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Over-indebtedness and its association with sleep and sleep medication use
Jacqueline Warth1, Marie-Therese Puth2,3, Judith Tillmann2
1Institute of General Practice and Family Medicine, University of Bonn, Universitätsklinikum Bonn AöR, Sigmund-Freud-Str. 25, 53127, Bonn, Germany. jacqueline.warth@ukbonn.de.
BMC Public Health
|July 19, 2019
Summary
Over-indebtedness is strongly linked to sleep problems and increased sleep medication use. This association persists even after accounting for socioeconomic and health factors, highlighting a significant public health concern.
Area of Science:
- Public Health
- Psychiatry
- Sociology
Background:
- Over-indebtedness is a growing issue in high-income countries, affecting millions with insufficient income and assets.
- Previous research links over-indebtedness to adverse health effects, but its impact on sleep remains unexplored.
Purpose of the Study:
- To investigate the association between over-indebtedness and sleep problems.
- To examine the relationship between over-indebtedness and the use of sleep medication.
Main Methods:
- A cross-sectional study combined data from 699 over-indebted individuals (OID survey) and a nationally representative German health survey (DEGS1).
- Logistic regression analyses were performed on a subset of participants with complete sleep data (n=538 for OID, n=7447 for DEGS1).
Main Results:
- Over-indebted individuals exhibited a higher prevalence of sleep problems and sleep medication use compared to the general population.
- Adjusted analyses revealed that over-indebtedness significantly increased the risk of difficulty initiating sleep (aOR 1.79), maintaining sleep (aOR 1.45), and using sleep medication (aOR 3.94).
Conclusions:
- A strong association exists between over-indebtedness and poor sleep, independent of socioeconomic factors.
- Recognizing over-indebtedness in research and healthcare is crucial for understanding sleep disparities and developing targeted interventions.
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