Table 2.
Self-reported Sleep Hours |
P Valueb | ||||||||
≤5 vs. 7 |
6 vs. 7 |
8 vs. 7 |
≥9 vs. 7 |
||||||
Odds Ratio | 95% Confidence Interval | Odds Ratio | 95% Confidence Interval | Odds Ratio | 95% Confidence Interval | Odds Ratio | 95% Confidence Interval | ||
Model 1: demographic status variablesc | |||||||||
Demographic status | |||||||||
Male | 0.93** | 0.88, 0.98 | 1.00 | 0.96, 1.04 | 0.90*** | 0.86, 0.93 | 0.84*** | 0.79, 0.89 | <0.001 |
Race/ethnicity | <0.001 | ||||||||
Non-Hispanic white | 1.00 | 1.00 | 1.00 | 1.00 | |||||
Non-Hispanic black | 2.00*** | 1.84, 2.17 | 1.54*** | 1.44, 1.65 | 1.23*** | 1.16, 1.31 | 1.72*** | 1.59, 1.87 | |
Other non-Hispanic | 1.39*** | 1.19, 1.63 | 1.27*** | 1.15, 1.42 | 1.03 | 0.92, 1.15 | 1.15 | 0.97, 1.37 | |
Mexican American | 1.09 | 0.97, 1.23 | 1.10* | 1.00, 1.20 | 1.48*** | 1.38, 1.58 | 1.70*** | 1.52, 1.89 | |
Other Hispanic | 1.63*** | 1.42, 1.87 | 1.24*** | 1.12, 1.38 | 1.06 | 0.97, 1.16 | 1.07 | 0.92, 1.24 | |
Foreign born | 0.70*** | 0.63, 0.78 | 0.82*** | 0.77, 0.89 | 1.02 | 0.96, 1.09 | 0.78*** | 0.70, 0.87 | <0.001 |
Model 2: family structure and socioeconomic status, adjusted for demographic status variablesc | |||||||||
Family structure | |||||||||
Any children | <0.001 | ||||||||
No children | 1.00 | 1.00 | 1.00 | 1.00 | |||||
>0–<2 years | 1.34*** | 1.18, 1.51 | 1.28*** | 1.18, 1.39 | 0.80*** | 0.73, 0.87 | 0.72*** | 0.63, 0.82 | |
2–<6 years | 1.06 | 0.96, 1.18 | 1.07 | 0.99, 1.15 | 0.87*** | 0.82, 0.93 | 0.76*** | 0.68, 0.85 | |
6–<13 years | 0.95 | 0.87, 1.03 | 0.97 | 0.91, 1.03 | 0.86*** | 0.81, 0.90 | 0.85** | 0.77, 0.94 | |
13–<18 years | 1.00 | 0.91, 1.10 | 1.00 | 0.93, 1.06 | 0.90*** | 0.84, 0.95 | 0.78*** | 0.70, 0.88 | |
Currently pregnant | 0.94 | 0.66, 1.34 | 0.88 | 0.69, 1.11 | 1.77*** | 1.49, 2.10 | 3.65*** | 2.96, 4.49 | <0.001 |
Currently married | 0.76*** | 0.71, 0.81 | 0.86*** | 0.82, 0.90 | 1.07** | 1.02, 1.11 | 0.94 | 0.88, 1.00 | <0.001 |
Socioeconomic status | |||||||||
Hours worked per week | <0.001 | ||||||||
≥41 | 1.40*** | 1.24, 1.58 | 1.31*** | 1.20, 1.42 | 0.66*** | 0.61, 0.71 | 0.41*** | 0.36, 0.47 | |
35–40 | 0.81*** | 0.72, 0.90 | 0.97 | 0.90, 1.05 | 0.83*** | 0.78, 0.89 | 0.53*** | 0.47, 0.59 | |
1–34 | 1.00 | 1.00 | 1.00 | 1.00 | |||||
Not working | 1.33*** | 1.19, 1.48 | 1.02 | 0.94, 1.11 | 1.19*** | 1.10, 1.27 | 1.74*** | 1.58, 1.93 | |
Education | <0.001 | ||||||||
Less than high school degree | 1.00 | 1.00 | 1.00 | 1.00 | |||||
High school degree | 0.71*** | 0.65, 0.77 | 0.90** | 0.84, 0.96 | 0.95 | 0.89, 1.01 | 0.79*** | 0.73, 0.86 | |
Some college | 0.78*** | 0.71, 0.85 | 0.92* | 0.86, 0.99 | 0.81*** | 0.76, 0.86 | 0.62*** | 0.56, 0.68 | |
College degree or higher | 0.43*** | 0.38, 0.48 | 0.72*** | 0.66, 0.77 | 0.76*** | 0.71, 0.81 | 0.46*** | 0.41, 0.51 | |
Ln(family income/10,000) | 0.77*** | 0.73, 0.80 | 0.91*** | 0.88, 0.95 | 0.97 | 0.94, 1.00 | 0.90*** | 0.86, 0.94 | <0.001 |
Family income portfolio | 0.88*** | 0.85, 0.92 | 0.93*** | 0.90, 0.96 | 0.94*** | 0.92, 0.97 | 0.96* | 0.92, 0.99 | <0.001 |
Model 3: health behaviors, adjusted for demographic status, family structure, and socioeconomic status variablescd | |||||||||
Health behaviors | |||||||||
Physical activity index | 1.01 | 0.98, 1.05 | 0.98 | 0.96, 1.00 | 0.96*** | 0.94, 0.98 | 0.86*** | 0.83, 0.89 | <0.001 |
Smoking status | <0.001 | ||||||||
Current packs smoked | 1.74*** | 1.60, 1.89 | 1.34*** | 1.26, 1.43 | 0.99 | 0.94, 1.06 | 1.45*** | 1.32, 1.59 | |
Former smoker | 1.09* | 1.01, 1.18 | 1.12*** | 1.06, 1.18 | 0.99 | 0.94, 1.04 | 1.26*** | 1.17, 1.35 | |
Never smoker | 1.00 | 1.00 | 1.00 | 1.00 | |||||
Ln(≥1 days that binge drank) | 1.09*** | 1.05, 1.14 | 1.04** | 1.02, 1.07 | 0.97 | 0.94, 1.00 | 1.02 | 0.98, 1.06 | 0.003 |
Model 4: health status, adjusted for demographic status, family structure, socioeconomic status, and health behavior variablescd | |||||||||
Health status | |||||||||
Cardiovascular disease | 1.24*** | 1.16, 1.33 | 1.11*** | 1.05, 1.17 | 0.98 | 0.94, 1.03 | 1.11* | 1.03, 1.19 | <0.001 |
Acute respiratory condition | 1.21*** | 1.12, 1.30 | 1.11** | 1.05, 1.18 | 1.02 | 0.97, 1.08 | 1.05 | 0.97, 1.14 | <0.001 |
Chronic respiratory condition | 1.25*** | 1.14, 1.36 | 1.08 | 1.00, 1.16 | 0.98 | 0.92, 1.04 | 1.05 | 0.96, 1.15 | <0.001 |
Diabetes | 1.19** | 1.07, 1.33 | 1.09* | 1.01, 1.19 | 1.12** | 1.03, 1.20 | 1.25*** | 1.13, 1.38 | 0.002 |
Pain | 1.69*** | 1.57, 1.81 | 1.29*** | 1.22, 1.35 | 0.89*** | 0.85, 0.93 | 0.97 | 0.90, 1.04 | <0.001 |
Depression index | 1.23*** | 1.18, 1.27 | 1.09*** | 1.06, 1.13 | 1.03 | 1.00, 1.06 | 1.30*** | 1.25, 1.35 | <0.001 |
Anxiety index | 1.22*** | 1.18, 1.27 | 1.10*** | 1.07, 1.13 | 0.89*** | 0.87, 0.92 | 0.93** | 0.89, 0.97 | <0.001 |
Body mass | <0.001 | ||||||||
Obese | 1.39*** | 1.29, 1.51 | 1.23*** | 1.16, 1.30 | 0.96 | 0.91, 1.02 | 1.07 | 0.99, 1.16 | |
Overweight | 1.18*** | 1.10, 1.27 | 1.04 | 0.99, 1.10 | 0.99 | 0.95, 1.03 | 1.00 | 0.93, 1.08 | |
Normal weight | 1.00 | 1.00 | 1.00 | 1.00 | |||||
Underweight | 1.37* | 1.03, 1.84 | 1.19 | 0.98, 1.45 | 1.29** | 1.11, 1.50 | 1.51*** | 1.24, 1.84 | |
Activity limitations | 1.59*** | 1.46, 1.73 | 1.13** | 1.05, 1.21 | 1.21*** | 1.13, 1.29 | 2.22*** | 2.04, 2.42 | <0.001 |
* P < 0.05; **P < 0.01; ***P < 0.001 (2-tailed tests).
Unweighted N = 110,441.
P values come from Wald tests of the joint significance of the coefficients across all categories of the dependent variable.
All models use cubic splines to adjust for age in years, with knots at ages 35, 50, and 65 (refer to Figure 1).
All models that include the health behaviors also adjust for the number of drinks consumed in the last week, raised to the powers of 0.5 and 1 (refer to Figure 2).