Gender differences in insomnia and the role of paid work and family responsibilities

Yoshioka, Eiji; Saijo, Yasuaki; Kita, Toshiko; Satoh, Hiroki; Kawaharada, Mariko; Fukui, Tomonori; Kishi, Reiko

doi:10.1007/s00127-011-0370-z

Cited by 34 publications

(27 citation statements)

References 52 publications

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“…This finding is consistent with other previous studies 16,33,34) . In addition, a meta-analysis 25) indicated that females had a risk of insomnia 1.41 times higher than males.…”

Section: Discussionsupporting

confidence: 94%

“…In addition, a meta-analysis 25) indicated that females had a risk of insomnia 1.41 times higher than males. Possible reasons for this may be inferred by referring to the previous study by Yoshioka et al 33) . The first reason is related to the biological difference between males and females with regard to reproductive hormones such as estrogens, progesterones, and androgens.…”

Section: Discussionmentioning

confidence: 95%

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Long working hours and sleep problems among public junior high school teachers in Japan

Bannai

Ukawa

Tamakoshi

2015

Journal of Occupational Health

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Long working hours and sleep problems among public junior high school teachers in Japan: Akira Bannai, et al. Department of Public Health, Hokkaido University Graduate School of Medicine Objective Long working hours may impact human health. In Japan, teachers tend to work long hours. From 2002 to 2012, the number of leaves of absence due to diseases other than mental disorders, or mental disorders among public school teachers increased by 1.3 times (from 2,616 to 3,381), or 1.8 times (from 2,687 to 4,960), respectively. The present study aimed to investigate the association between long working hours and sleep problems among public school teachers. Methods This cross‐sectional study was conducted from mid‐July to September 2013 in Hokkaido Prefecture, Japan. Questionnaires were distributed to 1,245 teachers in public junior high schools. Information about basic characteristics including working hours, and responses to the Pittsburgh Sleep Quality Index were collected anonymously. Multiple logistic regression analysis was used to calculate odds ratios (ORs) for the association between long working hours and sleep problems separately by sex. Results The response rate was 44.8% (n=558). After excluding ineligible responses, the final sample comprised 515 teachers (335 males and 180 females). Sleep problems was identified in 41.5% of males and 44.4% of females. Our results showed a significantly increased risk of sleep problems in males working >60 hours per week (OR 2.05 [95% CI 1.01−4.30]) compared with those working ≤40 hours per week. No significant association was found in females. Conclusions There is a significant association between long working hours and sleep problems in male teachers. Reducing working hours may contribute to a reduction in sleep problems.

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“…This finding is consistent with other previous studies 16,33,34) . In addition, a meta-analysis 25) indicated that females had a risk of insomnia 1.41 times higher than males.…”

Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 95%

Long working hours and sleep problems among public junior high school teachers in Japan

Bannai

Ukawa

Tamakoshi

2015

Journal of Occupational Health

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“…Thus, the insomnia prevalence observed in this study population was higher than that reported from other surveys conducted in Japan using the AIS (23.0-27.3% in males and 31.0-34.4% in females), but lower than that reported in non-emergency conditions (Utsugi et al 2005;Yoshioka et al 2012;Saijo et al 2015). Meanwhile, the prevalence rates of insomnia after a great earthquake were reportedly 63% and 46% at 3 and 8 weeks after Hanshin-Awaji earthquake, respectively, and 60% a year after the 1999 Athens earthquake in Greece (Kato et al 1996;Varela et al 2008).…”

Section: Discussioncontrasting

confidence: 73%

Periodontal Disease Is Associated with Insomnia among Victims of the Great East Japan Earthquake: A Panel Study Initiated Three Months after the Disaster

Tsuchiya

Aida

Hagiwara

et al. 2015

Tohoku J. Exp. Med.

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In March 2011, the Great East Japan Earthquake (GEJE), which was followed by a devastating tsunami, destroyed the societal and the public hygiene systems in Japanese coastal areas. Insomnia, the greatest issue among disaster victims, has detrimental effects on both physical and psychological health. Periodontitis causes chronic discomfort and inflammation, and little is known about its impact on insomnia. Three months after the earthquake, a health panel survey was conducted over four surveys, till September 2013, in which information regarding 8,015 adults was collected and used. In addition to the heath-related questionnaire, other variables including subjective symptoms of oral diseases were recorded, and the Athens Insomnia Scale was used to evaluate the severity of insomnia. The association between insomnia and periodontal disease was examined using multilevel logistic models on the panel data, after adjusting for sex, age, economic status, comorbidities, body mass index, post-traumatic stress reactions, habitual smoking and alcohol drinking, and the Kessler Psychological Distress Scale score. In addition to the higher prevalence of insomnia among GEJE victims, significant association was revealed between insomnia and gum problems (OR = 2.16, 95% CI = 1.43-3.26), and difficulty chewing (OR = 2.22, 95% CI = 1.40-3.51), after adjusting for all covariates. The present study revealed significant association between insomnia and periodontal disease among GEJE victims. This indicated that together, integrated oral health care for disaster victims would contribute not only to prevention of oral infectious diseases, but may also help alleviate other problems caused by these harmful events.

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“…We found that the severity of insomnia was not associated with epilepsy itself (save AED polytherapy) but rather with comorbid conditions, particularly asthma/COPD, head trauma, and depressive symptoms. The lack of an association between ISI score and age or gender further suggests that insomnia in patients with epilepsy may be different than that observed in the general population, where affected women outnumber men by a factor of two or more and symptoms present with increasing age [39][40][41]. These findings should be considered in the diagnosis and management of insomnia in patients with epilepsy.…”

Section: Discussionmentioning

confidence: 94%

Severity of self-reported insomnia in adults with epilepsy is related to comorbid medical disorders and depressive symptoms

Yang

Grigg-Damberger

Andrews

et al. 2016

Epilepsy & Behavior

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Our findings indicate that severity of insomnia in adults with epilepsy is more likely to be associated with comorbid medical and depressive symptoms and less likely to be directly related to epilepsy. Good agreement between standard clinical diagnostic criteria for insomnia and the ISI for subjects without insomnia symptoms and for those with moderate-to-severe symptoms supports the use of this instrument in epilepsy research.

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Gender differences in insomnia and the role of paid work and family responsibilities

Abstract: These results suggest that gender differences in insomnia are explained, in the main, by gender differences in work and family characteristics.

Cited by 34 publications

References 52 publications

Long working hours and sleep problems among public junior high school teachers in Japan

Long working hours and sleep problems among public junior high school teachers in Japan

Periodontal Disease Is Associated with Insomnia among Victims of the Great East Japan Earthquake: A Panel Study Initiated Three Months after the Disaster

Severity of self-reported insomnia in adults with epilepsy is related to comorbid medical disorders and depressive symptoms

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