Who has time to sleep?
Abstract
BACKGROUND: Both marriage and education appear to confer a protective effect on health. Few studies have examined the extent to which both undersleeping and oversleeping explain these relationships. I examined whether marital status, educational background, and other sociodemographic variables are associated with higher-risk sleep durations. METHODS: Over 7000 individuals aged 25-64 collected time-use diary data during a 24-h period. For both weekdays and weekend days, separate multinomial logistic regression models were estimated using three categories of sleep duration as the outcome category. RESULTS: Unmarried individuals are significantly more likely to sleep a short amount on both weekdays and weekends compared to married people. Single people also are significantly more likely to sleep a long amount. People with less than a college education are significantly more likely to sleep both a short amount and a long amount on weekdays relative to the college educated. CONCLUSIONS: High-risk sleep durations (short sleeping and long sleeping) are positively associated with sociodemographic categories associated with poorer health. More research should investigate whether social inequalities in health can be explained in part by variation in sleep duration.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
One other study found long sleep duration to be associated with more television viewing than adequate sleep.
“One other study also found long sleep duration to be associated with more television viewing than adequate sleep [69]”
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 [69]
Older 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”
From Sleep Duration in the United States: A Cross-sectional Population-based Study (2009) · cites this paper as [21]
Cites
McEWEN, B. S., & SEEMAN, T. (1999) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1999.tb08103.x · Cited by 1,824 · see citing works
Neighborhood of residence and incidence of coronary heart disease
Roux, A. V. D., Merkin, S. S., Arnett, D., Chambless, L., Massing, M., Nieto, F. J., Sorlie, P., Szklo, M., Tyroler, H. A., & Watson, R. L. (2001) · New England Journal of Medicine · doi:10.1056/nejm200107123450205 · Cited by 1,799 · see citing works
Socioeconomic Status and Health: What We Know and What We Don't
ADLER, N. E., & OSTROVE, J. M. (1999) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1999.tb08101.x · Cited by 1,643 · see citing works
Mortality Associated With Sleep Duration and Insomnia
Kripke, D. F., Garfinkel, L., Wingard, D. L., Klauber, M. R., & Marler, M. R. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.2.131 · Cited by 1,614 · see citing works
Lantz, P. M., House, J. S., Lepkowski, J. M., Williams, D. R., Mero, R. P., & Chen, J. (1998) · JAMA · doi:10.1001/jama.279.21.1703 · Cited by 1,514 · see citing works
The Case For More Active Policy Attention To Health Promotion
McGinnis, J. M., Williams-Russo, P. G., & Knickman, J. R. (2002) · Health Affairs · doi:10.1377/hlthaff.21.2.78 · Cited by 1,272 · see citing works
Time for life: the surprising ways Americans use their time
(1997) · Choice Reviews Online · doi:10.5860/choice.35-2429 · Cited by 1,269 · see citing works
Family Status and Health Behaviors: Social Control as a Dimension of Social Integration
Umberson, D. (1987) · Journal of Health and Social Behavior · doi:10.2307/2136848 · Cited by 1,224 · see citing works
Fiscella, K. A., Franks, P. J., Gold, M. R., & Clancy, C. M. (2000) · JAMA · doi:10.1001/jama.283.19.2579 · Cited by 1,186 · see citing works
A Prospective Study of Sleep Duration and Coronary Heart Disease in Women
Ayas, N. T., White, D. P., Manson, J. E., Stampfer, M. J., Speizer, F. E., Malhotra, A., & Hu, F. B. (2003) · Archives of Internal Medicine · doi:10.1001/archinte.163.2.205 · Cited by 1,155 · see citing works
The Effect of Marital Status on Stage, Treatment, and Survival of Cancer Patients
Goodwin, J. S. (1987) · JAMA · doi:10.1001/jama.1987.03400210067027 · Cited by 542 · see citing works
JACC Study Group (2004) · SLEEP · doi:10.1093/sleep/27.1.51 · Cited by 449 · see citing works
Time for Life: The Surprising Ways Americans Use Their Time
Cotte, J., Robinson, J. P., & Godbey, G. C. (1998) · Journal of Marketing · doi:10.2307/1251750 · Cited by 384 · see citing works
Redwine, L. S., Hauger, R. L., Gillin, J. C., & Irwin, M. R. (2000) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.85.10.6871 · Cited by 373 · see citing works
Mortality Risk Associated with Sleeping Patterns Among Adults
Wingard, D. L., & Berkman, L. F. (1983) · Sleep · doi:10.1093/sleep/6.2.102 · Cited by 371 · see citing works
Marital Status and Personal Well-Being: A Literature Review
Coombs, R. H. (1991) · Family Relations · doi:10.2307/585665 · Cited by 353 · see citing works
Cleaning up their act: The effects of marriage and cohabitation on licit and illicit drug use
Duncan, G. J., Wilkerson, B., & England, P. (2006) · Demography · doi:10.1353/dem.2006.0032 · Cited by 340 · see citing works
Socioeconomic Status and Health in Industrial Nations: Social, Psychological and Biological Pathways
Adler, N. E., Marmot, M. G., McEwen, B. S., & Judith, S. (1999) · Cited by 322 · see citing works
Marriage selection and mortality patterns: Inferences and fallacies
Goldman, N. (1993) · Demography · doi:10.2307/2061837 · Cited by 302 · see citing works
Socioeconomic Status and Health: The Role of Sleep
Moore, P. J., Adler, N. E., Williams, D. R., & Jackson, J. S. (2002) · Psychosomatic Medicine · doi:10.1097/00006842-200203000-00018 · Cited by 292 · see citing works
Sleep and the Allocation of Time
Biddle, J. E., & Hamermesh, D. S. (1989) · National Bureau of Economic Research · doi:10.3386/w2988 · Cited by 235 · see citing works
Sleep as a Mediator of the Relationship between Socioeconomic Status and Health: A Hypothesis
VAN CAUTER, E., & SPIEGEL, K. (1999) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1999.tb08120.x · Cited by 179 · see citing works
Do Family Ties Reduce Mortality? Evidence from the United States, 1966-1968
Kobrin, F. E., & Hendershot, G. E. (1977) · Journal of Marriage and the Family · doi:10.2307/350478 · Cited by 149 · see citing works
Self-reported Sleep Complaints With Long and Short Sleep: A Nationally Representative Sample
Grandner, M. A., & Kripke, D. F. (2004) · Psychosomatic Medicine · doi:10.1097/01.psy.0000107881.53228.4d · Cited by 145 · see citing works
A Room With a View or a Room of One’s Own? Housing and Social Stratification
Conley (2001) · Sociological Forum · doi:10.1023/a:1011052701810 · Cited by 110 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
The social determinants of health: It’s time to consider the causes of the causes
Braveman, P., & Gottlieb, L. (2014) · Public Health Reports® · doi:10.1177/00333549141291s206 · Cited by 3,861 · see citing works
St-Onge, M.-P., Grandner, M. A., Brown, D., Conroy, M. B., Jean-Louis, G., Coons, M., & Bhatt, D. L. (2016) · Circulation · doi:10.1161/cir.0000000000000444 · Cited by 1,044 · see citing works
Buxton, O. M., & Marcelli, E. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2010.05.041 · Cited by 818 · see citing works
Sleep Duration in the United States: A Cross-sectional Population-based Study
Krueger, P. M., & Friedman, E. M. (2009) · American Journal of Epidemiology · doi:10.1093/aje/kwp023 · Cited by 791 · see citing works
Grandner, M. A., Hale, L., Moore, M., & Patel, N. P. (2010) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2009.07.006 · Cited by 602 · see citing works
Self-citationStranges, S., Tigbe, W., Gómez-Olivé, F. X., Thorogood, M., & Kandala, N.-B. (2012) · Sleep · doi:10.5665/sleep.2012 · Cited by 592 · see citing works
American Time Use Survey: Sleep Time and Its Relationship to Waking Activities
Basner, M., Fomberstein, K. M., Razavi, F. M., Banks, S., William, J. H., Rosa, R. R., & Dinges, D. F. (2007) · Sleep · doi:10.1093/sleep/30.9.1085 · Cited by 564 · see citing works
Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints
Grandner, M. A., Patel, N. P., Gehrman, P. R., Xie, D., Sha, D., Weaver, T., & Gooneratne, N. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2009.10.006 · Cited by 562 · see citing works
Racial differences in self-reports of sleep duration in a population-based study
Hale, L., & Do, D. P. (2007) · SLEEP · doi:10.1093/sleep/30.9.1096 · Cited by 523 · see citing works
Self-citationPatel, N. P., Grandner, M. A., Xie, D., Branas, C. C., & Gooneratne, N. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-475 · Cited by 451 · see citing works
Sleep duration and health in young adults
Steptoe, A. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.16.1689 · Cited by 425 · see citing works
Whinnery, J., Jackson, N., Rattanaumpawan, P., & Grandner, M. A. (2014) · SLEEP · doi:10.5665/sleep.3508 · Cited by 423 · see citing works
Troxel, W. M., Robles, T. F., Hall, M., & Buysse, D. J. (2007) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2007.05.002 · Cited by 350 · see citing works
Stranges, S., Dorn, J. M., Shipley, M. J., Kandala, N.-B., Trevisan, M., Miller, M. A., Donahue, R. P., Hovey, K. M., Ferrie, J. E., Marmot, M. G., et al. (2008) · American Journal of Epidemiology · doi:10.1093/aje/kwn337 · Cited by 344 · see citing works
Social and demographic predictors of preschoolers' bedtime routines
Hale, L., Berger, L. M., LeBourgeois, M. K., & Brooks-Gunn, J. (2009) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e3181ba0e64 · Cited by 232 · see citing works
Self-citationHill, T. D., Burdette, A. M., & Hale, L. (2009) · Health & Place · doi:10.1016/j.healthplace.2009.04.001 · Cited by 218 · see citing works
Self-citationSecular trends in adult sleep duration: A systematic review
Bin, Y. S., Marshall, N. S., & Glozier, N. (2012) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2011.07.003 · Cited by 219 · see citing works
Sleep duration and all-cause mortality: a critical review of measurement and associations
Kurina, L. M., McClintock, M. K., Chen, J.-H., Waite, L. J., Thisted, R. A., & Lauderdale, D. S. (2013) · Annals of Epidemiology · doi:10.1016/j.annepidem.2013.03.015 · Cited by 218 · see citing works
Family Socioeconomic Status and Sleep Patterns of Young Adolescents
Marco, C. A., Wolfson, A. R., Sparling, M., & Azuaje, A. (2012) · Behavioral Sleep Medicine · doi:10.1080/15402002.2012.636298 · Cited by 205 · see citing works
Social and behavioral determinants of perceived insufficient sleep
Grandner, M. A., Jackson, N. J., Izci-Balserak, B., Gallagher, R. A., Murray-Bachmann, R., Williams, N. J., Patel, N. P., & Jean-Louis, G. (2015) · Frontiers in Neurology · doi:10.3389/fneur.2015.00112 · Cited by 202 · see citing works
Patterson, F., Malone, S. K., Lozano, A., Grandner, M. A., & Hanlon, A. L. (2016) · Annals of Behavioral Medicine · doi:10.1007/s12160-016-9797-5 · Cited by 144 · see citing works
Marital happiness and sleep disturbances in a multi-ethnic sample of middle-aged women
Troxel, W. M., Buysse, D. J., Hall, M., & Matthews, K. A. (2009) · Behavioral Sleep Medicine · doi:10.1080/15402000802577736 · Cited by 142 · see citing works
Perceived racial discrimination as an independent predictor of sleep disturbance and daytime fatigue
Grandner, M. A., Hale, L., Jackson, N., Patel, N. P., Gooneratne, N. S., & Troxel, W. M. (2012) · Behavioral Sleep Medicine · doi:10.1080/15402002.2012.654548 · Cited by 141 · see citing works
Self-citationNegative acculturation in sleep duration among Mexican immigrants and Mexican Americans
Hale, L., & Rivero-Fuentes, E. (2011) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-009-9284-1 · Cited by 89 · see citing works
Self-citationRyu, S. Y., Kim, K. S., & Han, M. A. (2011) · Journal of Korean Medical Science · doi:10.3346/jkms.2011.26.9.1124 · Cited by 80 · see citing works
Buxton, O. M., Hopcia, K., Sembajwe, G., Porter, J. H., Dennerlein, J. T., Kenwood, C., Stoddard, A. M., Hashimoto, D., & Sorensen, G. (2012) · Journal of Occupational & Environmental Medicine · doi:10.1097/jom.0b013e31824e6913 · Cited by 66 · see citing works
Socioeconomic position and sleep quantity in UK adults
Adams, J. (2006) · Journal of Epidemiology and Community Health · doi:10.1136/jech.2005.039552 · Cited by 56 · see citing works
Association between sleep and residential environments in the summertime in Japan
Kayaba, M., Ihara, T., Kusaka, H., Iizuka, S., Miyamoto, K., & Honda, Y. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2013.11.784 · Cited by 17 · see citing works
The contribution of transdiagnostic vulnerability factors in patients with chronic insomnia
Habibi Asgarabad, M., Doos Ali Vand, H., Salehi Yegaei, P., Hooman, F., Ahmadi, R., Baglioni, C., & Moradi, S. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1162729 · Cited by 10 · see citing works
“For instance, lower education level was shown to be a risk factor for psychological and social stressors and as a result, leads to insomnia (Hale, 2005; Grandner et al., 2010; Al-Smadi et al., 2019).”
BackgroundRE: "OBJECTIVELY MEASURED SLEEP CHARACTERISTICS AMONG EARLY-MIDDLE-AGED ADULTS: THE CARDIA STUDY"
Hale, L., & Do, D. P. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwk080 · Cited by 7 · see citing works
Self-citationTambadou, H., Zwick, B., Le Heiget, A., Hagen, B., Winder, C., Plaizier, J. C., Kinley, J., Ominski, K., Pajor, E., Watson, H., et al. (2026) · Journal of Dairy Science · doi:10.3168/jds.2025-27821
- Authors
- Hale, L.
- Affiliations
- RAND Corporation (US)
- Corresponding author
- Hale, Lauren
- ORCID
- Hale, Lauren
- Venue
- Journal of Public Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-03-07
- Volume
- 27
- Issue
- 2
- Pages
- 205-211
- ISSN
- 0943-1853 (ISSN-L)
- 1741-3850
- 1741-3842
- OpenAlex
- W2128756228
- Cited by
- 243
- References
- 25
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 2 · 2023: 6 · 2022: 10 · 2021: 9 · 2020: 14 · 2019: 7 · 2018: 11 · 2017: 11 · 2016: 16 · 2015: 15 · 2014: 49 · 2013: 10 · 2012: 15
- FWCI
- 5.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Public Health (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep duration, oversleeping, marital status, educational attainment, social determinants of health, time diaries, adults
- MeSH terms
- Adult, Chronology as Topic, Divorce, Educational Status, Female, Health Status Indicators, Humans, Leisure Activities, Male, Middle Aged, Psychology, Social, Risk Factors, Single Person, Sleep, Sleep Deprivation, Stress, Psychological, Time, United States, Causality, Logistic Models, Marital Status, Widowhood
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.
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.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review