Corresponding Author

R. Constance Wiener


Author Affiliations

R. Constance Wiener, DMD, PhD, Associate Professor

Dental Practice and Rural Health

PO Box 9448 Health Sciences Addition Room 104a

West Virginia University

Morgantown, WV 26506


304 581-1960

Corresponding author

ORCID 0000-0003-0371-6699

Christopher Waters, MS

Department of Dental Research

PO Box 9448 Health Sciences Addition Room 106a

West Virginia University

Morgantown, WV 26506


304 581-1845

ORCID: 0000-0002-5574-4803


Introduction: West Virginia is a state in which most counties are rural, as well as a state with multiple health disparities among its population. The purpose of this study was to determine the association of sleep duration and falls for non-institutionalized West Virginia adults, aged 40 years and above, using the National Sleep Foundation’s definition of “may be appropriate” and “not recommended” sleep durations for specific ages.

Methods: Behavior Risk Factor Surveillance System (BRFSS) 2018 data concerning West Virginia residents were extracted for sleep duration and number of falls within the previous year. Data were analyzed with Chi square and logistic regression analyses on falls.

Results: There were 2780 participants, aged 45 years and above. Slightly more than half (51.0%) were female. In adjusted logistic regression analysis, the adjusted odds ratio for falls in participants who did not have the recommended sleep duration was 1.77; 95%CI: 1.38, 2.27; p<0.0001 as compared with participants who did have the recommended sleep duration.

Conclusion: Inadequate sleep duration, based on age, was associated with ≥1 falls within the previous year in a West Virginia Appalachian population.


DOI: https://doi.org/10.13023/jah.0302.03

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

Recommended Citation

Wiener RC, Waters C. Effects of Sleep Duration on Falls in a West Virginia Population-Based Study, BRFSS, 2018. J Appalach Health 2021;3(2):18–31. DOI: https://doi.org/10.13023/jah.0302.03