Yu-Mei Wang1, Hong-Guang Chen2, Mei Song3, Shun-Jiang Xu3, Lu-Lu Yu3, Lan Wang3, Ran Wang3, Le Shi2, Jia He2, Yue-Qin Huang2, Hong-Qiang Sun2, Cheng-Ying Pan2, Xue-Yi Wang4, Lin Lu5. 1. Institute of Mental Health/National Clinical Research Center for Mental Disorder/Peking University Sixth Hospital, Peking University, Beijing, China; Institute of Mental Health, Hebei Medical University, Shijiazhuang, China; Department of Psychiatry, First Hospital of Hebei Medical University, Shijiazhuang, China. 2. Institute of Mental Health/National Clinical Research Center for Mental Disorder/Peking University Sixth Hospital, Peking University, Beijing, China. 3. Institute of Mental Health, Hebei Medical University, Shijiazhuang, China; Department of Psychiatry, First Hospital of Hebei Medical University, Shijiazhuang, China. 4. Institute of Mental Health, Hebei Medical University, Shijiazhuang, China. Electronic address: wangyumei19771021@hotmail.com. 5. Institute of Mental Health/National Clinical Research Center for Mental Disorder/Peking University Sixth Hospital, Peking University, Beijing, China. Electronic address: linlu@bjmu.edu.cn.
Abstract
OBJECTIVE: To examine the epidemiology of sleep problems and insomnia among the community older individuals in Hebei Province, China, and to investigate the potential sociodemographic and clinical correlates and medication use. METHODS: This cross-sectional study was conducted with community adults, aged 60 years or older, who resided in four major cities in Hebei province. Basic sociodemographic and clinical data were collected and analyzed. A total of 3176 older adults (1292 men, 70.2 ± 6.8 years; 1884 women, 68.8 ± 6.7 years) were interviewed. All of the participants were interviewed with a standardized questionnaire and underwent insomnia screening. RESULTS: The prevalence of insomnia was 37.75%. The most common type of sleep disturbance was difficulty maintaining sleep, followed by difficulty initiating sleep and early morning awakening. Never smoking, experiencing the loss of a parent, a history of coronary heart disease, and depression symptoms were independent risk factors for insomnia in men. Occasional drinking was an independent protective factor against insomnia in men. Older age, depression symptoms, a history of cerebral hemorrhage, hyperlipidemia, living without a spouse, and having mild cognitive impairment were independent risk factors for insomnia in women. Only 11.1% of the sample with insomnia were taking sleeping medications regularly. CONCLUSION: Insomnia is highly prevalent among the community older population in Hebei Province. The percentage of individuals regularly taking sleeping medication is low among those with insomnia. Individuals with complaints of insomnia frequently have poor physical and mental health and may need more medical attention. Comprehensive measures that involve psychosocial and personal behaviors should be implemented to alleviate insomnia in older individuals.
OBJECTIVE: To examine the epidemiology of sleep problems and insomnia among the community older individuals in Hebei Province, China, and to investigate the potential sociodemographic and clinical correlates and medication use. METHODS: This cross-sectional study was conducted with community adults, aged 60 years or older, who resided in four major cities in Hebei province. Basic sociodemographic and clinical data were collected and analyzed. A total of 3176 older adults (1292 men, 70.2 ± 6.8 years; 1884 women, 68.8 ± 6.7 years) were interviewed. All of the participants were interviewed with a standardized questionnaire and underwent insomnia screening. RESULTS: The prevalence of insomnia was 37.75%. The most common type of sleep disturbance was difficulty maintaining sleep, followed by difficulty initiating sleep and early morning awakening. Never smoking, experiencing the loss of a parent, a history of coronary heart disease, and depression symptoms were independent risk factors for insomnia in men. Occasional drinking was an independent protective factor against insomnia in men. Older age, depression symptoms, a history of cerebral hemorrhage, hyperlipidemia, living without a spouse, and having mild cognitive impairment were independent risk factors for insomnia in women. Only 11.1% of the sample with insomnia were taking sleeping medications regularly. CONCLUSION:Insomnia is highly prevalent among the community older population in Hebei Province. The percentage of individuals regularly taking sleeping medication is low among those with insomnia. Individuals with complaints of insomnia frequently have poor physical and mental health and may need more medical attention. Comprehensive measures that involve psychosocial and personal behaviors should be implemented to alleviate insomnia in older individuals.
Authors: Zaki Ahmad; Yara W Moustafa; John W Stiller; Mary A Pavlovich; Uttam K Raheja; Claudia Gragnoli; Soren Snitker; Sarra Nazem; Aline Dagdag; Beverly Fang; Dietmar Fuchs; Christopher A Lowry; Teodor T Postolache Journal: Pteridines Date: 2017-11-28 Impact factor: 0.581
Authors: D Boakye; C A Wyse; C A Morales-Celis; S M Biello; M E S Bailey; S Dare; J Ward; J M R Gill; J P Pell; D F Mackay Journal: J Public Health (Oxf) Date: 2018-09-01 Impact factor: 2.341