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Cited by 219Sleep and related disordersAging, Health, and DisabilityObstructive Sleep Apnea Research

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Prevalence and Risk Factors of Poor Sleep Quality among Chinese Elderly in an Urban Community: Results from the Shanghai Aging Study

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Luo, Jianfeng, Zhu, Guoxing, Zhao, Qianhua, Guo, Qihao, Meng, Haijiao, Hong, Zhen, Ding, Ding·2013·PLoS ONE
DOI 10.1371/journal.pone.0081261PMC PMC3839883
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Abstract

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.

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Authors
Luo, J., Zhu, G., Zhao, Q., Guo, Q., Meng, H., Hong, Z., & Ding, D.
Affiliations
Fudan University (CN)
Corresponding author
Ding, Ding
ORCID
Venue
PLoS ONE
Publisher
Public Library of Science (PLoS)
Published
2013-11-25
Volume
8
Issue
11
Pages
e81261
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0081261
PMC
PMC3839883
OpenAlex
W2081433986
Cited by
219
References
46
Citations by year
2026: 10 · 2025: 19 · 2024: 19 · 2023: 24 · 2022: 17 · 2021: 31 · 2020: 21 · 2019: 21 · 2018: 20 · 2017: 15 · 2016: 9 · 2015: 9 · 2014: 4
FWCI
9.91
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
National Natural Science Foundation of China
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Keywords
poor sleep quality, older adults, sleep disorders, risk factors, prevalence, Chinese older adults, urban communities, Pittsburgh Sleep Quality Index, anxiety, depression, chronic disease, arthritis, living alone, educational attainment
MeSH terms
Aged, Aged, 80 and over, China, Female, Humans, Male, Risk Factors, Sleep, Urban Population, Prevalence, Logistic Models

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