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International Journal of Public Health

, Volume 60, Issue 6, pp 643–650 | Cite as

How well does Europe sleep? A cross-national study of sleep problems in European older adults

  • Vera van de Straat
  • Piet Bracke
Original Article

Abstract

Objectives

In this study, we aim to provide insight into the socio-demographic, family-related and socio-economic determinants of sleep problems in European older adults.

Methods

Data from the Survey of Health Ageing and Retirement in Europe (2011/2012) were used to perform multilevel logistic regression analyses on whether one has been bothered by sleep problems for at least 6 months. The final sample consisted of 54,722 respondents aged 50 and older from 16 countries.

Results

Prevalence rates varied from 16.6 % in Denmark and Italy to 31.2 % in Poland. The odds ratio of 2.014 confirmed a higher likelihood of sleep problems in women. People aged 60–69 (OR 0.898) reported less sleep problems than people between 50 and 59 years old. Finally, marriage compared to divorce and widowhood and having a higher socio-economic status were associated with less sleep problems.

Conclusions

This study confirms sleep problems to be quite prevalent in the European older population. Increased awareness of the importance of sleep for health is needed, as well as further cross-national comparative research to explain the existing cross-country variation in sleep problems.

Keywords

Sleep problems Older adults Cross-national SHARE 

Notes

Acknowledgments

This paper uses data from SHARE wave 4 release 1.1.1, as of March 28, 2013 (doi: 10.6103/SHARE.w4.111) and SHARE wave 1 and 2 release 2.6.0, as of November 29, 2013 (doi: 10.6103/SHARE.w1.260 and  10.6103/SHARE.w2.260). The SHARE data collection has been primarily funded by the European Commission through the 5th Framework Programme (project QLK6-CT-2001-00360 in the thematic programme Quality of Life), through the 6th Framework Programme (projects SHARE-I3, RII-CT-2006-062193, COMPARE, CIT5- CT-2005-028857, and SHARELIFE, CIT4-CT-2006-028812) and through the 7th Framework Programme (SHARE-PREP, No. 211909, SHARE-LEAP, No. 227822 and SHARE M4, No. 261982). Additional funding from the U.S. National Institute on Aging (U01 AG09740-13S2, P01 AG005842, P01 AG08291, P30 AG12815, R21 AG025169, Y1-AG-4553-01, IAG BSR06-11 and OGHA 04-064) and the German Ministry of Education and Research as well as from various national sources is gratefully acknowledged (see http://www.share-project.org for a full list of funding institutions).

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. Ailshire JA, Burgard SA (2012) Family relationships and troubled sleep among US adults: examining the influences of contact frequency and relationship quality. J Health Soc Behav 53:248–262CrossRefPubMedCentralPubMedGoogle Scholar
  2. Arber S, Hislop J, Williams SJ (2007) Editors’ introduction: gender, sleep and the life course. Sociol Res Online 12:19Google Scholar
  3. Arber S, Bote M, Meadows R (2009) Gender and socio-economic patterning of self-reported sleep problems in Britain. Soc Sci Med 68:281–289CrossRefPubMedGoogle Scholar
  4. Asplund R (1999) Sleep disorders in the elderly. Drugs Aging 14:91–103CrossRefPubMedGoogle Scholar
  5. Biddle JE, Hamermesh DS (1990) Sleep and the allocation of time. J Polit Econ 98:922–943CrossRefGoogle Scholar
  6. Börsch-Supan A, Jürges H (eds) (2005) The Survey of Health, Ageing and Retirement in Europe: Methodology. Mannheim Research Institute for the Economics of Ageing, MannheimGoogle Scholar
  7. Börsch-Supan A et al (2013) data resource profile: the Survey of Health, Ageing and Retirement in Europe (SHARE). Int J Epidemiol 42:992–1001CrossRefPubMedCentralPubMedGoogle Scholar
  8. Burgard SA, Ailshire JA (2009) Putting work to bed: stressful experiences on the job and sleep quality. J Health Soc Behav 50:476–492CrossRefPubMedCentralPubMedGoogle Scholar
  9. Cappelleri JC, Bushmakin AG, McDermott AM, Sadosky AB, Petrie CD, Martin S (2009) Psychometric properties of a single-item scale to assess sleep quality among individuals with fibromyalgia. Health Qual Life Outcomes 7:54CrossRefPubMedCentralPubMedGoogle Scholar
  10. Christellis D (2011) Imputations of missing data in wave 1 and 2 of SHARE. University of Mannheim, MannheimGoogle Scholar
  11. Colten HR, Altevogt BM (2006) Sleep disorders and sleep deprivation: an unmet public health problem. National Academies Press, Washington, DCGoogle Scholar
  12. Dregan A, Armstrong D (2009) Age, cohort and period effects in the prevalence of sleep disturbances among older people: the impact of economic downturn. Soc Sci Med 69:1432–1438CrossRefPubMedGoogle Scholar
  13. Dregan A, Armstrong D (2011) Cross-country variation in sleep disturbance among working and older age groups: an analysis based on the European Social Survey. Int Psychogeriatr 23:1413–1420CrossRefPubMedGoogle Scholar
  14. Fok M, Stewart R, Besset A, Ritchie K, Prince M (2010) Incidence and persistence of sleep complaints in a community older population. Int J Geriatr Psychiatry 25:37–45PubMedGoogle Scholar
  15. Grandner MA, Patel NP, Gehrman PR, Xie D, Sha D, Weaver T, Gooneratne N (2010) Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints. Sleep Med 11:470–478CrossRefPubMedCentralPubMedGoogle Scholar
  16. Groeger JA, Zijlstra FRH, Dijk DJ (2004) Sleep quantity, sleep difficulties and their perceived consequences in a representative sample of some 2000. Br Adults J Sleep Res 13:359–371CrossRefGoogle Scholar
  17. Hale L, Peppard PE, Young T (2007) Does the demography of sleep contribute to health disparities? In: Leger D, Pandi-Perumal SR (eds) Sleep disorders: their impact on public health. CRC Press, Boca Raton, pp 1–17Google Scholar
  18. Henry D, Knutson KL, Orzech KM (2013) Sleep, culture and health: reflections on the other third of life. Soc Sci Med 79:1–6CrossRefPubMedGoogle Scholar
  19. Hislop J, Arber S (2003) Sleep as a social act: A window on gender roles and relationships. In: Arber S, Davidson K, Ginn J (eds) Gender and ageing: changing roles and relationships. Open University Press, Maidenhead, pp 186–204Google Scholar
  20. Jonsson H, Borell L, Sadlo G (2000) Retirement: an occupational transition with consequences for temporality, balance and meaning of occupations. J Occup Sci 7:29–37CrossRefGoogle Scholar
  21. Knutson KL (2013) Sociodemographic and cultural determinants of sleep deficiency: implications for cardiometabolic disease risk. Soc Sci Med 79:7–15CrossRefPubMedCentralPubMedGoogle Scholar
  22. Kutner NG, Bliwise DL, Brogan D, Zhang R (2001) Race and restless sleep complaint in older chronic dialysis patients and nondialysis community controls. J Gerontol S B Psychol Sci Soc Sci 56:170–175CrossRefGoogle Scholar
  23. Lallukka T et al (2012) Sociodemographic and socioeconomic differences in sleep duration and insomnia-related symptoms in Finnish adults. BMC public Health 12:565CrossRefPubMedCentralPubMedGoogle Scholar
  24. Leger D, Poursain B (2005) An international survey of insomnia: under-recognition and under-treatment of a polysymptomatic condition. Curr Med Res Opin 21:1785–1792CrossRefPubMedGoogle Scholar
  25. Leger D, Poursain B, Neubauer D, Uchiyama M (2008) An international survey of sleeping problems in the general population. Curr Med Res Opin 24:307–317CrossRefPubMedGoogle Scholar
  26. Léger D, Guilleminault C, Dreyfus JP, Delahaye C, Paillard M (2000) Prevalence of insomnia in a survey of 12,778 adults in France. J Sleep Res 9:35–42CrossRefPubMedGoogle Scholar
  27. Malter F, Börsch-Supan A (eds) (2013) SHARE Wave 4: Innovations and methodology. MEA, Max Planck Institute for Social Law and Social Policy, MunichGoogle Scholar
  28. Meadows R, Arber S (2012) Understanding sleep among couples: gender and the social patterning of sleep maintenance among younger and older couples. Longitud Lifecourse Stud 3:66–79Google Scholar
  29. Morin CM, Jarrin DC (2013) Epidemiology of insomnia: prevalence, course, risk factors, and public health burden. Sleep Med Clin 8:281–297CrossRefGoogle Scholar
  30. Ohayon MM (2002) Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 6:97–111CrossRefPubMedGoogle Scholar
  31. Roberts RE, Shema SJ, Kaplan GA, Strawbridge WJ (2000) Sleep complaints and depression in an aging cohort: a prospective perspective. Am J Psychiatry 157:81–88CrossRefPubMedGoogle Scholar
  32. Royston P (2004) Multiple imputation of missing values. Stata J 4:227–241Google Scholar
  33. Rubin DB (1987) Multiple imputation for non-response in surveys. Wiley, New YorkCrossRefGoogle Scholar
  34. Soldatos CR, Allaert FA, Ohta T, Dikeos DG (2005) How do individuals sleep around the world? Results from a single-day survey in ten countries. Sleep Med 6:5–13CrossRefPubMedGoogle Scholar
  35. Strine TW, Chapman DP (2005) Associations of frequent sleep insufficiency with health-related quality of life and health behaviors. Sleep Med 6:23–27CrossRefPubMedGoogle Scholar
  36. Taylor DJ, Lichstein KL, Durrence HH, Reidel BW, Bush AJ (2005) Epidemiology of insomnia, depression, and anxiety. Sleep 28:1457–1464PubMedGoogle Scholar
  37. Troxel WM, Robles TF, Hall M, Buysse DJ (2007) Marital quality and the marital bed: examining the covariation between relationship quality and sleep. Sleep Med Rev 11:389CrossRefPubMedCentralPubMedGoogle Scholar
  38. Troxel WM, Buysse DJ, Matthews KA, Kravitz HM, Bromberger JT, Sowers M, Hall MH (2010) Marital/cohabitation status and history in relation to sleep in midlife women. Sleep 33:973–981PubMedCentralPubMedGoogle Scholar
  39. UNESCO (2006) International Standard Classification of Education ISCED 1997. UNESCO-UIS, ParisGoogle Scholar
  40. Williams SJ (2007) Vulnerable/dangerous bodies? The trials and tribulations of sleep. Sociol Rev 55:142–155CrossRefGoogle Scholar

Copyright information

© Swiss School of Public Health 2015

Authors and Affiliations

  1. 1.HeDeRa (Health and Demographic Research), Department of SociologyGhent UniversityGhentBelgium

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