Sleep duration and health care expenditures in the United States

Foram S. Jasani, Azizi A. Seixas, Kumbirai Madondo, Yan Li, Girardin Jean-Louis, José A. Pagán

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)770-777
Number of pages8
JournalMedical care
Issue number9
StatePublished - Sep 1 2020


  • Health care costs
  • Health care services
  • Medical expenditures
  • Sleep
  • United States
  • Humans
  • Middle Aged
  • Male
  • Health Behavior
  • Sleep/physiology
  • Socioeconomic Factors
  • Young Adult
  • Sleep Wake Disorders/economics
  • Adolescent
  • Aged, 80 and over
  • Health Services/economics
  • Adult
  • Female
  • Health Expenditures/statistics & numerical data
  • Aged
  • Health Status

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'Sleep duration and health care expenditures in the United States'. Together they form a unique fingerprint.

Cite this