The DOI matches its Crossref record; 68 of the 70 references it cites were found in a registry or an index.
The economic cost of inadequate sleep
Open accessAbstract
Study Objectives: To estimate the economic cost (financial and nonfinancial) of inadequate sleep in Australia for the 2016-2017 financial year and relate this to likely costs in similar economies. Methods: Analysis was undertaken using prevalence, financial, and nonfinancial cost data derived from national surveys and databases. Costs considered included the following: (1) financial costs associated with health care, informal care provided outside healthcare sector, productivity losses, nonmedical work and vehicle accident costs, deadweight loss through inefficiencies relating to lost taxation revenue and welfare payments; and (2) nonfinancial costs of loss of well-being. They were expressed in US dollars ($). Results: The estimated overall cost of inadequate sleep in Australia in 2016-2017 (population: 24.8 million) was $45.21 billion. The financial cost component was $17.88 billion, comprised of as follows: direct health costs of $160 million for sleep disorders and $1.08 billion for associated conditions; productivity losses of $12.19 billion ($5.22 billion reduced employment, $0.61 billion premature death, $1.73 billion absenteeism, and $4.63 billion presenteeism); nonmedical accident costs of $2.48 billion; informal care costs of $0.41 billion; and deadweight loss of $1.56 billion. The nonfinancial cost of reduced well-being was $27.33 billion. Conclusions: The financial and nonfinancial costs associated with inadequate sleep are substantial. The estimated total financial cost of $17.88 billion represents 1.55 per cent of Australian gross domestic product. The estimated nonfinancial cost of $27.33 billion represents 4.6 per cent of the total Australian burden of disease for the year. These costs warrant substantial investment in preventive health measures to address the issue through education and regulation.
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“As a large proportion of the population do not meet the current sleep recommendations (7–9 h per night) [10,11]”
From Exercise mitigates sleep-loss-induced changes in glucose tolerance, mitochondrial function, sarcoplasmic protein synthesis, and diurnal rhythms (2021) · cites this paper as [10]
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Cites
(1996) · Cited by 6,884
Marin, J. M., Carrizo, S. J., Vicente, E., & Agusti, A. G. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71141-7 · Cited by 4,678
Increased Prevalence of Sleep-Disordered Breathing in Adults
Peppard, P. E., Young, T., Barnet, J. H., Palta, M., Hagen, E. W., & Hla, K. M. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kws342 · Cited by 4,618
Baglioni, C., Battagliese, G., Feige, B., Spiegelhalder, K., Nissen, C., Voderholzer, U., Lombardo, C., & Riemann, D. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.01.011 · Cited by 2,779
Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies
Cappuccio, F. P., D'Elia, L., Strazzullo, P., & Miller, M. A. (2010) · Sleep · doi:10.1093/sleep/33.5.585 · Cited by 2,224
Cappuccio, F. P., Cooper, D., D'Elia, L., Strazzullo, P., & Miller, M. A. (2011) · European Heart Journal · doi:10.1093/eurheartj/ehr007 · Cited by 2,146
Meta-Analysis of Short Sleep Duration and Obesity in Children and Adults
Cappuccio, F. P., Taggart, F. M., Kandala, N.-B., Currie, A., Peile, E., Stranges, S., & Miller, M. A. (2008) · Sleep · doi:10.1093/sleep/31.5.619 · Cited by 2,076
Dinges, D. F., Pack, F. M., Williams, K., Gillen, K. A., Powell, J. W., Ott, G. E., Trasande, C. A., & Pack, A. I. (1997) · SLEEP · doi:10.1093/sleep/20.4.267 · Cited by 2,018
Allen, R. P., Picchietti, D. L., Garcı́a-Borreguero, D., Ondo, W. G., Walters, A. S., Winkelman, J. W., Zucconi, M., Ferri, R., Trenkwalder, C., & Lee, H. B. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2014.03.025 · Cited by 1,620
Gottlieb, D. J., Yenokyan, G., Newman, A. B., O'Connor, G. T., Punjabi, N. M., Quan, S. F., Redline, S., Resnick, H. E., Tong, E. K., Diener-West, M., et al. (2010) · Circulation · doi:10.1161/circulationaha.109.901801 · Cited by 1,551
Research works printed but not linked: 16
- Hafner, 2016, Why Sleep Matters–The Economic Costs of Insufficient Sleep, 10.7249/RR1791 · DOI
- Australian Institute of Health and Welfare, 2009, Chronic Disease and Participation in Work. Cat. No. PHE 109
- Australian Institute of Health and Welfare, 2010, Health System Expenditure on Disease and Injury in Australia, 2004–05. Health and Welfare Expenditure Series no. 36. Cat. No. HSE 87
- Australian Institute of Health and Welfare, 2011, Young Australians: Their Health and Wellbeing 2011. Catalogue number PHE 140
- Australian Institute of Health and Welfare, 2013, Diabetes Expenditure in Australia 2008–09. Cat no. CVD 62
- Australian Institute of Health and Welfare, 2013, Stroke and its Management in Australia: an Update. . Cat no. CVD 62
- Australian Institute of Health and Welfare, 2014, Health Care Expenditure on Cardiovascular Diseases 2008–09. Cat no. CVD 65
- Australian Institute of Health and Welfare, 2017, Health Expenditure Australia 2013–14. Health Expenditure Series. Cat. No. HWE 67 2015;Australian Burden of Disease Study, BOD 4
- Australian Institute of Health and Welfare, 2016, Health Expenditure in Australia 2014–15. Health and Welfare Expenditure Series, Cat. No. HWE 67
- Bureau of Infrastructure, Transport and Regional Economics, 2009, Cost of Road Crashes in Australia 2006. Report 118
- Australian Bureau of Statistics, 2013, Employee Earnings, Benefits and Trade Union Membership, Australia. August, 2013, catalogue number 6310.0
- Australian Bureau of Statistics, 2017, Average Weekly Earnings, Australia, May 2017. Catalogue number 6302.0
- Direct Health Solutions, 2016, Absence Management Report 2016
- Abelson, 2008, Establishing a Monetary Value for Lives Saved: Issues and Controversies, 2012
- Institute of Medicine Committee on Sleep Medicine, Research, 2006, The national academies collection: reports funded by National Institutes of Health
- Australian Bureau of Statistics, 2009, National Health Survey: Summary of Results 2007–2008
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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
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Metadata
- Authors
- Hillman, D., Mitchell, S., Streatfeild, J., Burns, C., Bruck, D., & Pezzullo, L.
- Affiliations
- The University of Western Australia (AU)
- Health Economics and Social Policy Team, Deloitte Access Economics, Canberra, Australia
- Victoria University (AU)
- Corresponding author
- Hillman, David
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-06-04
- Volume
- 41
- Issue
- 8
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W2806077392
- Cited by
- 278
- References
- 70
- Citations by year
- 2026: 17 · 2025: 34 · 2024: 38 · 2023: 46 · 2022: 37 · 2021: 36 · 2020: 35 · 2019: 24 · 2018: 11
- FWCI
- 34.69
- Type
- journal article
- Language
- en
- Open access
- green
- vuir.vu.edu.au
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Victoria University Research Repository (Victoria University) (submittedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Funders
- Sleep Health Foundation
- 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 › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- insufficient sleep, sleep disorders, productivity loss, presenteeism, absenteeism, informal care, premature mortality, deadweight loss, disease burden, Australia
- MeSH terms
- Absenteeism, Accidents, Australia, Efficiency, Health Expenditures, Humans, Sleep Initiation and Maintenance Disorders, Male, Public Health, Sleep, Prevalence, Health Care Costs, Cost of Illness
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