ArticleSleep medicine2017
Trouble sleeping inside: a cross-sectional study of the prevalence and associated risk factors of insomnia in adult prison populations in England.
Article in Sleep medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Prevalence of insomnia and poor sleep quality in the prison population: A systematic review.Journal of sleep research · 2022Pooled it
- The Effects of Spiritual Care with and Without Aromatherapy on the Sleep Quality of Prisoners Referred to the Emergency Department of the Prison Clinic in Iran: A Randomized Clinical Trial.Journal of religion and health · 2026Trial
- Sleep Health Behind Bars: A Global Scoping Review of Sleep in Carceral Settings.medRxiv : the preprint server for health sciences · 2025Article
- Sleep health inequities in vulnerable populations: Beyond sleep deserts.Sleep medicine: X · 2024Review
- Sleepless behind bars: the connection between mental health, environment, and sleep among women in jail.Sleep advances : a journal of the Sleep Research Society · 2024Article
- Improving adolescent sleep in long-term Juvenile correctional settings: case examples with clinical, research, and policy implications.Sleep advances : a journal of the Sleep Research Society · 2024Article
- Treating insomnia in people who are incarcerated: a feasibility study of a multicomponent treatment pathway.Sleep advances : a journal of the Sleep Research Society · 2024Article
- "What if that's your last sleep?" A qualitative exploration of the trauma of incarceration and sleep.Sleep advances : a journal of the Sleep Research Society · 2024Article
- Review
- The sleep justice study - a prospective cohort study assessing sleep as a cardiometabolic risk factor after incarceration: a protocol paper.BMC public health · 2023Article
- The Association Between Sleep Disturbance and Suicidality in Psychiatric Inpatients Transitioning to the Community: Protocol for an Ecological Momentary Assessment Study.JMIR research protocols · 2022Article
- Implementing prescribing safety indicators in prisons: A mixed methods study.British journal of clinical pharmacology · 2022Article
- Insomnia among Prison Officers and Its Relationship with Occupational Burnout: The Role of Coping with Stress in Polish and Indonesian Samples.International journal of environmental research and public health · 2021Article
- Prevalence and correlates of sleep problems among Chinese prisoners.Social psychiatry and psychiatric epidemiology · 2021Article
- Poor sleep quality and associated factors among prisoners of the Diredawa correctional facility in eastern Ethiopia.Annals of general psychiatry · 2020Article
- Design of a treatment pathway for insomnia in prison settings in England: a modified Delphi study.BMJ open · 2018Article
- Physical and social sleep environment of a women's prison: A qualitative exploration.Women's health (London, England)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the prevalence of insomnia and identify associated demographic, clinical and forensic risk factors in adult prisoners in England.
methodsA cross-sectional study of 237 prisoners aged 18-72 years, across two male prisons and one female prison in North England. We used the Sleep Condition Indicator to measure probable DSM-V insomnia disorder (ID) and the Pittsburgh Sleep Quality Index to examine sleep quality. Multiple demographic, sleep, clinical and forensic self-reported measures were recorded to identify any associations with insomnia.
resultsOverall, the prevalence of possible DSM-V ID was 61.6% (95% CI, 55.5%-67.8%). Subjective poor sleep quality was reported by 88.2% (95% CI, 84.1%-92.3%). Seven in ten (70.6%) female prisoners had possible DSM-V ID (95% CI, 64.8%-76.4%). Multivariable logistic regression analysis, adjusting for gender and age, indicated odds of having possible ID in prison were increased for the following factors: history of physical ill-health (OR = 3.62, 95% CI, 1.31-9.98); suicidality (OR = 2.79, 95% CI, 1.01.7.66), previously asked for help for insomnia (OR = 2.58, 95% CI, 1.21-5.47), depression (OR = 2.06, 95% CI 1.31-3.24), greater endorsement of dysfunctional beliefs about sleep (OR = 1.50, 95% CI, 1.21-1.87), poor sleep hygiene (OR = 1.11, 95% CI, 1.04-1.19), and problematic prison environment (eg, noise, light or temperature) (OR = 1.07, 95% CI, 1.02-1.12).
conclusionsFor the first time we have established the prevalence and associated factors of insomnia in a large sample of adult English prisoners. ID and poor sleep quality are common, especially in female prisoners. These findings emphasize/amplify the need for dedicated treatment pathways to improve screening, assessment and treatment of insomnia in prison.
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