Sleep duration and self-rated health: The national health interview survey 2008
Open accessAbstract
BACKGROUND: Self-rated health (SRH) has been shown to consistently predict overall mortality and cardiovascular mortality in several population-based studies across the world. Similarly sleep duration have been found to be associated with cardiovascular disease (CVD) and mortality. However, relatively few studies have examined the association between sleep duration and SRH, and the results have not been consistent. METHODS: We conducted a cross-sectional study of n = 20,663 National Health Interview Survey 2008 participants ≥ 18 years of age (56.2% women). Sleep duration was categorized as ≤ 5 h, 6 h, 7 h, 8 h, and ≥ 9 h. The main outcome interest was fair/poor SRH (n = 3043). RESULTS: We found both short and long sleep duration to be independently associated with fair/poor SRH, independent of age, sex, race-ethnicity, smoking, alcohol intake, body mass index, physical activity, depression, diabetes mellitus, hypertension, and CVD. Compared with a sleep duration of 7 h (referent), the multivariate odds ratio (95% confidence interval) of fair/poor SRH was 2.29 (1.86-2.83), 1.68 (1.42-2.00), 1.38 (1.18-1.61), and 1.98 (1.63-2.40) for sleep duration ≤ 5, 6, 8, and ≥ 9 h. This association persisted in subgroup analyses by gender, race-ethnicity, and body mass index categories. CONCLUSION: Compared with sleep duration of 7 h, there was a positive association between both shorter and longer sleep duration and fair/poor self-rated health in a representative sample of US adults.
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- Authors
- Shankar, A., Charumathi, S., & Kalidindi, S.
- Affiliations
- West Virginia University (US)
- Corresponding author
- Shankar, Anoop
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-09
- Volume
- 34
- Issue
- 9
- Pages
- 1173-1177
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC3157658
- OpenAlex
- W2083542549
- Cited by
- 108
- References
- 27
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 6 · 2023: 7 · 2022: 6 · 2021: 8 · 2020: 7 · 2019: 9 · 2018: 15 · 2017: 4 · 2016: 5 · 2015: 11 · 2014: 9 · 2013: 6 · 2012: 8
- FWCI
- 9.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- SLEEP (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Heart Association
- National Institute of Environmental Health Sciences (R03ES018888)
- 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, self-rated health, short sleep duration, long sleep, cardiovascular disease, mortality, health perception, adults, sex differences, racial and ethnic differences, body mass index
- MeSH terms
- Adult, Cross-Sectional Studies, Female, Health Status, Health Surveys, Humans, Male, Middle Aged, Risk Factors, Sleep, Time Factors, United States, Diagnostic Self Evaluation
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