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The economic consequences of increasing sleep among the urban poor

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Bessone, Pedro, Rao, Gautam, Schilbach, Frank, Schofield, Heather and Toma, Mattie (2021) The economic consequences of increasing sleep among the urban poor. The Quarterly Journal of Economics, 136 (3). pp. 1887-1941. doi:10.1093/qje/qjab013 ISSN 0033-5533.

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Official URL: http://dx.doi.org/10.1093/qje/qjab013

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Abstract

The urban poor in developing countries face challenging living environments, which may interfere with good sleep. Using actigraphy to measure sleep objectively, we find that low-income adults in Chennai, India, sleep only 5.5 hours a night on average despite spending 8 hours in bed. Their sleep is highly interrupted, with sleep efficiency—sleep per time in bed—comparable to those with disorders such as sleep apnea or insomnia. A randomized three-week treatment providing information, encouragement, and improvements to home sleep environments increased sleep duration by 27 minutes a night by inducing more time in bed. Contrary to expert predictions and a large body of sleep research, increased nighttime sleep had no detectable effects on cognition, productivity, decision making, or well being, and led to small decreases in labor supply. In contrast, short afternoon naps at the workplace improved an overall index of outcomes by 0.12 standard deviations, with significant increases in productivity, psychological well-being, and cognition, but a decrease in work time.

Item Type: Journal Article
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RC Internal medicine
Divisions: Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH): Sleep disorders -- Economic aspects -- India, Sleep disorders -- Social aspects -- India, Urban poor -- India, Actigraphy
Journal or Publication Title: The Quarterly Journal of Economics
Publisher: Oxford University Press
ISSN: 0033-5533
Official Date: August 2021
Dates:
DateEvent
August 2021Published
8 April 2021Available
17 March 2021Accepted
Volume: 136
Number: 3
Page Range: pp. 1887-1941
DOI: 10.1093/qje/qjab013
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): This is a pre-copyedited, author-produced version of an article accepted for publication in The Quarterly Journal of Economics following peer review. The version of record Pedro Bessone, Gautam Rao, Frank Schilbach, Heather Schofield, Mattie Toma, The Economic Consequences of Increasing Sleep Among the Urban Poor, The Quarterly Journal of Economics, Volume 136, Issue 3, August 2021, Pages 1887–1941 is available online at: https://doi.org/10.1093/qje/qjab01.
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 24 August 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDTamil Nadu Governmenthttp://viaf.org/viaf/153030224
UNSPECIFIEDAbdul Latif Jameel Poverty Action Lab (Massachusetts Institute of Technology)http://viaf.org/viaf/306394291
UNSPECIFIEDIFMR LEADhttps://ifmrlead.org/
William F. Milton FundHarvard Universityhttp://dx.doi.org/10.13039/100007229
UNSPECIFIEDHarvard Initiative for Global Healthhttp://viaf.org/viaf/139767883
Program on the Global Development of AgingHarvard Universityhttp://dx.doi.org/10.13039/100007229
SHASS Research FundMassachusetts Institute of Technologyhttp://dx.doi.org/10.13039/100006919
Mind, Brain, and Behavior Interfaculty InitiativeHarvard Universityhttp://dx.doi.org/10.13039/100007229
UNSPECIFIEDInstitute for Translational Medicine and Therapeuticshttp://dx.doi.org/10.13039/100007929
Weiss Family Program Fund for Research in Development EconomicsUniversity of Chicagohttp://dx.doi.org/10.13039/100007234
UNSPECIFIEDPershing Square Foundationhttp://dx.doi.org/10.13039/100010304
K01AG055691National Institute on Aginghttp://dx.doi.org/10.13039/100000049
Program for Training in Sleep, Circadian and Respiratory Neurobiology in the Division of Sleep MedicineHarvard Medical Schoolhttp://dx.doi.org/10.13039/100006691
T-32 grantNational Heart, Lung, and Blood Institutehttp://dx.doi.org/10.13039/100000050

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