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Social and Behavioral Determinants of Perceived Insufficient Sleep
Open accessAbstract
Insufficient sleep is associated with cardiometabolic disease and poor health. However, few studies have assessed its determinants in a nationally representative sample. Data from the 2009 behavioral risk factor surveillance system were used (N = 323,047 adults). Insufficient sleep was assessed as insufficient rest/sleep over 30 days. This was evaluated relative to sociodemographics (age, sex, race/ethnicity, marital status, region), socioeconomics (education, income, employment, insurance), health behaviors (diet, exercise, smoking, alcohol), and health/functioning (emotional support, BMI, mental/physical health). Overall, insufficient sleep was associated with being female, White or Black/African-American, unemployed, without health insurance, and not married; decreased age, income, education, physical activity; worse diet and overall health; and increased household size, alcohol, and smoking. These factors should be considered as risk factors for insufficient sleep.
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“For example, in an analysis of data from greater than 350,000 US adults, insufficient sleep was associated with poverty before adjusting for covariates, but after adjustment, the opposite relationship was seen.30”
From Sleep, Health, and Society (2017) · cites this paper as [30]
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In the citing paper
“Chronic sleep insufficiency has played a role in motor vehicle accidents, industrial disasters, medical and other occupational errors, for instance(41, 42, 47-51).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [41]
In the citing paper
“In the general population, overall mental health has been identified as the leading predictor of self-reported insufficient sleep.30”
From Sleep, Health, and Society (2017) · cites this paper as [30]
In the citing paper
“Unemployment, on the other hand, is associated with more sleep problems.28,30”
From Sleep, Health, and Society (2017) · cites this paper as [30]
In the citing paper
“However, once the benefits of income are accounted for (by statistically covarying education, access to health care, and so forth), associations with income are often nonexistent and may go in the opposite direction.”
From Sleep, Health, and Society (2017) · cites this paper as [30]
In the citing paper
“Several studies have shown that poverty is associated with both shorter sleep duration and worse sleep quality.30”
From Sleep, Health, and Society (2017) · cites this paper as [30]
In the citing paper
“For example, household size is negatively associated with sleep, such that more crowded homes are more likely to foster insufficient sleep.30”
From Sleep, Health, and Society (2017) · cites this paper as [30]
In the citing paper
“A positive relationship between income and insufficient sleep after adjusting for covariates suggests that money may not buy sleep, but many of the benefits of income may contribute to healthy sleep.”
From Sleep, Health, and Society (2017) · cites this paper as [30]
In the citing paper
“For example, in an analysis of data from greater than 350,000 US adults, insufficient sleep was associated with poverty before adjusting for covariates, but after adjustment, the opposite relationship was seen.30”
From Sleep, Health, and Society (2017) · cites this paper as [30]
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Metadata
- Authors
- Grandner, M. A., Jackson, N. J., Izci-Balserak, B., Gallagher, R. A., Murray-Bachmann, R., Williams, N. J., Patel, N. P., & Jean-Louis, G.
- Affiliations
- University of Pennsylvania (US)
- University of Southern California (US)
- SUNY Downstate Health Sciences University (US)
- NYU Langone Health (US)
- Reading Hospital (US)
- Corresponding author
- Grandner, Michael A.
- Venue
- Frontiers in Neurology
- Publisher
- Frontiers Media SA
- Published
- 2015-06-05
- Volume
- 6
- Pages
- 112-112
- ISSN
- 1664-2295 (ISSN-L)
- PMC
- PMC4456880
- OpenAlex
- W1865895031
- Cited by
- 202
- References
- 77
- Citations by year
- 2026: 11 · 2025: 24 · 2024: 18 · 2023: 22 · 2022: 29 · 2021: 20 · 2020: 17 · 2019: 22 · 2018: 20 · 2017: 10 · 2016: 9
- FWCI
- 19.64
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Neurology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- American Heart Association
- University of Pennsylvania
- Georgia Clinical and Translational Science Alliance
- National Heart, Lung, and Blood Institute (K23HL110216)
- National Institute of Nursing Research (K99NR013187)
- National Institute of Environmental Health Sciences (R21ES022931)
- National Center for Research Resources (UL1RR024134)
- 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
- insufficient sleep, sleep duration, social determinants of health, behavioral risk factors, sociodemographic factors, socioeconomic status, health behavior, diet, physical activity, smoking, alcohol consumption, health insurance, marital status, race and ethnicity, cardiometabolic risk
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