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Abstract

Aims:

Sleep problems constitute a significant public health problem due to their high prevalence and impact on mental health and health behaviours, with major consequences for individuals and society. Therefore, the aim of this study was to investigate the association between sleep problems (duration and quality), mental health and health behaviours.

Methods:

Cross-sectional data was derived from the 2021 health survey ‘How are you?’ from the Central Denmark Region. The study population was a stratified random sample of 33,925 respondents aged 16 years or older. We used logistic regression models to analyse the associations between sleep problems and indicators of mental health and health behaviour. The models were adjusted for sex, age, educational attainment, labour market attachment, cohabitation, and indicators of mental health and health behaviour.

Results:

A prevalence of around 10% for both short- and long sleep duration and poor sleep quality was found. All were associated with poor mental health-related quality of life, depression, stress, perceived stressors and obesity. In addition, short sleep duration was associated with daily smoking, and long sleep duration was associated with physical inactivity and daily smoking.

Conclusions:

Our findings revealed a stronger association between sleep problems and mental health indicators in comparison to health behaviours. We found that sleep duration and sleep quality in broad terms were associated with similar variables within mental health and health behaviour. These findings underline the importance of adopting a comprehensive approach to addressing sleep problems in the context of health promotion, disease prevention, treatment and rehabilitation.

Keywords

Sleep mental health health behaviours cross-sectional study population-based study

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References

Medic

Wille

Hemels

ME.

Short-and long-term health consequences of sleep disruption. Nat Sci Sleep 2017;9:151–61.

Van Laethem

Beckers

Dijksterhuis

, et al. Stress, fatigue, and sleep quality leading up to and following a stressful life event. Stress Health 2017;33:459–69.

Chang

Chaput

J-P

Roberts

, et al. Factors associated with sleep duration across life stages: results from the Canadian Health Measures Survey. Chronic Dis Inj Can 2018;38:404–418.

Sivertsen

Lallukka

Salo

, et al. Insomnia as a risk factor for ill health: results from the large population-based prospective HUNT Study in Norway. J Sleep Res 2014;23:124–32.

Paunio

Korhonen

Hublin

, et al. Poor sleep predicts symptoms of depression and disability retirement due to depression. J Affect Disord 2015;172:381–9.

Colten

Altevogt

BM.

Sleep physiology. Sleep disorders and sleep deprivation: an unmet public health problem. Washington, D.C.: National Academies Press, 2006.

Clark

Salo

Lange

, et al. Onset of impaired sleep as a predictor of change in health-related behaviours; analysing observational data as a series of non-randomized pseudo-trials. Int J Epidemiol 2015;44:1027–37.

Åkerstedt

Mittendorfer-Rutz

Rahman

Sleep disturbance and work-related mental strain: a national prospective cohort study of the prediction of subsequent long-term sickness absence, disability pension and mortality. Scand J Public Health 2020;48:888–95.

Friis

Jensen

Pedersen

, et al. Hvordan har du det? 2021. Sundhedsprofil for region og kommuner: Bind 1 [How are you feeling? 2021. Health profile for region and municipalities: Volume 1]. Denmark: Region Hovedstaden, 2022.

10.

Statistics Denmark. Population at the first day of the quarter by area, gender, age and marital status, https://www.statbank.dk/statbank5a/selectvarval/define.asp?PLanguage=1&subword=tabsel&MainTable=FOLK1A&tablestyle=&ST=SD&buttons=0 (2021, accessed 4 October 2023).

11.

Christensen

Lau

Kristensen

, et al. The Danish National Health Survey: study design, response rate and respondent characteristics in 2010, 2013 and 2017. Scand J Public Health 2022;50:180–8.

12.

Ware

Jr Kosinski

Keller

SD.

A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996;34:220–33.

13.

Program TACARE. Interpretation guides to standardized questionnaires employed in the ALS CARE database, https://www.outcomes-umassmed.org/ALS/sf12.aspx#short (2023, accessed 23 February 2023).

14.

WHO. International statistical classification of diseases and related health problems: alphabetical index. Geneva: World Health Organization, 2004.

15.

Prior

Fenger-Grøn

Larsen

, et al. The association between perceived stress and mortality among people with multimorbidity: a prospective population-based cohort study. Am J Epidemiol 2016;184:199–210.

16.

Sørensen

Lasgaard

Willert

, et al. The relative importance of work-related and non-work-related stressors and perceived social support on global perceived stress in a cross-sectional population-based sample. BMC Public Health 2021;21:1–14.

17.

WHO. Obesity and overweight, https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight (2024, accessed 16 February 2023).

18.

Rostgaard-Hansen

Lau

Halkjær

, et al. An updated validation of the Dietary Quality Score: associations with risk factors for cardiometabolic diseases in a Danish population. Eur J Nutr 2023;62:1647–56.

19.

Sundhedsstyrelsen. Fysisk aktivitet – Håndbog om forebyggelse og behandling [Physical activity – handbook on prevention and treatment]. Copenhagen: Danish Health Authority, 2018.

20.

Aaby

Friis

Christensen

, et al. Health literacy is associated with health behaviour and self-reported health: a large population-based study in individuals with cardiovascular disease. Eur J Prev Cardiol 2017;24:1880–8.

21.

Sundhedsstyrelsen. Sundhedsstyrelsens udmeldinger om alkohol [The Board of Health’s announcements about alcohol], https://www.sst.dk/da/Viden/Forebyggelse/Alkohol/Alkoholforebyggelse/Sundhedsstyrelsens-udmeldinger-om-alkohol (2022, 2023, 22 February 2023).

22.

Särndal

C-E

Lundström

Estimation in surveys with nonresponse. New York: John Wiley & Sons, 2005.

23.

Potter

Cade

Hardie

LJ.

Longer sleep is associated with lower BMI and favorable metabolic profiles in UK adults: findings from the National Diet and Nutrition Survey. PloS One 2017;12:e0182195.

24.

Jansen

Prather

Leung

CW.

Associations between sleep duration and dietary quality: results from a nationally-representative survey of US adults. Appetite 2020;153:104748.

25.

Bin

YS.

Is sleep quality more important than sleep duration for public health?

Sleep 2016;39:1629–30.

26.

Gandek

Ware

Aaronson

, et al. Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. J Clin Epidemiol 1998;51:1171–8.

27.

Eskildsen

Dalgaard

Nielsen

, et al. Cross-cultural adaptation and validation of the Danish consensus version of the 10-item Perceived Stress Scale. Scand J Work Environ Health 2015;41:486–90.

28.

Olsen

Jensen

Noerholm

, et al. The internal and external validity of the Major Depression Inventory in measuring severity of depressive states. Psychol Med 2003;33:351–6.

29.

Kock

Berbekova

Assaf

AG.

Understanding and managing the threat of common method bias: detection, prevention and control. Tour Manag 2021;86:104330.

30.

Ammar

Trabelsi

Brach

, et al. Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: insight from the ECLB-COVID19 multicenter study. Biol Sport 2021;38:9–21.

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