Abstract
Background
Evidence indicates that the burden of sleep disorders is increasing, yet recent trends
have not been examined.
Objective
To examine the prevalence of and trends in sleep patterns and medications commonly
used for insomnia (MCUFI) in US adults from 2005 through 2018.
Methods
A total of 39,749 participants aged 20 years or older from 7 consecutive National
Health and Nutrition Examination Survey cycles during 2005-2018 were included.
Results
The age-standardized prevalence of trouble sleeping and using MCUFI was higher in
women than men, but men tended to sleep less (sleep duration <7 hours) and were more
likely to have sleep disorders. The temporal trends in sleep disorders and MCUFI were
similar in men and women, except that trouble sleeping increased more in men (P = 0.024). The prevalence of insufficient sleep decreased from 33.6% in women and
38.1% in men in 2005-2006 to 20.5% in women and 28.6% in men in 2017-2018. The prevalence
of MCUFI use was 13.3% in women and 8.9% in men in 2005-2006, peaked at 15.2% for
men and 17.0% for women in 2013-2014, and decreased slightly in 2015-2018.
Conclusion
The prevalence of trouble sleeping and MCUFI use was higher in women, while the prevalence
of short sleep duration and sleep disorders was higher in men. Sleep disorders, abnormal
sleep duration, and MCUFI use increased at a broadly similar pace in men and women,
except that trouble sleeping increased more in men.
Keywords
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Article Info
Publication History
Published online: September 15, 2022
Accepted:
July 14,
2022
Received in revised form:
June 5,
2022
Received:
January 21,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
