Health status and behavior influencing sleep quality among community-dwelling elderly in Chanthaburi province, Thailand
Purpose - The trend of sleep disorder is typically common in age changes due to health status and behavior leading to poor quality of sleep. The purpose of this study was to examine the rate and factors associated to sleep quality among community-dwelling elderly in Chanthaburi province, Thailand.
Design/methodology/approach - A cross-sectional study was conducted among 208 elderly by multi-stage sampling. All participants were interviewed by questionnaire. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI). Sleep quality score ≥ 5 indicates poor sleep quality. Chi-square tests and multivariate logistic regression models were performed to find significant associations.
Findings - Approximately, 66.3% of respondents had poor sleep quality with score of ≥ 5 PSQI. The adjusted odds ratio (AOR) for gender, age, and BMI, and the multivariate logistic regression model showed that elders who had never participated social activities increased poor sleep quality 5.962-fold odds (p-value<0.05; 95% CI 1.459 – 24.361). Elders who had never prayed before sleep increased poor sleep quality 1.478-fold odds (p-value<0.05; 95% CI 0.273 – 0.838). Perception of musculoskeletal problem increased poor sleep quality 2.288-fold odds (p-value<0.05; 95% CI 1.249 – 4.192). Bladder problem perception (p-value<0.05; 95% CI 1.084 – 6.327), depression (p-value<0.05; 95% CI 1.179 - 9.095), and smoking (p-value<0.05; 95% CI 1.062 – 4.340) increased poor sleep quality.
Originality/value - Strategic development by promoting health activities and social participation among elderly should be done in order to prevent chronic diseases, depression and sleeping disorder.
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