INTRODUCTION: Chronic sleep deprivation is associated with negative downstream effects, including poor quality of life, cardiovascular disease, and even increased mortality. There is a known association between menopause and sleep problems, but this relationship is not fully understood, especially in relation to other menopausal symptoms and sociodemographic factors. We sought to address this gap in the literature by evaluating a large, nationally representative sample. METHODS: This cross-sectional study analyzed survey data from Wave 10 of the National Poll on Healthy Aging, conducted January 21 to February 7, 2022. Respondents were stratified and weighted to reflect the U.S. Census. Chi-squared testing identified associations between sleep problems and menopausal symptoms. RESULTS: A total of 1,202 U.S. women aged 50–80 responded to the survey. When classified by menopause and symptom status, there were 65 respondents who were premenopausal with no symptoms (7.3%), 37 perimenopausal with some symptoms (3.0%), 40 menopausal within past year with regular symptoms (3.3%), 35 menopausal within past year without regular symptoms (3.3%), 243 postmenopausal with symptoms (20.8%), and 765 postmenopausal without symptoms (61.2%). Overall, 677 respondents (56.4%) reported sleep problems. Women reporting any menopausal-related symptoms were significantly more likely to have sleep problems compared to those without any menopausal related symptoms (75% versus 49.8%; P <.001). CONCLUSIONS/IMPLICATIONS: The majority of menopausal women experience sleep problems, and this is more likely among women with active menopausal symptoms. Integrating screening and evidence-based interventions for sleep disturbances into menopause management may improve overall health, quality of life, and long-term outcomes.
White et al. (2026) studied this question.