParents of children aged from birth to less than 2 years have 34% higher odds of sleeping 5 or fewer hours and 28% lower odds of sleeping 9 or more hours compared with those not living with children.
“parents of children aged from birth to less than 2 years have 34% higher odds of sleeping 5 or fewer hours and 28% lower odds of sleeping 9 or more hours.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the fully adjusted model, race/ethnic differences remain substantial, but sex differences are no longer significant and foreign-born respondents no longer have reduced odds of sleeping 5 or fewer hours.
“In the fully adjusted model, race/ethnic differences remain substantial, but sex differences are no longer significant and foreign-born respondents no longer have reduced odds of sleeping 5 or fewer hours”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataOlder ages, current smoking and former smoking, and alcohol consumption are associated with short sleep in prior work, but they are also associated with long sleep in our data.
“Older ages (7,20,21), current smoking and former smoking, and alcohol consumption (19,36,38,39) are associated with short sleep in prior work, but they are also associated with long sleep in our data”
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Findingown dataShort or long sleep is common: 28.3% of adults sleep 6 or fewer hours, 8.5% sleep 9 or more hours, and only 63.3% sleep 7 or 8 hours.
“short or long sleep is common: 28.3% of adults sleep 6 or fewer hours, 8.5% sleep 9 or more hours, and only 63.3% sleep 7 or 8 hours.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataMexican Americans have similar odds of sleeping 5 or fewer hours and higher odds of sleeping 8 or more hours compared with non-Hispanic whites.
“Mexican Americans have similar odds of sleeping 5 or fewer hours and higher odds of sleeping 8 or more hours.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThose who are not working have increased odds of both short and long sleep.
“those who are not working have increased odds of both short and long sleep.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataCardiovascular disease, diabetes, depression, underweight, and activity limitations are positively associated with long sleep.
“Cardiovascular disease, diabetes, depression, underweight, and activity limitations are positively associated with long sleep”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe logged odds of sleeping 6 or fewer hours increase in early adulthood, level off in midlife, and then increase at the older ages.
“The logged odds of sleeping 6 or fewer hours increase in early adulthood, level off in midlife, and then increase at the older ages.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThose who work 41 or more hours are 40% more likely to sleep 5 or fewer hours and 59% less likely to sleep 9 or more hours compared with those who work 1-34 hours.
“those who work 41 or more hours are 40% more likely to sleep 5 or fewer hours and 59% less likely to sleep 9 or more hours.”
Quote in the paperSubstantial claim- Rests on an assumption: Long work hours can limit the time available for sleep.
May combine two claims.
Findingnone givenThose who report any of the medical conditions, higher levels of depression or anxiety, being obese or underweight, or activity limitations are more likely to report long or short sleep.
“Those who report any of the medical con-ditions, higher levels of depression or anxiety, being obese or underweight, or activity limitations are more likely to report long or short sleep.”
Quote in the paperSubstantial claimMay combine two claims.
Findingnone givenRespondents who sleep 7 hours per night have high levels of physical activity and low levels of current smoking, consumed 2.4 drinks in the prior week, and binge drank on 6.9 days in the last year.
“Respondents who sleep 7 hours per night have high levels of physical activity and low levels of current smoking, consumed 2.4 drinks in the prior week, and binge drank on 6.9 days in the last year.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataMales and non-Hispanic whites were more likely to report 7 hours of sleep than were females or other race/ethnic groups.
“Males and non-Hispanic whites were more likely to report 7 hours of sleep than were females or other race/ethnic groups.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataCompared with never smokers, current smokers had, for each additional pack smoked, 74% higher odds of sleeping 5 or fewer hours and 45% higher odds of sleeping 9 or more hours.
“Compared with never smokers, current smokers had, for each additional pack smoked, 74% higher odds of sleeping 5 or fewer hours and 45% higher odds of sleeping 9 or more hours.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataWorking 35-40 hours, chronic respiratory conditions, or being overweight or underweight is associated with the odds of sleeping 5 or fewer hours but not of sleeping 6 hours.
“Working 35-40 hours, chronic respiratory conditions, or being overweight or underweight is associated with the odds of sleeping 5 or fewer hours but not of sleeping 6 hours.”
Quote in the paperSubstantial claimMay combine two claims.
FindingcitationYoung children, being unmarried, working long hours, overweight and obesity, and measures of poor health including acute and chronic respiratory conditions, pain, and anxiety increase the odds of short sleep and have a null or inverse association with long sleep.
“Young children, being unmarried (19,26), working long hours (11,27,28), overweight and obesity (3-5), and measures of poor health (13,14,16,20,37,38,40) including acute and chronic respiratory conditions, pain, and anxiety increase the odds of short sleep and have a null or inverse association with long sleep.”
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- Rests on an assumption: Long work hours can limit the time available for sleep.
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FindingcitationBeing younger, Mexican American, or pregnant are associated with increased odds of long sleep and have null or inverse relations with short sleep.
“some variables are associated with increased odds of long sleep and have null or inverse relations with short sleep, including being younger, Mexican American (23), or pregnant (31).”
Quote in the paperSubstantial claim0 of 2 sources checkedMay combine two claims.
Findingown dataUS-born status, underweight, and activity limitations are associated with long sleep in our data.
“as are US-born status, underweight, and activity limitations.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThree knots at ages 35, 50, and 65 years best fit the data for cubic splines adjusting for age.
“We compared models with 1, 2, 3, and 4 knots, with 3 knots at ages 35, 50, and 65 years best fitting the data.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe response rate was 81%.
“The response rate was 81%.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataAdding 1 and taking the logarithm fit the data better than linear or squared terms for binge drinking.
“adding 1 and taking the logarithm fit the data better than did linear or squared terms.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationDespite some misreporting in self-reported height and weight, the resulting body masses are associated with overall and cause-specific mortality in similar ways as objectively measured body mass.
“Despite some misreporting in self-reported height and weight, the resulting body masses are associated with overall and causespecific mortality in similar ways as objectively measured body mass (58).”
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Study design and conductown dataThe powers of 0.5 and 1 provided the best model fit for weekly alcohol consumption.
“The powers of 0.5 and 1 provided the best model fit.”
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PremisecitationSleep durations longer or shorter than 7-8 hours in a 24-hour period are associated with cardiovascular disease and diabetes risk factors, depression, automobile and workplace accidents, learning and memory problems, and excess mortality.
“Sleep duration is associated with cardiovascular disease and diabetes risk factors, depression, automobile and workplace accidents, and prospective mortality.”
- Also stated in: § Abstract · plain
“Sleep durations that are longer or shorter than 7-8 hours in a 24-hour period are associated with cardiovascular disease and diabetes risk factors (1-5), depression (6,7), automobile and workplace accidents (8)(9)(10)(11), learning and memory problems (12), and excess mortality (13)(14)(15)(16)(17)(18)(19).”
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Study design and conductcitationMultiple imputation preserved sample size and relied on more plausible assumptions than other commonly used methods of dealing with missing data.
“Multiple imputation preserved our sample size and relied on more plausible assumptions than other commonly used methods of dealing with missing data (59).”
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Study design and conductcitationMental health measures were validated with a 2-stage clinical reappraisal survey and strongly discriminate between community cases and noncases with DSM-IV disorders.
“The mental health measures were validated with a 2-stage clinical reappraisal survey and strongly discriminate between community cases and noncases with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), disorders (56).”
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PremisecitationSelf-reported sleep duration is widely used in epidemiologic studies and is the basis of research on the relation between sleep duration and mortality.
“Self-reported sleep duration is widely used in epidemiologic studies and is the basis of research on the relation between sleep duration and mortality (13)(14)(15)(16)(17)(18)(19).”
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PremisecitationPrior studies have shown that those who sleep 8 hours have 12%-35% increased risks of death compared with those who sleep 7 hours.
“Prior studies have shown that those who sleep 8 hours have 12%-35% increased risks of death compared with those who sleep 7 hours (14,(16)(17)(18)”
Quote in the paperNot a substantial claim0 of 4 sources checkedMay combine two claims.
Study design and conductcitationOur analyses have 3 major strengths: a large, current, nationally representative, population-based sample of noninstitutionalized US adults; a detailed measure of sleep duration and a richer array of social, economic, and behavioral variables; and multiple imputation methods.
“Third, we use multiple imputation methods that rely on more plausible assumptions than do other methods of dealing with missing data (59,62).”
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Study design and conductnone givenThe model also adjusts for the number of drinks consumed in the last week, raised to the powers of 0.5 and 1.
“This model also adjusts for the number of drinks consumed in the last week, raised to the powers of 0.5 and 1.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductcitationSelf-reported sleep duration reliably predicts prospective mortality and other health outcomes.
“self-reported sleep duration reliably predicts prospective mortality and other health outcomes (1-7, 13-18).”
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Study design and conductnone givenThe model used cubic splines to adjust for age in years, with knots at ages 35, 50, and 65.
“This model used cubic splines to adjust for age in years, with knots at ages 35, 50, and 65.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
Little is known about sleep patterns in the US population.
“Little is known, however, about sleep patterns in the US population.”
“Because we know little about the contours of sleep duration in the US population”
The paper relies on this without support.
Health behaviors can increase or depress physiologic arousal or indicate lifestyles that interfere with good sleep hygiene.
“Health behaviors can increase (i.e., exercise, smoking) or depress (i.e., drinking) physiologic arousal or indicate lifestyles that interfere with good sleep hygiene.”
The paper relies on this without support.
The determinants of long and short sleep may differ.
“the determinants of long and short sleep may differ.”
The paper relies on this without support.
Nativity has not been linked to sleep.
“Nativity has not been linked to sleep”
The paper relies on this without support.
Long work hours can limit the time available for sleep.
“long work hours can limit the time available for sleep.”
The paper relies on this without support.
Prior research has offered little insight into sleep patterns in the US population.
“prior research has offered little insight into sleep patterns in the US population.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In fathers, hormonal imbalances may be related to postpartum depression, but lack of sufficient sleep may also play a role.
“As in mothers, in fathers, hormonal imbalances may be related to postpartum depression (Saxbe et al., 2018), but lack of sufficient sleep may also play a role: 35% of parents with children under age 2 report that they get only 5–6 hr of sleep per night (Krueger & Friedman, 2009).”
From Birth of a Father: Fathering in the First 1,000 Days (2019) · cites this paper as Krueger & Friedman, 2009
The Results (p. 1057) report that parents living with children under 2 have 34% higher odds of sleeping 5 or fewer hours than adults not living with children. That is not the cited sentence’s claim that 35% of those parents sleep 5–6 hours per night. The paper associates sleep duration with depression generally, but does not examine sleep as a contributor to postpartum depression in fathers. (LLM, conf=0.87)
Experimental — accuracy not yet measured35% of parents with children under age 2 report getting only 5-6 hr of sleep per night.
“35% of parents with children under age 2 report that they get only 5–6 hr of sleep per night (Krueger & Friedman, 2009).”
From Birth of a Father: Fathering in the First 1,000 Days (2019) · cites this paper as Krueger & Friedman, 2009
Table 1 (Family structure) reports that, among respondents living with a child under 2, 9.2% slept 5 or fewer hours and 25.1% slept 6 hours—a combined 34.3%, close to the cited 35%. The table does not separate exactly 5 hours from fewer than 5, so it does not establish that all of those respondents slept 5–6 hours. (LLM, conf=0.84)
Experimental — accuracy not yet measuredShort sleep is associated with current or former smoking status.
“Short sleep is associated with current or former smoking status [31, 32] while both short and long sleep are associated with higher cigarette consumption [31, 33].”
From Smoking, screen-based sedentary behavior, and diet associated with habitual sleep duration and chronotype: data from the UK Biobank (2016) · cites this paper as [31]
Both short and long sleep are associated with higher cigarette consumption.
“Short sleep is associated with current or former smoking status [31, 32] while both short and long sleep are associated with higher cigarette consumption [31, 33].”
From Smoking, screen-based sedentary behavior, and diet associated with habitual sleep duration and chronotype: data from the UK Biobank (2016) · cites this paper as [31]
Some epidemiological studies link shorter sleep durations to increased alcohol consumption and more frequent binge drinking, while others link longer sleep durations (usually > 9 h) to greater alcohol use.
“Some epidemiological studies link shorter sleep durations to increased alcohol consumption and more frequent binge drinking (Krueger & Friedman, 2009), while others link longer sleep durations (usually > 9 h) to greater alcohol use (e.g., Gottlieb et al., 2006; Patel et al., 2004).”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Krueger & Friedman, 2009
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Figure 2 is attributed to two different models
MinorThe results text says Figure 2 shows estimates from model 2, while the figure caption says they are from model 3.
“Figure 2 graphs the logged odds for the number of drinks consumed in the last week, from model 2, holding all other covariates at their means.”
“Figure 2. Logged odds and 95% confidence intervals for the relation between the number of drinks consumed and sleep hours, from model 3, Table 2, holding all other covariates at their means, US adults aged 18 years or older, 2004-2007.”
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Rafalson, L., Donahue, R. P., Stranges, S., Lamonte, M. J., Dmochowski, J., Dorn, J., & Trevisan, M. (2010) · Annals of Epidemiology · doi:10.1016/j.annepidem.2010.05.002 · Cited by 118 · see citing works
Sleep duration and self-rated health: The national health interview survey 2008
Shankar, A., Charumathi, S., & Kalidindi, S. (2011) · SLEEP · doi:10.5665/sleep.1232 · Cited by 108 · see citing works
Short sleep duration and increased risk of hypertension: a primary care medicine investigation
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Factors associated with short and long sleep
Magee, C. A., Iverson, D. C., & Caputi, P. (2009) · Preventive Medicine · doi:10.1016/j.ypmed.2009.10.006 · Cited by 103 · see citing works
Association between sleep duration and diabetes in black and white adults
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Poor sleep is related to lower emotional competence among adolescents
Brand, S., Kirov, R., Kalak, N., Gerber, M., Schmidt, N. B., Lemola, S., Correll, C. U., & Holsboer-Trachsler, E. (2016) · Behavioral Sleep Medicine · doi:10.1080/15402002.2015.1048450 · Cited by 89 · see citing works
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24-h activity rhythm and sleep in depressed outpatients
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The association of sleep duration and feeling rested with health in U.S. Hispanic women
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- Authors
- Krueger, P. M., & Friedman, E. M.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-03-24
- Volume
- 169
- Issue
- 9
- Pages
- 1052-1063
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- PMC
- PMC2727237
- OpenAlex
- W2142936302
- Semantic Scholar
- 8f830c7a601fb3e69af3b011d5fde0048ed091ac
- Cited by
- 791
- References
- 63
- Citations by year
- 2026: 23 · 2025: 29 · 2024: 41 · 2023: 36 · 2022: 67 · 2021: 52 · 2020: 47 · 2019: 53 · 2018: 45 · 2017: 50 · 2016: 59 · 2015: 53 · 2014: 69 · 2013: 48 · 2012: 40
- FWCI
- 49.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (K01AG029381, 1K01-AG29381-01A1)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24HD042849, R21HD051146)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- sleep duration, long sleep, short sleep duration, sleep patterns, risk factors, cardiovascular disease, diabetes mellitus, depression, socioeconomic status, smoking, alcohol consumption, binge drinking, physical activity, family structure, health status, confounding
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Ethnicity, Female, Health Status, Health Status Indicators, Health Surveys, Humans, Male, Middle Aged, Risk Factors, Sleep Deprivation, Socioeconomic Factors, Time Factors, United States, Health Behavior, Logistic Models, Age Distribution, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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