美国成年人中睡眠障碍、就业和收入之间的关系。

The association between sleep disorders, employment, and income among adults in the United States.

机构信息

Division of Sleep Medicine and Surgery, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.

Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.

出版信息

J Clin Sleep Med. 2022 Aug 1;18(8):1967-1972. doi: 10.5664/jcsm.10040.

DOI:10.5664/jcsm.10040

PMID:35499281

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9340609/

Abstract

STUDY OBJECTIVES

To examine the association between sleep disorders, employment status, and income among US adults aged 18-64 years.

METHODS

The 2018-2019 Medical Expenditure Panel Survey medical conditions file was queried for adults aged 18-64 years with a diagnosis of a sleep disorder (, code G47.x) and linked to the household dataset. Comparisons in rates of wage, supplemental, and social security income as well as mean wage income were made between those with and without sleep disorders. Multivariate analyses, adjusting for demographics and comorbidities, were conducted.

RESULTS

A sleep disorder was diagnosed in 4.4% ± 0.2% of the study population (approximately 8.8 ± 0.4 million adults aged 18-64 years in the United States; mean age 46.9 years, 55.8% female). Adults with sleep disorders were less likely to have wage income from employment (adjusted odds ratio 0.5, 95% confidence interval 0.4-0.6, < .001) and more likely to have Supplemental Security (1.8, 1.4-2.4, < .001) and Social Security income (2.0, 1.6-2.4, < .001) compared with those without sleep disorders. Among wage-earning adults, those with sleep disorders had $2,496 less mean annual wage income compared with those without a sleep disorder ($20,445 vs $22,941, = .007), adjusting for demographics and comorbidities.

CONCLUSIONS

There are significantly higher indirect costs associated with sleep disorders. This study specifically demonstrates lower employment rates, lower wages, and higher welfare income utilization among those with sleep disorders despite using a very conservative estimate of sleep disorder prevalence.

CITATION

Huyett P, Bhattacharyya N. The association between sleep disorders, employment, and income among adults in the United States. . 2022;18(8):1967-1972.

摘要

研究目的

探讨美国 18-64 岁成年人睡眠障碍、就业状况和收入之间的关系。

方法

查询 2018-2019 年医疗支出面板调查的医疗状况文件，确定患有睡眠障碍（G47.x 编码）的 18-64 岁成年人，并与家庭数据集相关联。比较患有和不患有睡眠障碍的成年人的工资、补充和社会保障收入以及平均工资收入。进行了调整人口统计学和合并症的多变量分析。

结果

研究人群中诊断出睡眠障碍的比例为 4.4%±0.2%（美国约有 880 万至 400 万 18-64 岁成年人；平均年龄为 46.9 岁，女性占 55.8%）。患有睡眠障碍的成年人从事就业的工资收入较低（调整后的优势比为 0.5，95%置信区间为 0.4-0.6，<0.001），而获得补充保障（1.8，1.4-2.4，<0.001）和社会保障收入（2.0，1.6-2.4，<0.001）的可能性更高，与无睡眠障碍的成年人相比。在有工资收入的成年人中，与没有睡眠障碍的成年人相比，患有睡眠障碍的成年人的平均年工资收入少 2496 美元（20445 美元对 22941 美元，=0.007），这是在调整人口统计学和合并症因素后得出的。