Evidence map›Paper›PMID 29555129›Full record

ArticleSleep health2018

A decade's difference: 10-year change in insomnia symptom prevalence in Canada depends on sociodemographics and health status.

Sheila N Garland, Hillary Rowe, Lily M Repa, Ken Fowler, Eric S Zhou, Michael A Grandner

Abstract read
In one paragraph

Article in Sleep health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Acceptance and commitment therapy for insomnia: an updated meta-analysis of randomized controlled trials.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Pooled it
  2. Pooled it
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  4. Do Sleep Disturbances Improve Following Psychoanalytic Psychotherapy for Adolescent Depression?International journal of environmental research and public health · 2022
    Trial
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  15. Association betweenNutrients · 2023
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  18. Self-reported sleep disturbances among people who have had a stroke: a cross-sectional analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sheila N GarlandDepartment of Psychology, Faculty of Science, Memorial University, St. John's, NL, Canada; Division of Oncology, Faculty of Medicine, Memorial University, St. John's, NL, Canada. Electronic address: sheila.garland@mun.ca.
Hillary RoweDepartment of Psychology, Faculty of Science, Memorial University, St. John's, NL, Canada.
Lily M RepaDepartment of Psychology, Faculty of Science, Memorial University, St. John's, NL, Canada.
Ken FowlerDepartment of Psychology, Faculty of Science, Memorial University, St. John's, NL, Canada.
Eric S ZhouDepartment of Pediatrics, Harvard Medical School, Boston, MA, USA.
Michael A GrandnerDepartment of Psychiatry, University of Arizona, Tucson, AZ, USA.

Funding

Sleep and Cardiometabolic Health Disparities at the US/Mexico Border: The Nogales Cardiometabolic Health and Sleep (NoCHeS) StudyR01MD011600 · NIMHD · UNIVERSITY OF ARIZONA · PI GRANDNER, MICHAEL A · 2018 to 2022
$4.1M
Cardiovascular and Metabolic Risk Factors Associated with Short Sleep DurationK23HL110216 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GRANDNER, MICHAEL A · 2012 to 2016
$813k
NHLBI NIH HHS K23 HL110216NIMHD NIH HHS R01 MD011600
6 · The paper itself

Abstract

introductionInsomnia is recognized as a public health issue. The objectives of this study were to characterize and compare the prevalence of insomnia symptoms in the Canadian population in 2002 and 2012, and to identify sociodemographic and psychosocial predictors of trouble sleeping.

methodsData from adult participants in the Canadian Community Health Survey-Mental Health cycles 2000-2002 (n = 34,118) and 2011-2012 (n = 23,089) were used. Participants responded to the question "How often do you have trouble going to sleep or staying asleep?", with those who indicated "most of the time" or "all of the time" classified as having insomnia symptoms. Logistic regressions, adjusted for covariates, were used to examine differences between cycles.

resultsThe unadjusted prevalence of insomnia symptoms increased from 15.6% to 17.1% between 2002 and 2012, representing an absolute increase of 1.5%. The likelihood of insomnia symptoms was significantly influenced by age, sex, education, physical health, and mental health status. A 3-way year-age-sex interaction was statistically significant such that women aged 40-59 demonstrated approximately 29% increased likelihood of insomnia symptoms from 2002 to 2012. This was reduced to 24% when adjusted for physical and mental health. There were no significant differences for men across age groups.

conclusionOver a 10-year period, the prevalence of insomnia symptoms increased in Canada. This trend appears to be driven in part by greater levels of insomnia symptoms among middle-aged women.

Indexed as

AdultAgedAged, 80 and overAge DistributionCanadaFemaleHealth StatusHealth SurveysHumansMaleMiddle AgedPrevalenceRisk FactorsSex DistributionSleep Initiation and Maintenance DisordersYoung AdultCanadaInsomniaMiddle ageSex differencesSleep

Identifiers

PMID29555129
PMCPMC6203592

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.