The 25 Most Sleep-Deprived Cities in the U.S.

Editor's Note: This story originally appeared on HotDog.com.

One of the most important components of health and wellness is also one of the most fundamental: sleep.

Lower rates of sleep are associated with a number of health problems, including a weakened immune system, reduced memory and cognitive performance, and greater likelihood of injuries or accidents.

The CDC recommends that all adults get more than seven hours of sleep per night to help ensure good health. Only around 2 in 3 adults report meeting that threshold.

Critically, people who get less sleep tend to have more difficulty preventing and managing chronic health conditions. People who sleep less than seven hours are significantly more likely than those sleeping more than seven hours to have:

• Diabetes (11.1% versus 8.6%)
• Coronary heart disease (4.7% versus 3.4%)
• Obesity (33.0% versus 26.5%).

And Americans’ mental health shows the relationship even more strongly: The rate of depression among insufficient sleepers is more than 1.5 times as high as the rate for sufficient sleepers (22.9% versus 14.6%).

To determine the most sleep-deprived locations in the U.S., researchers at HotDog.com calculated the proportion of adults who get less than the recommended minimum of seven hours of sleep in a typical 24 hour period.

The data used in this analysis is from the CDC’s PLACES: Local Data for Better Health 2021 Release. For additional context, researchers also calculated the proportion of adults who report various health conditions associated with insufficient sleep, including diabetes, coronary heart disease, obesity and depression.

Here are the most sleep-deprived cities in the U.S.

25. Columbus, OH

• Share of adults getting less than 7 hours per night: 42.2%
• Share of adults with diabetes: 10.4%
• Share of adults with heart disease: 5.3%
• Share of adults with obesity: 36.7%
• Share of adults with depression: 21.9%

24. Murfreesboro, TN

• Share of adults getting less than 7 hours per night: 42.3%
• Share of adults with diabetes: 8.9%
• Share of adults with heart disease: 4.5%
• Share of adults with obesity: 36.1%
• Share of adults with depression: 27.8%

23. Fayetteville, NC

• Share of adults getting less than 7 hours per night: 42.3%
• Share of adults with diabetes: 11.8%
• Share of adults with heart disease: 5.5%
• Share of adults with obesity: 34.3%
• Share of adults with depression: 22.6%

22. Montgomery, AL

• Share of adults getting less than 7 hours per night: 42.6%
• Share of adults with diabetes: 14.2%
• Share of adults with heart disease: 6.5%
• Share of adults with obesity: 37.6%
• Share of adults with depression: 22.0%

21. Buffalo, NY

• Share of adults getting less than 7 hours per night: 42.7%
• Share of adults with diabetes: 13.1%
• Share of adults with heart disease: 6.6%
• Share of adults with obesity: 37.2%
• Share of adults with depression: 21.4%

20. Beaumont, TX

• Share of adults getting less than 7 hours per night: 42.8%
• Share of adults with diabetes: 14.1%
• Share of adults with heart disease: 6.3%
• Share of adults with obesity: 41.0%
• Share of adults with depression: 19.7%

19. Augusta, GA

• Share of adults getting less than 7 hours per night: 42.8%
• Share of adults with diabetes: 14.4%
• Share of adults with heart disease: 6.7%
• Share of adults with obesity: 37.8%
• Share of adults with depression: 19.8%

18. Macon, GA

• Share of adults getting less than 7 hours per night: 43.1%
• Share of adults with diabetes: 15.2%
• Share of adults with heart disease: 7.3%
• Share of adults with obesity: 38.4%
• Share of adults with depression: 21.3%

17. Newport News, VA

• Share of adults getting less than 7 hours per night: 43.3%
• Share of adults with diabetes: 11.4%
• Share of adults with heart disease: 5.3%
• Share of adults with obesity: 38.3%
• Share of adults with depression: 19.8%

16. Toledo, OH

• Share of adults getting less than 7 hours per night: 43.5%
• Share of adults with diabetes: 14.2%
• Share of adults with heart disease: 7.7%
• Share of adults with obesity: 39.5%
• Share of adults with depression: 24.4%

15. Jackson, MS

• Share of adults getting less than 7 hours per night: 43.5%
• Share of adults with diabetes: 15.4%
• Share of adults with heart disease: 6.0%
• Share of adults with obesity: 43.4%
• Share of adults with depression: 20.1%

14. Miramar, FL

• Share of adults getting less than 7 hours per night: 43.7%
• Share of adults with diabetes: 11.1%
• Share of adults with heart disease: 4.0%
• Share of adults with obesity: 32.2%
• Share of adults with depression: 16.0%

13. Rochester, NY

• Share of adults getting less than 7 hours per night: 43.9%
• Share of adults with diabetes: 12.8%
• Share of adults with heart disease: 6.1%
• Share of adults with obesity: 37.8%
• Share of adults with depression: 22.1%

12. Clarksville, TN

• Share of adults getting less than 7 hours per night: 44.0%
• Share of adults with diabetes: 10.1%
• Share of adults with heart disease: 4.6%
• Share of adults with obesity: 37.2%
• Share of adults with depression: 25.5%

11. Birmingham, AL

• Share of adults getting less than 7 hours per night: 44.0%
• Share of adults with diabetes: 17.3%
• Share of adults with heart disease: 7.2%
• Share of adults with obesity: 39.6%
• Share of adults with depression: 21.0%

10. Baltimore, MD

• Share of adults getting less than 7 hours per night: 44.1%
• Share of adults with diabetes: 12.9%
• Share of adults with heart disease: 5.7%
• Share of adults with obesity: 37.2%
• Share of adults with depression: 20.4%

9. Columbus, GA

• Share of adults getting less than 7 hours per night: 44.1%
• Share of adults with diabetes: 13.7%
• Share of adults with heart disease: 6.4%
• Share of adults with obesity: 37.5%
• Share of adults with depression: 20.4%

8. Philadelphia, PA

• Share of adults getting less than 7 hours per night: 45.1%
• Share of adults with diabetes: 12.6%
• Share of adults with heart disease: 6.0%
• Share of adults with obesity: 32.2%
• Share of adults with depression: 22.0%

7. Dayton, OH

• Share of adults getting less than 7 hours per night: 45.7%
• Share of adults with diabetes: 16.5%
• Share of adults with heart disease: 8.0%
• Share of adults with obesity: 42.2%
• Share of adults with depression: 23.1%

6. Honolulu, HI

• Share of adults getting less than 7 hours per night: 46.3%
• Share of adults with diabetes: 11.1%
• Share of adults with heart disease: 5.0%
• Share of adults with obesity: 22.4%
• Share of adults with depression: 12.7%

5. Miami Gardens, FL

• Share of adults getting less than 7 hours per night: 46.5%
• Share of adults with diabetes: 16.2%
• Share of adults with heart disease: 6.2%
• Share of adults with obesity: 35.5%
• Share of adults with depression: 17.2%

4. Flint, MI

• Share of adults getting less than 7 hours per night: 47.6%
• Share of adults with diabetes: 17.9%
• Share of adults with heart disease: 8.3%
• Share of adults with obesity: 49.0%
• Share of adults with depression: 23.8%

3. Memphis, TN

• Share of adults getting less than 7 hours per night: 47.9%
• Share of adults with diabetes: 15.7%
• Share of adults with heart disease: 6.6%
• Share of adults with obesity: 40.3%
• Share of adults with depression: 22.2%

2. Cleveland, OH

• Share of adults getting less than 7 hours per night: 50.2%
• Share of adults with diabetes: 16.6%
• Share of adults with heart disease: 8.3%
• Share of adults with obesity: 43.9%
• Share of adults with depression: 22.2%

1. Detroit, MI

• Share of adults getting less than 7 hours per night: 51.2%
• Share of adults with diabetes: 18.0%
• Share of adults with heart disease: 8.2%
• Share of adults with obesity: 49.0%
• Share of adults with depression: 19.6%

Methodology

The data used in this analysis is from the CDC’s PLACES: Local Data for Better Health 2021 Release.

To determine the most sleep-deprived locations in the U.S., researchers calculated the proportion of adults who get less than the recommended minimum of seven hours of sleep in a typical 24 hour period.

For additional context, researchers also calculated the proportion of adults who report various health conditions associated with insufficient sleep, including diabetes, coronary heart disease, obesity, and depression. Due to data availability limitations, all rates shown are crude (non-age-adjusted) rates.

Only cities with at least 100,000 residents were included in the analysis, and some cities and states with data unavailable from the CDC were excluded.