Medicalization of Sleep Problems in an Aging Population: A Longitudinal Cross-National Study of Medication Use for Sleep Problems in Older European Adults

J Aging Health. 2018 Jun;30(5):816-838. doi: 10.1177/0898264317696775. Epub 2017 Mar 15.

Abstract

Objective: The association between age and sleep problems is considered to be positive, and medication use is a common health care intervention among older individuals. Because daytime consequences are often stated as a reason to seek care, we study to what extent the medicalization of sleep problems is found in an aging European population, with a focus on daily activities.

Method: Data from the Survey of Health Ageing and Retirement in Europe are used in three-level, generalized linear mixed models. Medicalization is operationalized as the use of medication for sleep problems at least once per week.

Results: Men are more likely than women to use medication for sleep problems, and the process of aging is associated with a decrease in medicalization.

Discussion: Sleep problems seem to be medicalized particularly when they prevent aging individuals from engaging in work-related responsibilities, as medication is especially used by employed individuals with sleep problems.

Keywords: SHARE; longitudinal analysis; medicalization; older adults; sleep problems.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aging / psychology*
  • Europe / epidemiology
  • Female
  • Humans
  • Hypnotics and Sedatives / therapeutic use*
  • Longitudinal Studies
  • Male
  • Medicalization
  • Middle Aged
  • Retirement / psychology
  • Sex Factors
  • Sleep Wake Disorders* / diagnosis
  • Sleep Wake Disorders* / drug therapy
  • Sleep Wake Disorders* / epidemiology
  • Surveys and Questionnaires

Substances

  • Hypnotics and Sedatives