Sleep Duration and Health Care Expenditures in the United States.

Autor:	Jasani FS; Center for Evaluation and Applied Research, The New York Academy of Medicine., Seixas AA; Departments of Population Health.; Psychiatry, NYU Langone Health., Madondo K; Center for Health Innovation, The New York Academy of Medicine.; Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai., Li Y; Center for Health Innovation, The New York Academy of Medicine.; Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai., Jean-Louis G; Departments of Population Health.; Psychiatry, NYU Langone Health., Pagán JA; Center for Health Innovation, The New York Academy of Medicine.; Department of Public Health Policy and Management, College of Global Public Health, New York University, New York, NY.; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
Jazyk:	angličtina
Zdroj:	Medical care [Med Care] 2020 Sep; Vol. 58 (9), pp. 770-777.
DOI:	10.1097/MLR.0000000000001351
Abstrakt:	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.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu