Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study.
BACKGROUND: Sleep disorders causes a significant negative effect on mental and physical health, particularly among the elderly. The disease burden and risk factors of poor sleep quality of the elderly need to be verified using a validated form of measurement in urban mainland China. METHODS: This st...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2013-01-01
|
Series: | PLoS ONE |
Online Access: | http://europepmc.org/articles/PMC3839883?pdf=render |
id |
doaj-2d9e0c5618db433f851a5f0d4d104559 |
---|---|
record_format |
Article |
spelling |
doaj-2d9e0c5618db433f851a5f0d4d1045592020-11-25T01:23:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01811e8126110.1371/journal.pone.0081261Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study.Jianfeng LuoGuoxing ZhuQianhua ZhaoQihao GuoHaijiao MengZhen HongDing DingBACKGROUND: Sleep disorders causes a significant negative effect on mental and physical health, particularly among the elderly. The disease burden and risk factors of poor sleep quality of the elderly need to be verified using a validated form of measurement in urban mainland China. METHODS: This study included 1086 community residents aged ≥ 60 years who completed the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI). Poor sleeper was defined by a CPSQI global score of >5. Subjects also accepted the neurological and neuropsychological assessments, including the Mini-Mental State Examination, Center for Epidemiological Studies Depression Scale, and Zung Self-Rating Anxiety Scale (ZSAS). A history of chronic diseases was confirmed by the medical records of each participant. RESULTS: The prevalence of poor sleep quality in this population was 41.5% (95% confidence interval (CI) = 38.6-44.5%), with a higher rate observed in elderly females (45.8% [95% CI = 41.9-49.7%]) than that in elderly males (35.8% [95% CI = 31.4-40.1%]). The prevalence rate increased with age, from 32.1% (95% CI = 27.8-36.4%) in those aged 60-69 years to 52.5% (95% CI = 45.9-59.1%) in those aged ≥ 80 years (p value for trend<0.001). Multivariate logistic regression analysis indicated that age (OR = 1.03[95% CI = 1.01-1.05], p<0.001), less education duration (OR = 1.04 [95% CI = 1.01-1.08, p = 0.014), living alone (OR = 1.62 [95% CI = 1.02-2.58], p = 0.04), anxiety (ZSAS score: OR = 1.09 [95% CI = 1.05-1.12], p<0.001), number of chronic disease (OR = 1.18 [95% CI = 1.07-1.30], p = 0.14) and arthritis (OR = 1.45[95% CI = 1.05-2.01], p = 0.025) were risk factors of poor sleep quality. CONCLUSIONS: Poor sleep quality is highly prevalent among elderly Chinese residents in urban Shanghai. Growing attention and comprehensive countermeasures involving psycho-social and personal activities might alleviate the sleep problem in the elderly.http://europepmc.org/articles/PMC3839883?pdf=render |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jianfeng Luo Guoxing Zhu Qianhua Zhao Qihao Guo Haijiao Meng Zhen Hong Ding Ding |
spellingShingle |
Jianfeng Luo Guoxing Zhu Qianhua Zhao Qihao Guo Haijiao Meng Zhen Hong Ding Ding Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. PLoS ONE |
author_facet |
Jianfeng Luo Guoxing Zhu Qianhua Zhao Qihao Guo Haijiao Meng Zhen Hong Ding Ding |
author_sort |
Jianfeng Luo |
title |
Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. |
title_short |
Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. |
title_full |
Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. |
title_fullStr |
Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. |
title_full_unstemmed |
Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. |
title_sort |
prevalence and risk factors of poor sleep quality among chinese elderly in an urban community: results from the shanghai aging study. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2013-01-01 |
description |
BACKGROUND: Sleep disorders causes a significant negative effect on mental and physical health, particularly among the elderly. The disease burden and risk factors of poor sleep quality of the elderly need to be verified using a validated form of measurement in urban mainland China. METHODS: This study included 1086 community residents aged ≥ 60 years who completed the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI). Poor sleeper was defined by a CPSQI global score of >5. Subjects also accepted the neurological and neuropsychological assessments, including the Mini-Mental State Examination, Center for Epidemiological Studies Depression Scale, and Zung Self-Rating Anxiety Scale (ZSAS). A history of chronic diseases was confirmed by the medical records of each participant. RESULTS: The prevalence of poor sleep quality in this population was 41.5% (95% confidence interval (CI) = 38.6-44.5%), with a higher rate observed in elderly females (45.8% [95% CI = 41.9-49.7%]) than that in elderly males (35.8% [95% CI = 31.4-40.1%]). The prevalence rate increased with age, from 32.1% (95% CI = 27.8-36.4%) in those aged 60-69 years to 52.5% (95% CI = 45.9-59.1%) in those aged ≥ 80 years (p value for trend<0.001). Multivariate logistic regression analysis indicated that age (OR = 1.03[95% CI = 1.01-1.05], p<0.001), less education duration (OR = 1.04 [95% CI = 1.01-1.08, p = 0.014), living alone (OR = 1.62 [95% CI = 1.02-2.58], p = 0.04), anxiety (ZSAS score: OR = 1.09 [95% CI = 1.05-1.12], p<0.001), number of chronic disease (OR = 1.18 [95% CI = 1.07-1.30], p = 0.14) and arthritis (OR = 1.45[95% CI = 1.05-2.01], p = 0.025) were risk factors of poor sleep quality. CONCLUSIONS: Poor sleep quality is highly prevalent among elderly Chinese residents in urban Shanghai. Growing attention and comprehensive countermeasures involving psycho-social and personal activities might alleviate the sleep problem in the elderly. |
url |
http://europepmc.org/articles/PMC3839883?pdf=render |
work_keys_str_mv |
AT jianfengluo prevalenceandriskfactorsofpoorsleepqualityamongchineseelderlyinanurbancommunityresultsfromtheshanghaiagingstudy AT guoxingzhu prevalenceandriskfactorsofpoorsleepqualityamongchineseelderlyinanurbancommunityresultsfromtheshanghaiagingstudy AT qianhuazhao prevalenceandriskfactorsofpoorsleepqualityamongchineseelderlyinanurbancommunityresultsfromtheshanghaiagingstudy AT qihaoguo prevalenceandriskfactorsofpoorsleepqualityamongchineseelderlyinanurbancommunityresultsfromtheshanghaiagingstudy AT haijiaomeng prevalenceandriskfactorsofpoorsleepqualityamongchineseelderlyinanurbancommunityresultsfromtheshanghaiagingstudy AT zhenhong prevalenceandriskfactorsofpoorsleepqualityamongchineseelderlyinanurbancommunityresultsfromtheshanghaiagingstudy AT dingding prevalenceandriskfactorsofpoorsleepqualityamongchineseelderlyinanurbancommunityresultsfromtheshanghaiagingstudy |
_version_ |
1725122952419082240 |