Prevalence and factors associated with poor sleep quality among older adults living in Urban area, Vajira Hospital
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Abstract
Background: Nowadays, the world has been transitioning from a young society to an aged society. Thailand has become a completely aged society in 2022 when the proportion of the population aged 60 years or older reaches 20%. Insomnia is a common problem in older adults, which causes both physical and psychological health problems. Therefore, screening, promotion, prevention, and treatment of poor sleep quality problems are very important.
Objectives: The study aims to determine the prevalence and associated factors with poor sleep quality among older adults living in Urban area, Vajira Hospital.
Methods: A cross-sectional analytical study was conducted among 287 older adults aged 60 years old or above in family medicine clinic and primary care unit, Vajira Hospital between December 2022 to February 2023. The data collection was performed using a questionnaire on demographics, health factors, and Thai-Pittburgh Sleep Quality Index (Thai-PSQI). The data were analyzed with descriptive statistics. The associated factors of poor sleep quality were analyzed by Chi-squared test or Fisher’s exact test and multiple logistic regression, calculating odds ratio (OR) and 95% Confidence interval (CI). The statistical significance level was set at P-value 0.05.
Results: The 287 participants had mean aged 68.64 ± 7.23 years old. The prevalence of poor sleep quality among older adults living in Urban area, Vajira Hospital was 49.8%, with a median Thai-PSQI score of 5. Multiple logistic regression analysis indicated that caffeine drinking before going to bed 6 hours (Adjusted OR = 4.19, 95%CI: 1.72 - 10.26, p-value = 0.002) and having stress (Adjusted OR = 3.30, 95%CI: 1.77 - 6.15, p-value <0.001) were significantly associated with poor sleep quality.
Conclusions: The prevalence of poor sleep quality among older adults was high. Healthcare providers should screen for sleep quality, focusing on caffeine drinking and stress that associated to poor sleep quality. Including appropriate management to maintain good sleep quality in older adults.
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