October Health – 2026 Report
Sleep in United States 
The leading population-level cause of sleep-related stress in the United States is chronic insomnia and poor sleep quality driven by work-related stress and societal factors. Specifically, high work demands, long hours, irregular shift patterns, job insecurity, and workplace culture that undervalues rest contribute most to sleep stress across adults. Addressing this at an organizational level—predictable schedules, reasonable workloads, and supportive resources—can reduce sleep-related stress. If helpful, digital group sessions and assessments from October can support employees in managing sleep health and stress.
- Sleep Prevalence
- 24.02%
- Affected people
- 13,211,000
Impact on the people of United States
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Physical health: Chronic sleep stress can raise blood pressure, weaken the immune system, and increase risks for heart disease, obesity, and type 2 diabetes.
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Mental health: It heightens anxiety and mood symptoms, raises risk of depression, irritability, and cognitive issues like memory and attention problems.
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Work performance: Impaired judgment, slower reaction times, reduced productivity, increased errors, and more workplace accidents.
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Relationships: Greater conflicts, miscommunication, and reduced emotional availability; sleep-deprived individuals may withdraw or be less responsive to partners and kids.
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Coping and behavior: May trigger emotional overeating, substance use (e.g., caffeine, alcohol), and avoidance behaviors.
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Long-term impact: Chronic sleep stress can contribute to burnout, persistent fatigue, and a cycle of worsening sleep and health.
Practical tips (workplace-relevant):
- Prioritize consistent sleep schedule; aim for 7–9 hours.
- Create a wind-down routine and a sleep-conducive environment (dark, cool, quiet).
- Limit caffeine and screen time before bed; consider short, early-evening workouts if helpful.
- Manage stress with brief, structured activities: 5-minute breathing, quick walks, or micro-mrests.
- If sleep stress persists, consider talking to a healthcare professional; some workplaces offer Employee Assistance Programs or digital resources (e.g., October) for sleep hygiene content and support.
Impact on the United States Economy
There isn’t a single “Sleep stress” metric, but high sleep-related stress in a population can impact an economy in several ways. Here are concise, relevant effects:
- Reduced productivity: Sleep deprivation impairs attention, memory, decision-making, and error rates, lowering output and efficiency at work.
- Increased absenteeism and presenteeism: More days taken off and reduced performance while at work lead to higher costs per employee.
- Healthcare costs rise: Chronic sleep problems are linked to obesity, cardiovascular disease, depression, and anxiety, driving higher medical expenses and insurance costs.
- Lower labor market participation: Chronic sleep issues can affect earnings potential and employment stability, dampening overall labor supply quality.
- Innovation and growth slow: Impaired cognitive function can reduce creativity and complex problem-solving, affecting R&D and competitive advantage.
- Consumer behavior shifts: Sleep-deprived individuals may spend less, save more, or make poorer financial decisions, impacting demand.
- Safety and liability costs: Sleep-related fatigue increases risk of accidents in transportation, manufacturing, and other high-stakes sectors, raising costs and insurance premiums.
Mitigating steps that help the economy indirectly:
- Workplace sleep health programs: Encourage regular sleep, flexible scheduling, and restful break policies to boost productivity.
- Public health campaigns: Education on sleep hygiene, sunlight exposure, and stress management to reduce chronic sleep problems.
- Access to mental health and medical care: Early intervention reduces long-term disability and improved work functioning.
- Remote or flexible work options: Allow aligning work with individual circadian rhythms to improve performance and job satisfaction.
If you’d like, I can tailor this to a specific sector or provide a brief employer-facing summary for a workplace presentation. Also, consider suggesting a October program for employee sleep health assessments and group sessions if appropriate.
What can government do to assist?
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Promote work-life balance policies
- Enforce reasonable work hours and limits on after-hours communication
- Support flexible scheduling and remote options when possible
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Improve sleep-friendly workplace practices
- Limit early-morning meetings and avoid late shifts
- Design quiet, dimmable work environments and provide nap rooms or rest areas
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Strengthen sleep education and access
- Public health campaigns about sleep hygiene (consistent bedtimes, limiting caffeine, screen time reduction)
- Encourage healthcare providers to screen for sleep disorders and offer referrals
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Support mental health resources
- Normalize seeking help for stress and sleep issues through confidential services
- Provide access to digital mental health programs and group sessions (e.g., October) for coping strategies
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Address work-related stressors
- Reduce job insecurity and improve workload management
- Offer manager training on recognizing burnout and encouraging rest
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Implement broader societal supports
- Promote safe commuting options and reduce traffic-related stress
- Regulate work on-call expectations and ensure fair compensation for overnight work
If helpful, consider integrating digital group sessions and self-assessment tools from October to support employees in sleep stress reduction and coping skills.
What can businesses do to assist their employees?
- Normalize and protect sleep: Encourage predictable work hours, discourage after-hours expectations, and offer flexible schedules where possible to reduce evening work spillover.
- Create a sleep-supportive culture: Promote messages that rest is part of performance. Offer silent hours or “do not disturb” windows, especially before the end of the workday.
- Educate and equip: Provide brief sleep health education, practical tips, and access to resources (e.g., sleep coaching, digital programs like October’s sleep-focused content).
- Manage workload and deadlines: Monitor for chronic overwork, set realistic expectations, and implement mandatory breaks and no-meeting blocks to reduce rumination at night.
- Stress reduction initiatives: Provide on-demand mental health support, mindfulness or relaxation sessions, and quick exercises that employees can do before bed.
- Sleep-friendly benefits: Offer subsidies for sleep apps, blue-light–reducing guidance, or sleep-friendly hardware, and allow flexible start times after late-night shifts.
- Environment and policy adjustments: Limit late-night communications unless urgent, and encourage daylight exposure and physical activity during the day to improve sleep quality.
- Manager training: Train leaders to recognize signs of sleep stress, check in with workload, and model healthy boundaries.
- Measurement and improvement: Survey sleep well-being periodically and pilot targeted interventions; use feedback to refine programs.
- Resource option: Consider integrating October’s digital group sessions and sleep content for scalable, evidence-based support.