title: Social and Behavioral Determinants of Perceived Insufficient Sleep.
abstract: 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.
authors.affiliation: Center for Sleep and Circadian Neurobiology, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA , USA ; Behavioral Sleep Medicine Program, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA , USA.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Grandner
authors.affiliation: Quantitative Psychology Program, Department of Psychology, University of Southern California , Columbia, SC , USA.
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Jackson
authors.affiliation: Center for Sleep and Circadian Neurobiology, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA , USA ; Division of Sleep Medicine, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA , USA ; School of Nursing, University of Pennsylvania , Philadelphia, PA , USA.
authors.forename: Bilgay
authors.initials: B
authors.lastname: Izci-Balserak
authors.affiliation: Center for Sleep and Circadian Neurobiology, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA , USA ; Division of Sleep Medicine, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA , USA.
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Gallagher
authors.affiliation: Department of Medicine, State University of New York Downstate Medical Center , Brooklyn, NY , USA.
authors.forename: Renee
authors.initials: R
authors.lastname: Murray-Bachmann
authors.affiliation: Division of Internal Medicine, Center for Healthful Behavior Change, New York University Medical Center , New York, NY , USA.
authors.forename: Natasha J
authors.initials: NJ
authors.lastname: Williams
authors.affiliation: Department of Medicine, Reading Hospital and Medical Center , Reading, PA , USA.
authors.forename: Nirav P
authors.initials: NP
authors.lastname: Patel
authors.affiliation: Division of Internal Medicine, Center for Healthful Behavior Change, New York University Medical Center , New York, NY , USA.
authors.forename: Girardin
authors.initials: G
authors.lastname: Jean-Louis
keywords: behavioral; cardiometabolic disease; insufficient sleep; poor health; sleep duration; social determinants