2023-09-28 14:46:10 +00:00
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abstract: 'Study Objectives: Chronic sleep restriction is prevalent in the U.S.
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population and associated with increased morbidity and mortality. The
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primary reasons for reduced sleep are unknown. Using population data on
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time use, we sought to identify individual characteristics and behaviors
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associated with short sleep that could be targeted for intervention
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programs.
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Design: Analysis of the American Time Use Survey (ATUS).
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Setting: Cross-sectional annual survey conducted by the U.S. Bureau of
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Labor Statistics.
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Participants: Representative cohort (N = 124,517) of Americans 15 years
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and older surveyed between 2003 and 2011.
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Interventions: None.
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Measurements and Results: Telephone survey of activities over 24 hours.
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Relative to all other waking activities, paid work time was the primary
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waking activity exchanged for sleep. Time spent traveling, which
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included commuting to/from work, and immediate pre- and post-sleep
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activities (socializing, grooming, watching TV) were also reciprocally
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related to sleep duration. With every hour that work or educational
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training started later in the morning, sleep time increased by
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approximately 20 minutes. Working multiple jobs was associated with the
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highest odds for sleeping = 6 hours on weekdays (adjusted OR 1.61, 95\%
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CI 1.44; 1.81). Self-employed respondents were less likely to be short
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sleepers compared to private sector employees (OR 0.83, 95\% CI 0.72;
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0.95). Sociodemographic characteristics associated with paid work (age
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25-64, male sex, high income, and employment per se) were consistently
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associated with short sleep.
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Conclusions: U.S. population time use survey findings suggest that
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interventions to increase sleep time should concentrate on delaying the
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morning start time of work and educational activities (or making them
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more flexible), increasing sleep opportunities, and shortening morning
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and evening commute times. Reducing the need for multiple jobs may
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increase sleep time, but economic disincentives from working fewer hours
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will need to be offset. Raising awareness of the importance of
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sufficient sleep for health and safety may be necessary to positively
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influence discretionary behaviors that reduce sleep time, including
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television viewing and morning grooming.'
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affiliation: 'Basner, M (Corresponding Author), Univ Penn, Perelman Sch Med, 1019
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Blockley Hall,423 Guardian Dr, Philadelphia, PA 19104 USA.
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Basner, Mathias; Dinges, David F., Univ Penn, Perelman Sch Med, Dept Psychiat, Div
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Sleep \& Chronobiol, Philadelphia, PA 19104 USA.
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Spaeth, Andrea M., Univ Penn, Dept Psychol, Philadelphia, PA 19104 USA.'
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author: Basner, Mathias and Spaeth, Andrea M. and Dinges, David F.
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author-email: basner@upenn.edu
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author_list:
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- family: Basner
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given: Mathias
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- family: Spaeth
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given: Andrea M.
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- family: Dinges
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given: David F.
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da: '2023-09-28'
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doi: 10.5665/sleep.4238
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eissn: 1550-9109
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files: []
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issn: 0161-8105
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journal: SLEEP
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keywords: 'time use; short sleep; sleep deprivation; work; health; sleep time; long
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sleep; travel; television; mortality; morbidity'
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keywords-plus: 'UNITED-STATES; TIME; RISK; PREVALENCE; MORTALITY; METAANALYSIS;
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RESTRICTION; DISPARITIES; HEALTH; TRENDS'
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language: English
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month: DEC 1
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number: '12'
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number-of-cited-references: '48'
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pages: 1889-U45
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papis_id: c4246221b2441ecae57c47ac0e09c76f
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ref: Basner2014sociodemographicchar
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researcherid-numbers: Dinges, David/P-7183-2019
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times-cited: '101'
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title: Sociodemographic Characteristics and Waking Activities and their Role in the
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Timing and Duration of Sleep
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000345827600007
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usage-count-last-180-days: '0'
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usage-count-since-2013: '19'
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volume: '37'
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web-of-science-categories: Clinical Neurology; Neurosciences
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year: '2014'
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