Abstract

Using Behavior Risk Factor Surveillance System 2018 Data to Assess the Association Between Insufficient Sleep and Cardiovascular Disease

Isbah Plumber, Saritha Bangara, Ph.D, MPH, Kerri-Anne Mitchell, Ph.D, MPH, Bradley Smucker, Ph.D Austin College

APHA 2022 Annual Meeting and Expo

Background: Sleep deprivation, defined as sleeping for less than 7 hours in a 24 hour time period, is highly prevalent in the US. It is estimated that 35% of adults regularly experience sleep deprivation (CDC, 2016). Of concern is that sleep deprivation has been correlated with cardiovascular disease. In 2014, the CDC found that 4.7% of people sleeping <7 hours suffered from CHD as opposed to 3.4% of people who received ≥7 hours of sleep.

Objective(s): Data from the CDC’s 2018 Behavior Risk Factor Surveillance system (BRFSS) was used to determine the sociodemographic characteristics and health risk behaviors associated with sleep deprivation among 18-65 year old adult participants in the United States.

Methods: Chi-squared analyses were performed using Statistical Package for the Social Science (SPSS) to explore variables including age, race-ethnicity, sex, marital status, education level, employment, number of children in household, and physical inactivity, as they relate to sleep deprivation and CVD.

Results: Respondents of a lower SES, as reflected by employment and education, had the highest rates of sleep deprivation and CVD. A greater proportion of those who were sleep deprived and were physically inactive were diagnosed with stroke (2.9%), angina or CHD (3.7%), and heart attack (3.8%) than those who were sleep deprived and physically active (1.1%, 1.6%, 1.6%).

Conclusion: Most of the findings correlate with previous research on sociodemographic factors and their association with sleep deprivation and CVD. Physical activity strengthens the association between sleep deprivation and CVD outcomes.