Sleep Duration and Health Care Expenditures in the United States

Datos Bibliográficos

ID9104611
AutoresForam S Jasani (Center for Evaluation and Applied Research, The New York Academy of Medicine), Foram Jasani (New York Academy of Medicine, autor de correspondencia), Azizi Seixas (0000-0003-0843-2679), Azizi A Seixas (Population Health), Kumbirai Madondo (Center for Health Innovation, The New York Academy of Medicine), Yan Li (0000-0001-6650-7726, Center for Health Innovation, The New York Academy of Medicine), Girardin Jean-Louis (Population Health), Girardin Jean‐Louis (0000-0001-6777-2724), Jose A Pagan (0000-0002-8915-9602, Center for Health Innovation, The New York Academy of Medicine)
Año2020
Volumen58
Número9
Páginas770-777
Fecha de publicación2020-09-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001351
PMID32826742
OpenAlexW3080543937
IdiomaEN
Citas recibidas4
Referencias citadas23

OBJECTIVE: To estimate the average incremental health care expenditures associated with habitual long and short duration of sleep as compared with healthy/average sleep duration. DATA SOURCE: Medical Expenditure Panel Survey data (2012; N=6476) linked to the 2010-2011 National Health Interview Survey. STUDY DESIGN: Annual differences in health care expenditures are estimated for habitual long and short duration sleepers as compared with average duration sleepers using 2-part logit generalized linear regression models. PRINCIPAL FINDINGS: Habitual short duration sleepers reported an additional $1400 in total unadjusted health care expenditures compared to people with average sleep duration (P<0.01). After adjusting for demographics, socioeconomic factors, and health behavior factors, this difference remained significant with an additional $1278 in total health care expenditures over average duration sleepers (P<0.05). Long duration sleepers reported even higher, $2994 additional health care expenditures over average duration sleepers. This difference in health care expenditures remained significantly high ($1500, P<0.01) in the adjusted model. Expenditure differences are more pronounced for inpatient hospitalization, office expenses, prescription expenses, and home health care expenditures. CONCLUSIONS: Habitual short and long sleep duration is associated with higher health care expenditures, which is consistent with the association between unhealthy sleep duration and poorer health outcomes

Demographics · Duration (music) · Economics · Environmental health · Health care · Health insurance · Logistic regression · Medical Expenditure Panel Survey · Medical prescription · National Health and Nutrition Examination Survey · National Health Interview Survey · Population · Socioeconomic status · Demography · Food Security and Health in Diverse Populations · Global Health Care Issues · Medicine · Nursing · Sleep and related disorders · Gerontology