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J Epidemiol Community Health. Jun 2005; 59(6): 488–494.
PMCID: PMC1757060

Can social factors explain sex differences in insomnia? Findings from a national survey in Taiwan

Abstract

Study objective: To examine sociological explanations for the higher level of insomnia in women, including social roles and socioeconomic status (SES).

Design: Cross sectional survey research

Setting: Taiwanese 2001 "social trend survey"

Participants: A nationally representative sample of 39 588 citizens aged 15 years or older living in Taiwan.

Main results: On average, women scored 1.25 points higher than men on the insomnia inventory (p<0.001) but after controlling for social roles, the sex discrepancy in insomnia decreased slightly. SES did not, however, explain women's higher levels of insomnia. Subscale analysis showed an association between the role of homemaker and increased night time sleep disturbance and decreased daytime sequelae of poor sleep while higher educational attainment was related only to more severe daytime sequelae.

Conclusion: The sex discrepancy in insomnia narrowed slightly after taking social role factors into consideration but was not explained by SES. The persistent sex gap in insomnia warrants further investigation.

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Selected References

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  • Li RHY, Wing YK, Ho SC, Fong SYY. Gender differences in insomnia--a study in the Hong Kong Chinese population. J Psychosom Res. 2002 Jul;53(1):601–609. [PubMed]
  • Doi Y, Minowa M, Okawa M, Uchiyama M. Prevalence of sleep disturbance and hypnotic medication use in relation to sociodemographic factors in the general Japanese adult population. J Epidemiol. 2000 Mar;10(2):79–86. [PubMed]
  • Reyner LA, Horne JA, Reyner A. Gender- and age-related differences in sleep determined by home-recorded sleep logs and actimetry from 400 adults. Sleep. 1995 Feb;18(2):127–134. [PubMed]
  • Manber R, Armitage R. Sex, steroids, and sleep: a review. Sleep. 1999 Aug 1;22(5):540–555. [PubMed]
  • Jones CR, Czajkowski L. Evaluation and management of insomnia in menopause. Clin Obstet Gynecol. 2000 Mar;43(1):184–197. [PubMed]
  • Polo-Kantola P, Saaresranta T, Polo O. Aetiology and treatment of sleep disturbances during perimenopause and postmenopause. CNS Drugs. 2001;15(6):445–452. [PubMed]
  • Campbell SS, Gillin JC, Kripke DF, Erikson P, Clopton P. Gender differences in the circadian temperature rhythms of healthy elderly subjects: relationships to sleep quality. Sleep. 1989 Dec;12(6):529–536. [PubMed]
  • Manber R, Armitage R. Sex, steroids, and sleep: a review. Sleep. 1999 Aug 1;22(5):540–555. [PubMed]
  • Hume KI, Van F, Watson A. A field study of age and gender differences in habitual adult sleep. J Sleep Res. 1998 Jun;7(2):85–94. [PubMed]
  • Rediehs MH, Reis JS, Creason NS. Sleep in old age: focus on gender differences. Sleep. 1990 Oct;13(5):410–424. [PubMed]
  • Lindberg E, Janson C, Gislason T, Björnsson E, Hetta J, Boman G. Sleep disturbances in a young adult population: can gender differences be explained by differences in psychological status? Sleep. 1997 Jun;20(6):381–387. [PubMed]
  • Partinen M. Sleep disorders and stress. J Psychosom Res. 1994;38 (Suppl 1):89–91. [PubMed]
  • Cartwright RD, Wood E. Adjustment disorders of sleep: the sleep effects of a major stressful event and its resolution. Psychiatry Res. 1991 Dec;39(3):199–209. [PubMed]
  • Ford DE, Kamerow DB. Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention? JAMA. 1989 Sep 15;262(11):1479–1484. [PubMed]
  • Bixler EO, Kales A, Soldatos CR, Kales JD, Healey S. Prevalence of sleep disorders in the Los Angeles metropolitan area. Am J Psychiatry. 1979 Oct;136(10):1257–1262. [PubMed]
  • Hyyppä MT, Kronholm E, Alanen E. Quality of sleep during economic recession in Finland: a longitudinal cohort study. Soc Sci Med. 1997 Sep;45(5):731–738. [PubMed]
  • Naerde A, Tambs K, Mathiesen KS, Dalgard OS, Samuelsen SO. Symptoms of anxiety and depression among mothers of pre-school children: effect of chronic strain related to children and child care-taking. J Affect Disord. 2000 Jun;58(3):181–199. [PubMed]
  • Moore Philip J, Adler Nancy E, Williams David R, Jackson James S. Socioeconomic status and health: the role of sleep. Psychosom Med. 2002 Mar-Apr;64(2):337–344. [PubMed]
  • Siddiqi A, Hertzman C. Economic growth, income equality, and population health among the Asian Tigers. Int J Health Serv. 2001;31(2):323–333. [PubMed]

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