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Health Reports & Data

Sleep Health


Increase public knowledge of how adequate sleep and treatment of sleep disorders improve health, productivity, wellness, quality of life, and safety on roads and in the workplace.


Poor sleep health is a common problem with 25 percent of U.S. adults reporting insufficient sleep or rest at least 15 out of every 30 days.1 The public health burden of chronic sleep loss and sleep disorders, coupled with low awareness of poor sleep health among the general population, health care professionals, and policymakers, necessitates a well-coordinated strategy to improve sleep-related health.

Why is Sleep Health Important?

Sleep, like nutrition and physical activity, is a critical determinant of health and well-being.2 Sleep is a basic requirement for infant, child, and adolescent health and development. Sleep loss and untreated sleep disorders influence basic patterns of behavior that negatively affect family health and interpersonal relationships. Fatigue and sleepiness can reduce productivity and increase the chance for mishaps such as medical errors and motor vehicle or industrial accidents.3,4

Adequate sleep is necessary to:

  • Fight off infection
  • Support the metabolism of sugar to prevent diabetes
  • Perform well in school
  • Work effectively and safely

Sleep timing and duration affect a number of endocrine, metabolic, and neurological functions that are critical to the maintenance of individual health. If left untreated, sleep disorders and chronic short sleep are associated with an increased risk of:

  • Heart disease
  • High blood pressure
  • Obesity
  • Diabetes
  • All-cause mortality 5,6

Sleep health is a particular concern for individuals with chronic disabilities and disorders such as arthritis, kidney disease, pain, human immunodeficiency virus (HIV), epilepsy, Parkinson’s disease, and depression. Among older adults, the cognitive and medical consequences of untreated sleep disorders decrease health-related quality of life, contribute to functional limitations and loss of independence, and are associated with an increased risk of death from any cause.7

Additional Resources:

HP2020’s National Objectives for Sleep Health


  1. Centers for Disease Control and Prevention, Epidemiology Program Office. Perceived insufficient rest or sleep among adults: United States, 2008. MMWR. 2009 Oct 30;58(42):1175-9.
  2. Institute of Medicine, Committee on Sleep Medicine and Research. Sleep disorders and sleep deprivation: An unmet public health problem. Washington: National Academies Press; 2006.
  3. Philip P. Sleepiness of occupational drivers. Ind Health. 2005 Jan;43(1):30-3. [Review].
  4. Mountain SA, Quon BS, Dodek P, et al. The impact of housestaff fatigue on occupational and patient safety. Lung. 2007 Jul–Aug;185(4):203-9. [Review].
  5. Van Cauter E, Knutson KL. Sleep and the epidemic of obesity in children and adults. Eur J Endocrinol. 2008 Dec;159(suppl 1):S59-66. [Review].
  6. Van Cauter E, Holmback U, Knutson K, et al. Impact of sleep and sleep loss on neuroendocrine and metabolic function. Horm Res. 2007;67(suppl 1):2-9. Epub 2007 Feb 15. [Review].
  7. Paudel ML, Taylor BC, Ancoli-Israel S, et al.; Osteoporotic Fractures in Men (MrOS) Study. Rest/activity rhythms and mortality rates in older men: MrOS Sleep Study. Chronobiol Int. 2010 Jan;27(2):363-77

State Indicator Definition:
Percentage of public school students in grades 9-12 who got 8 or more hours of sleep on an average school night. The national indicator definition is exactly the same.

State Baseline:
26.8% (2013)

Most Recent State Value:
22.8% (2017)

HP2020 Target:
National: 33.1%

National Data Source:
Youth Risk Behavior Surveillance System

State Data Source:
Hawaii Youth Risk Behavior Survey

Data Reports:
HHM Report

State Indicator Definition:
Percentage of adults aged 18 years and older who report getting at least 7 hours of sleep in an average 24-hour period. The national indicator is defined differently as the percentage of adults aged 18 to 21 years who get 8 or more hours of sleep and the percentage of adults aged 22 years and over who get 7 or more hours of sleep.

State Baseline:
58.5% (2013)

Most Recent State Value:
57.2% (2016)

HP2020 Target:
National: 70.8%

National Data Source:
National Health Interview Survey

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
HHM Report