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Med Care ; 58(9): 770-777, 2020 09.
Article in English | MEDLINE | ID: mdl-32826742

ABSTRACT

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.


Subject(s)
Health Expenditures/statistics & numerical data , Sleep Wake Disorders/economics , Sleep Wake Disorders/epidemiology , Sleep/physiology , Adolescent , Adult , Aged , Aged, 80 and over , Female , Health Behavior , Health Services/economics , Health Services/statistics & numerical data , Health Status , Humans , Male , Middle Aged , Socioeconomic Factors , United States , Young Adult
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