October Health – 2025 Report

Sleep in United States

The leading causes of sleep stress in the United States population include: 1. **Work-related stress**: High job demands, long hours, and job insecurity frequently disrupt sleep. 2. **Financial concerns**: Economic pressures such as debt, housing costs, and general financial instability. 3. **Technology and screen time**: Excessive use of screens, especially close to bedtime, disrupts circadian rhythms. 4. **Health-related factors**: Chronic illnesses, pain, or mental health conditions such as anxiety and depression. 5. **Lifestyle habits**: Irregular sleep schedules, poor diet, caffeine or substance use, and lack of physical activity. 6. **Parenting stress**: Especially in households with young children, sleep interruptions are common. Workplace-focused strategies, such as reducing work stressors, setting boundaries, and promoting mental health resources like October, could alleviate sleep stress for employees.

Sleep Prevalence
23.56%
Affected people
12,958,000

Impact on the people of United States

Effects of High Sleep Stress on Health and Personal Lives

Physical Health

  1. Weakened Immune System – Poor sleep reduces the body's ability to fight infections and illnesses.
  2. Increased Risk of Chronic Conditions – Higher likelihood of developing heart disease, diabetes, and hypertension.
  3. Fatigue and Low Energy – Persistent tiredness can lead to physical exhaustion and reduced productivity.
  4. Weight Management Issues – Disrupted sleep affects metabolism and can contribute to weight gain.

Mental Health

  1. Heightened Stress and Anxiety – Lack of rest exacerbates feelings of stress, anxiety, and irritability.
  2. Risk of Depression – Chronic sleep deprivation is closely linked to depressive symptoms.
  3. Reduced Cognitive Function – Poor sleep impairs memory, decision-making, and focus.

Personal Lives

  1. Strained Relationships – Irritability and mood swings due to poor sleep can lead to conflict with family and friends.
  2. Decreased Work Performance – Fatigue impacts concentration, creativity, and efficiency at work.
  3. Lower Life Satisfaction – Chronic exhaustion can reduce enjoyment in personal activities and social interactions.

Suggestions for Improvement

  • Establish a consistent bedtime routine.
  • Limit screen time before sleep.
  • Engage in mindfulness techniques such as meditation or yoga.
  • If work-related stress is contributing to poor sleep, consider group support through platforms like October to explore coping strategies.

Impact on the United States Economy

Effects of High Sleep Stress on an Economy

  1. Reduced Productivity: Sleep deprivation leads to fatigue, lower cognitive functioning, and decreased efficiency among workers. This results in higher error rates and diminished output across industries.

  2. Increased Healthcare Costs: Chronic sleep stress is linked to health problems such as obesity, depression, diabetes, and heart disease. This strain on physical and mental well-being drives up healthcare expenditures at both individual and national levels.

  3. Higher Absenteeism: Workers struggling with sleep issues are more likely to call in sick or underperform, which disrupts operations for businesses relying on consistent employee engagement.

  4. Workplace Accidents: Fatigued employees are more prone to mistakes, leading to accidents in workplaces, particularly in industries relying on machinery or transportation. This translates to financial losses and potential legal liabilities.

  5. Decline in Innovative Capacity: Sleep stress reduces creativity and problem-solving skills, hindering innovation, which is a cornerstone for economic growth in competitive markets.

  6. Decreased Consumer Spending: Prolonged sleep stress can lead to lower job performance and, over time, result in lower wages or job instability. Reduced earning power decreases consumer expenditure, which is a key driver of the economy.

Potential Solutions Encouraging businesses to recognize the importance of sleep for workplace performance can help mitigate sleep stress. Providing mental health resources, like October’s digital sessions and assessments, could support employees in managing their sleep-related issues effectively.

What can government do to assist?

 Strategies for a Country to Lower Sleep Stress

1. **Promote Public Awareness Campaigns**  
   - Educate citizens on the importance of sleep for mental and physical health.
   - Provide resources on sleep hygiene, such as avoiding screens before bedtime, maintaining a regular sleep schedule, and creating a relaxing bedtime routine.

2. **Workplace Policies**  
   - Encourage flexible working hours or remote work to reduce burnout and promote better sleep schedules.
   - Establish workplace wellness programs with a focus on mental health and rest.
   - Partner with organizations like October to provide group mental health sessions and education on managing sleep stress.

3. **Encourage Healthier Lifestyles**  
   - Promote exercise programs, as regular physical activity can improve sleep quality.
   - Advocate for reduced reliance on stimulants like caffeine, especially in the evening.

4. **Improve Environmental Sleep Factors**  
   - Address noise and light pollution in urban areas to make sleep environments more conducive to rest.
   - Improve housing standards to ensure access to quiet, safe sleeping spaces for all citizens.

5. **Access to Mental Health Support**  
   - Increase funding for public mental health resources.
   - Provide accessible cognitive-behavioral therapy (CBT) programs for individuals struggling with insomnia and anxiety-related sleep stress.

6. **Consider School Start Times**  
   - Delay school start times for adolescents to align with their natural sleep cycles, as recommended by sleep researchers.

7. **Regulate Work Hours and Overtime**  
   - Implement and enforce laws that limit excessive overtime and ensure adequate rest periods for workers.

8. **Screen and Address Sleep Disorders**  
   - Offer widespread screening for common sleep disorders like insomnia or sleep apnea and subsidize treatments for them.

By addressing sleep stress through both individual education and systemic changes, a nation can improve overall public health and productivity.

What can businesses do to assist their employees?

Ways a Company Can Help Lower Sleep Stress

  1. Promote Healthy Work-Life Balance

    • Encourage employees to disconnect after work hours.
    • Avoid scheduling late-night meetings or sending after-hours emails.
  2. Provide Sleep Education

    • Offer workshops on sleep hygiene and stress management.
    • Share resources about the importance of sleep for health and productivity.
  3. Flexible Work Options

    • Allow flexible schedules to accommodate natural sleep-wake cycles.
    • Support remote work when applicable.
  4. Create a Supportive Workplace Environment

    • Address workload stress and meet staffing needs to prevent burnout.
    • Ensure fair distribution of tasks to minimize excessive pressure.
  5. Offer Mental Health Support

    • Provide access to mental health services, such as October’s digital group sessions or individual counseling, to address stress-related sleep issues.
  6. Encourage Breaks During the Day

    • Promote short breaks for relaxation or mindfulness, as they can positively impact sleep later.
  7. Incorporate Wellness Programs

    • Offer programs focused on physical health, like yoga or meditation, as these promote better sleep patterns.

By implementing these strategies, companies can help alleviate employee sleep stress, leading to increased productivity and well-being.