Quality of Life Research
Volume 26, Issue 4, 2017, Pages 923-933

A community-based cross-sectional study of sleep quality in middle-aged and older adults (Article)

Zhang H.-S. , Li Y. , Mo H.-Y. , Qiu D.-X. , Zhao J. , Luo J.-L. , Lin W.-Q. , Wang J.-J. , Wang P.-X.*
  • a Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China, Institute of Public Health, School of Nursing, Henan University, Kaifeng, China
  • b Affiliated Hospital Of Zunyi Medical College, Zunyi, China
  • c Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China
  • d Gongming People’s Hospital & Community Health Service Management Center of Guangming New Area, Shenzhen, China
  • e Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China
  • f Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China
  • g Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China
  • h Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China
  • i Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China, Institute of Public Health, School of Nursing, Henan University, Kaifeng, China

Abstract

Background: Sleep quality has been widely studied among western countries. However, there is limited population-based evidence on insomnia in Chinese adult populations, especially in middle-aged and older adults. The aims of present study are to (1) examine the prevalence of poor sleep among Chinese middle-age and older adults, (2) compare the Pittsburgh Sleep Quality Index (PSQI) seven domain scores across different physical health statuses, (3) explore factors associated with insomnia. Methods: A cross-sectional survey was conducted using a multi-instrument questionnaire. In total, 1563 residents aged 45 or older in the community were interviewed. The Chinese version of the PSQI was used to assess sleep quality while poor sleep was defined as a total PSQI score >5. Socio-demographic, lifestyle and physical health data were also collected. Results: The prevalence of poor sleep among adults aged over 45 years was 20.67 %. Clusters logistic regression analysis identified that migrant workers, single marital status, lower education level, no physical exercise, illness within 2 weeks, and a higher total number of chronic diseases contribute to increased risk of poor sleep (P < 0.05). Among three clusters, physical health has the biggest independent contribution on sleep quality. Conclusions: Our results indicated that poor sleep was common in middle-aged and older adults. It was associated with identity of migrant worker, education level, exercise, illness within 2 weeks and number of chronic disease. Being ill within 2 weeks and having more chronic diseases were the major physical health-related factors contributing to poor sleep in the middle-aged and older people. Physical health may be a major determinant in sleep quality. © 2016, Springer International Publishing Switzerland.

Author Keywords

Middle-aged and older adults PSQI Sleep quality Cross-sectional study

Index Keywords

China depression household Chinese sleep thrombosis cerebrovascular accident exercise bronchitis arthritis human middle aged diabetes mellitus controlled study priority journal hypertension Aged chronic disease Cross-Sectional Studies marriage quality of life insomnia migrant worker Community Health Centers Surveys and Questionnaires cross-sectional study psychology sleep disorder Humans male asthma osteoporosis Aged, 80 and over Socioeconomic Factors very elderly risk factor female socioeconomics heart disease questionnaire Sleep Initiation and Maintenance Disorders prevalence Article sleep quality sleep time major clinical study adult age Age Factors Pittsburgh Sleep Quality Index health center tension headache stomach cancer
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84987680556&doi=10.1007%2fs11136-016-1408-1&partnerID=40&md5=e441181c297abfca08c15589a8e12f32
DOI: 10.1007/s11136-016-1408-1
ISSN: 09629343
Cited by: 10
Original Language: English