Quality of Sleep and Associating Factors among the Elderly with Urinary Incontinence
DOI:
https://doi.org/10.31584/jhsmr.2023937Keywords:
depression, older adults, prevalence, quality of sleep, urinary incontinenceAbstract
Objective: This study aimed to assess the prevalence of poor quality of sleep, and its associating factors among Thai elderly with urinary incontinence (UI), in Chiang Rai province.
Material and Methods: Study samples from 419 individuals with UI, aged ≥60 years and living in Chiang Rai province were taken. Multi-stage random sampling was used to recruit study participants. Thai versions of the International Consultation on Incontinence Questionnaire-Short Form (TICIQ-UI SF) and the Pittsburg Sleep Quality Index (TPSQI) were used as data collection instruments.
Results: Overall, 84.2% of participants had poor quality of sleep (TPSQI >5); with the mean TPSQI score being 8.4±3.16. Approximately 21.5%, 69.2%, and 9.3% had severe, moderate, and mild UI, respectively. Multiple logistic regression analysis revealed that being female (OR=2.77; 95% confidence interval (CI), 1.47-5.24); having a moderate severity of UI (OR=3.63; 95% CI, 1.10-11.96); being a current smoker (OR=6.84; 95% CI, 2.09-22.33); monthly income of <5,000 Baht (<167 USD) (OR=4.27; 95% CI, 1.33-13.73); being a current alcohol consumer (OR=3.04; 95% CI, 1.47-6.28) and being depressed (OR=3.91; 95% CI, 1.44-10.56) were significantly associated with poor quality of sleep.
Conclusion: The prevalence of poor quality of sleep among the elderly with UI was rather high. The combined effects of several risk factors caused the elderly with moderate UI to have a poor quality of sleep. Healthcare personnel should regularly conduct screening for quality of sleep, UI, and depression and provide sleep health education to the elderly with UI, especially the elderly with depression, smokers, and alcohol consumers.
References
D’Ancona CD, Haylen BT, Oelke M, Abranches-Monteiro L, Arnold E, Goldman H, et al. An International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction. Neurourol Urodyn 2019;38:433-77.
Hunskaar S, Burgio K, Diokno A, Herzog AR, Hjalmas K, Lapitan MC. Epidemiology and natural history of urinary incontinence in women. Urology 2003;62(4 Suppl 1):16-23.
Aroonsang P, Sritanyarat W, Lertrat P, Subindee S, Surit P, Theeranut A, et al. Health profile of older persons in health care institute and in community. NSH 2013;3515-24.
Markland AD, Richter HE, Fwu CW, Eggers P, Kusek JW. Prevalence and trends of urinary incontinence in adults in the United States, 2001 to 2008. J Urol 2011;186:589-93.
Kumari S, Singh AJ, Jain V. Treatment seeking behavior for urinary incontinence among north Indian women. Indian J Med Sci 2008;62:352-6.
Pitanthananukul P. Urinary incontinence in older persons. J Health Sci BCNSP 2020;4:19-6.
Yalçın Ö. Anatomy of the pelvic floor. In: Yalçın Ö, editor. Basics of urogynecology. Istanbul: Nobel Medical Publishing; 2009;p.7-19.
Nazaripanah NS, Momtaz YA, Mokhtari F, Sahaf R. Urinary incontinence and sleep complaints in community dwelling older adults. Sleep Sci 2018;11:106-11.
Yilmaz Bulut T, Altay B. Sleep quality and quality of life in older women with urinary incontinence residing in Turkey: a cross-sectional survey. J Wound Ostomy Continence Nurs 2020;47:166-71.
Verônica da-Luz D, Fank F, Pereira FDS, Mazo GZ. Sleep quality and urinary incontinence in elderly female exercise practitioners. Sleep Sci 2022;15(Special 2):333-8.
Siripanich C, Somrongthong R. Health status and behavior influencing sleep quality among communi-ty-dwelling elderly in Chanthaburi province, Thailand. J Health R 2018; 32(Suppl 2):S151-8.
Tang J, Liao Y, Kelly BC, Xie L, Xiang YT, Qi C, et al. Gender and regional differences in sleep quality and insomnia: a general population-based study in hunan province of China. Sci Rep 2017;7:43690.
Liao Y, Xie L, Chen X, Kelly BC, Qi C, Pan C, et al. Sleep quality in cigarette smokers and nonsmokers: findings from the general population in central China. BMC Public Health 2019;19:808.
Britton A, Fat LN, Neligan A. The association between alcohol consumption and sleep disorders among older people in the general population. Sci Rep 2020;10:5275.
Brandão GS, Gomes GSBF, Brandão GS, Callou Sampaio AA, Donner CF, Oliveira LVF, et al. Home exercise im-proves the quality of sleep and daytime sleepiness of elderlies: a randomized controlled trial. Multidiscip Respir Med 2018;13:2.
Patel NP, Grandner MA, Xie D, Branas CC, Gooneratne N. “Sleep disparity” in the population: poor sleep quality is strongly associated with poverty and ethnicity. BMC Public Health 2010;10:475.
Thichumpa W, Howteerakul N, Suwannapong N, Tantrakul V. Sleep quality and associated factors among the elderly living in rural Chiang Rai, northern Thailand. Epidemiol Health 2018;14;40:e2018018.
Zhang J, Zhang Y, Luan Z, Zhang X, Jiang H, Wang A. A study on depression of the elderly with different sleep quality in pension institutions in Northeastern China. BMC Geriatr 2020;20:374.
Chiang Rai Provincial Health Office, Thailand. Standard population pyramid report [homepage on the Internet]. Chiang Rai: Chiang Rai Provincial Health Office; 2019 [cited 2019 Oct 20]. Available from: http://61.19.32.29/hdc/reports/report.php?source=populationpyramid.php&cat_id=ac4eed1bddb23d6130746d62d2538fd0&id=db4e8d42e1234a75bd03d430c31feb2f
Daniel WW. Biostatistics: a foundation for analysis in the health sciences. 8th ed. New York: Wiley; 2005.
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28: 193-213.
Hawkins J. Pittsburgh sleep quality index (PSQI) [homepage on the Internet]. New Jersey: Goodmedicine; 2022 [cited 2022 Dec 1]. Available from: https://goodmedicine.org.uk/goodknowledge/sleep-adhd-fatigue
Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 2004; 23:322–30.
Klovning A, Avery K, Sandvik H, Hunskaar S. Comparison of two questionnaires for assessing the severity of urinary incontinence: the ICIQ-UI SF versus the incontinence severity index. Neurourol Urodyn 2009;28:411–5.
Espuña-Pons M, Dilla T, Castro D, Carbonell C, Casariego J, Puig-Clota M. Analysis of the value of the ICIQ-UI SF questionnaire and stress test in the differential diagnosis of the type of urinary incontinence. Neurourol Urodyn 2007;26:836–41.
Ministry of Health, New Zealand. Definitions of smoking status [homepage on the Internet]. Wellington: Ministry of Health, New Zealand; 2019 [cited 2019 Dec 20]. Available from: https://www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/tobacco-control-information-practitioners/definitions-smoking-status
Rostron B. Alcohol consumption and mortality risks in the USA. Alcohol. Alcohol 2012;47:334-9.
Sheikh JI, Yesavage JA. Geriatric depression scale (GDS): Recent evidence and development of a shorter version. Clin Gerontol 1986;5:165–73.
Aunjitsakul W, Pitanupong J, Werachattawan N. Sleep quality among elderly people in Songkhla province, Thailand: A two stage cluster sampling study. J Med Assoc Thai 2018;101:137-44.
Dasdemir Ilkhan G, Celikhisar H. The effect of incontinence on sleep quality in the elderly. Int J Clin Pract 2021;75:e13965.
Ofori AA, Osarfo J, Agbeno EK, Azanu WK, Opare-Addo HS. Prevalence and determinants of non-fistulous urinary incontinence among Ghanaian women seeking gynaecologic care at a teaching hospital. PLOS ONE 2020;15:e0237518. doi: 10.1371/journal.pone.0237518.
Xu C, Chen M, Fu J, Meng Y, Qin S, Luo Y. Urinary incontinence status and risk factors in women aged 50–70 years: a cross sectional study in Hunan, China. Int Urogynecol J 2021;32:95-102.
Botlero R, Davis SR, Urquhart DM, Shortreed S, Bell RJ. Age specific prevalence of, and factors associated with, different types of urinary incontinence in community-dwelling Australian women assessed with a validated questionnaire. Maturitas 2009;62:134-9.
Bedretdinova D, Fritel X, Panjo H, Ringa V. Prevalence of female urinary incontinence in the general population according to different definitions and study designs. Eur Urol 2016;69: 256–64.
Komesu YM, Schrader RM, Ketai LH, Rogers RG, Dunivan GC. Epidemiology of mixed, stress, and urgency urinary incontinence in middle-aged/older women: the importance of incontinence history. Int Urogynecol J 2016;27:763–72.
Benowitz NL. Pharmacology of nicotine: addiction, smoking induced disease, and therapeutics. Annu Rev Pharmacol Toxicol 2009;49:57–71.
Roehrs T, Yoon J, Roth T. Nocturnal and next-day effects of ethanol and basal level of sleepiness. Hum Psychopharmacol 1991;6:307-11.
Rihmer Z. Suicide risk in mood disorders. Curr Opin Psychiatry 2007;20:17-22.
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