How America Lost Sleep

Many Americans are reporting that they’d feel better if they slept more, but finding the right remedy isn’t always simple.

Latest Apr 25, 2024 0 31 Add to Reading List

This is an edition of The Atlantic Daily, a newsletter that guides you through the biggest stories of the day, helps you discover new ideas, and recommends the best in culture. Sign up for it here.

Over the past decade, sleep has become better understood as a core part of wellness. But the stressors of modern life mean that Americans are getting less of it.

First, here are three new stories from The Atlantic:

Sleep No More

In the 1980s, when Rafael Pelayo was a young medical student setting out in the field of sleep research, people thought he was wasting his time. At that point, our culture was not so obsessed with the subject of rest. Now, he told me, people acknowledge that he was onto something—and insomniacs circle him “like sharks to blood” when they hear what he does for a living. Pelayo, a clinical professor at the Stanford Sleep Medicine Center, says that the “tide is changing” in how society values sleep. Over the past decade, how, and how much, we sleep has become a major health and wellness concern.

It’s a subject on Americans’ minds: Late last year, for the first time since Gallup began asking the question in 2001, a majority of surveyed American adults said they would feel better if they slept more; 57 percent of people surveyed said that they need to get more sleep, up from 43 percent in 2013, when the data were last gathered.

People’s self-reported quantities of sleep are also on the decline. Compared with a decade ago, fewer people report getting eight hours or more of sleep, and more people say they get five hours or less. Just 36 percent of women report getting the sleep they need—down from more than half in 2013.

As anyone who has lain awake at night knows, anxiety can affect sleep. That Americans say they are not sleeping as well as they reported in 2013 likely can be blamed in part on the stresses of the pandemic, Brynn K. Dredla, a neurologist and sleep-medicine specialist at the Mayo Clinic in Jacksonville, Florida, told me. “From a survival standpoint, if we’re under stress, our body thinks, Well, I have to be awake to deal with that stress,” she explained. Our brains have trouble distinguishing between acute danger, such as a bear attack, and chronic stress. “For us to sleep, we need to have a physically and psychologically safe environment,” she said. (A cold, dark, quiet room—with Instagram and news apps far away from the bed and the mind—doesn’t hurt either.)

Teenagers aren’t sleeping enough, and they’re experiencing high levels of stress—particularly teen girls. Blaming the ubiquity of the smartphone for bad sleep would be easy, but Pelayo finds that too simplistic—after all, we “had sleep issues way before the phones came out,” he noted. Teens aren’t getting enough sleep, Pelayo argued, in part because school tends to start at such an ungodly hour (he has advocated for later start times, a legislative effort that has gained momentum in states including California and Florida). It doesn’t help that adolescents are generally not great at recognizing when they are sleepy. Teens need a lot of sleep, Dredla explained, and sleep deprivation often makes them frustrated, which in turn “will lead to behaviors that actually can start promoting wakefulness,” such as napping or drinking caffeine. It’s not just teens—anyone can build up “sleep debt” and get into a cycle of sleeping poorly, stimulating themselves to stay awake, having trouble sleeping at night, and doing it all over again.

As sleep has become more central to Americans’ conception of wellness, companies have swooped in to try to package sleep as a luxury good. A cottage industry of products, including specialized pillows, apps, and pills, has sprung up in recent years promising to help people sleep better. Some simple pieces of technology—better mattresses, better cooling systems—have indeed enhanced sleep over the decades. But you don’t necessarily need to buy more stuff in order to sleep better. Savvy marketing makes people think the solution is complex, but at its core, the human body wants to sleep. “You were sleeping in utero,” Pelayo reminded me.

Of course, knowing this is not always enough to help a person struggling to get solid sleep. Pelayo advises that a good step for people having trouble sleeping is to wake up at the same time every morning. Forcing yourself to fall asleep is nearly impossible; if someone offered you $1,000 to fall asleep immediately, it might get even harder. But, he said, you can make yourself wake up consistently.

A good night of sleep consists of four factors, Pelayo explained: amount of sleep, quality of sleep, timing of sleep, and state of mind. That last one is key, he said—if you don’t look forward to going to bed, or if you dread waking up in the morning, you may have a very hard time sleeping. People tend to blame themselves when they don’t sleep well. He suggests that a better route for such people is to try to move past “that self-blame, because it’s not helpful. We want to figure out what’s happening.” It could be that you have a sleep disorder; many women, for example, develop sleep apnea after menopause.

Over the decades, Pelayo has watched sleep wellness become more valued, in parallel to many Americans beginning to internalize the benefits of eating healthy foods. “Waking up tired is like leaving a restaurant hungry,” Pelayo said. Though many Americans seem to feel that way these days, he retains hope. The good news about sleep? Everyone can do it. “It’s a fun gig as a sleep doctor, because most patients get better.”

Related:

Today’s News

An appeals court overturned Harvey Weinstein’s sex-crimes conviction in New York, where he has been serving his prison sentence. Since he was also convicted of sex offenses in Los Angeles, in 2022, his release is unlikely.
The Supreme Court heard arguments in Donald Trump’s presidential-immunity case, addressing the question of whether a former president can enjoy immunity from criminal prosecution for conduct related to official acts that took place during their time in office.
The Biden administration finalized a new regulation that would significantly reduce emissions and pollution from coal-fueled power plants by 2032.

Dispatches

Time-Travel Thursdays: For centuries, Jews were accused of preparing their Passover food with Christian blood. Yair Rosenberg investigates the dark legacy and ongoing body count of this ancient anti-Semitic myth.

Explore all of our newsletters here.

Evening Read

Illustration of a dog wearing a cone that looks like a dollar bill — Illustration by Ben Kothe / The Atlantic. Source: Getty.

Why Your Vet Bill Is So High

By Helaine Olen

In the pandemic winter of 2020, Katie, my family’s 14-year-old miniature poodle, began coughing uncontrollably. After multiple vet visits, and more than $1,000 in bills, a veterinary cardiologist diagnosed her with heart failure. Our girl, a dog I loved so much that I wrote an essay about how I called her my “daughter,” would likely die within nine months.
Katie survived for almost two years … [Her] extended life didn’t come cheap. There were repeated scans, echocardiograms, and blood work, and several trips to veterinary emergency rooms. One drug alone cost $300 a month, and that was after I shopped aggressively for discounts online.
People like me have fueled the growth of what you might call Big Vet. As household pets have risen in status—from mere animals to bona fide family members—so, too, has owners’ willingness to spend money to ensure their well-being. Big-money investors have noticed.

Read the full article.