# Which US states sleep the worst?

> In Hawaii 45.9% of adults sleep less than 7 hours a night, the highest share of any state.

Canonical: https://karelbusta.dev/data/sleep/us-states-with-the-worst-sleep

| # | State | Short sleep (age-adjusted) (%) | 95% CI low | 95% CI high | Short sleep (crude) |
| --- | --- | --- | --- | --- | --- |
| 1 | Hawaii | 45.9% | 44.2 | 47.6 | 45.6 |
| 2 | West Virginia | 42.6% | 40.7 | 44.5 | 41.3 |
| 3 | Alabama | 41.4% | 39.2 | 43.6 | 40.5 |
| 4 | Louisiana | 40.5% | 38.7 | 42.3 | 39.8 |
| 5 | Arkansas | 39.9% | 38 | 41.8 | 38.7 |
| 6 | Ohio | 39.9% | 38.7 | 41.1 | 38.5 |
| 7 | Tennessee | 39.8% | 38 | 41.7 | 38.8 |
| 8 | Kentucky | 39.6% | 37.5 | 41.9 | 39.3 |
| 9 | Nevada | 39.3% | 36.8 | 42 | 38.9 |
| 10 | Florida | 38.8% | 37 | 40.8 | 37.4 |
| 11 | Georgia | 38.8% | 37.2 | 40.4 | 38.1 |
| 12 | New York | 38.8% | 37.7 | 39.9 | 38.4 |
| 13 | Maryland | 38.7% | 37.5 | 40 | 38 |
| 14 | Indiana | 38.6% | 37.4 | 39.9 | 37.7 |
| 15 | Mississippi | 38.6% | 36.7 | 40.6 | 37.8 |
| 16 | Pennsylvania | 38.1% | 36 | 40.2 | 37.1 |
| 17 | New Jersey | 37.9% | 36.4 | 39.5 | 37.4 |
| 18 | Missouri | 37.7% | 36.1 | 39.3 | 36.8 |
| 19 | Alaska | 37.6% | 35.8 | 39.4 | 37.1 |
| 20 | Delaware | 37.3% | 35 | 39.6 | 35.6 |
| 21 | Texas | 37.1% | 35.6 | 38.7 | 36.9 |
| 22 | Virginia | 36.9% | 35.5 | 38.4 | 36.2 |
| 23 | Illinois | 36.7% | 34.8 | 38.7 | 36 |
| 24 | Kansas | 36.7% | 35.3 | 38 | 35.5 |
| 25 | South Carolina | 36.6% | 35.1 | 38 | 35.4 |
| 26 | Connecticut | 36.4% | 34.9 | 37.9 | 35.7 |
| 27 | Michigan | 36.4% | 35 | 37.7 | 35.2 |
| 28 | Oklahoma | 36.2% | 34.7 | 37.8 | 35.5 |
| 29 | Rhode Island | 36.2% | 34.4 | 38.2 | 35.6 |
| 30 | Arizona | 36.1% | 34.4 | 37.8 | 34.8 |
| 31 | California | 35.2% | 33.8 | 36.5 | 34.8 |
| 32 | North Carolina | 35.0% | 33.1 | 37 | 34.1 |
| 33 | Utah | 34.3% | 33 | 35.5 | 34.2 |
| 34 | Iowa | 34.2% | 32.8 | 35.6 | 32.9 |
| 35 | New Mexico | 34.1% | 32.1 | 36.3 | 32.8 |
| 36 | North Dakota | 34.0% | 32.2 | 35.9 | 33.2 |
| 37 | Wisconsin | 33.9% | 32.6 | 35.2 | 32.8 |
| 38 | New Hampshire | 33.8% | 31.8 | 35.8 | 33 |
| 39 | Maine | 33.4% | 31.9 | 34.9 | 32.7 |
| 40 | Wyoming | 33.4% | 31.4 | 35.4 | 32.3 |
| 41 | Idaho | 33.2% | 31.8 | 34.7 | 32.5 |
| 42 | Massachusetts | 33.2% | 31.9 | 34.5 | 32.7 |
| 43 | Montana | 32.9% | 31.4 | 34.5 | 31.7 |
| 44 | South Dakota | 32.9% | 29.4 | 36.5 | 31.2 |
| 45 | Washington | 32.8% | 32 | 33.6 | 32.4 |
| 46 | District of Columbia | 31.8% | 29.7 | 34 | 31.9 |
| 47 | Oregon | 31.8% | 30.2 | 33.4 | 30.9 |
| 48 | Nebraska | 31.5% | 29.9 | 33.1 | 30.6 |
| 49 | Colorado | 30.6% | 29.4 | 31.8 | 30.3 |
| 50 | Minnesota | 30.3% | 29.3 | 31.4 | 29.6 |
| 51 | Vermont | 30.0% | 28.5 | 31.5 | 29.6 |

Hawaii (45.9%), West Virginia (42.6%) and Alabama (41.4%) have the largest shares of adults who usually sleep less
than 7 hours in 24 hours, the minimum the American Academy of Sleep Medicine recommends. Vermont (30.0%), Minnesota
(30.3%) and Colorado (30.6%) have the smallest. Nationally the figure is 36.8%.

The numbers are age-adjusted estimates from the 2022 Behavioral Risk Factor Surveillance System, a phone survey of
adults, published by the CDC with 95% confidence intervals. Many neighbouring states' intervals overlap, so a
difference of a point or two in rank is not meaningful.

## Source

- CDC BRFSS 2022 via U.S. Chronic Disease Indicators (SLP03): https://data.cdc.gov/d/hksd-2xuw (sample: BRFSS 2022 adult telephone survey respondents in 50 states, DC, Guam, Puerto Rico and the U.S. Virgin Islands (per-state sample sizes not published in this dataset))
- Dataset with methodology and CSV/JSON downloads: https://karelbusta.dev/data/sleep/datasets/us-short-sleep

## Related facts

- [There's no clear evidence that adults sleep less than 50 years ago](https://karelbusta.dev/data/sleep/sleep-duration-has-not-declined)
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