Wangla Ciren1, Wanqi Yu2, Qucuo Nima3, Xiong Xiao2, Junmin Zhou2, Deji Suolang4, Yajie Li4, Xing Zhao2, Peng Jia5,6, Shujuan Yang7,8. 1. Lhasa Chengguan District Center for Disease Control and Prevention, Lhasa, 850000, China. 2. West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China. 3. Center for Disease Control and Prevention of Tibet autonomous region, Lhasa, 850000, China. 1084790417@qq.com. 4. Center for Disease Control and Prevention of Tibet autonomous region, Lhasa, 850000, China. 5. Department of Land Surveying and Geo-Informatics, The Hong Kong Polytechnic University, Hong Kong, China. 6. International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China. 7. West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China. rekiny@126.com. 8. International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China. rekiny@126.com.
Abstract
OBJECTIVE: Sleep plays an important role in the health and well-being of middle aged and elderly people, and social capital may be one of the important factors for sleep disorders. This study aimed to understand the relationship between social capital and sleep disorders in a unique region of China -Tibet that generally has the disadvantaged economic status compared to other parts of China. METHODS: The study was based on Tibetan data from The China Multi-Ethnic Cohort (CMEC) and was conducted from May 2018 to September 2019. A total of 3194 Tibetans aged > 50 were selected from the community population by multi-stage stratified cluster sampling. Social capital was measured using two validated health-related social capital scales, family/community and society.. Sleep disorders were measured as the presence of disorders of initiating and maintaining sleep, early morning awakening, or daytime dysfunction. Logistic regression models were applied to examine the association between social capital and sleep disorders. RESULTS: 39.9% (1271/3194) of the participants had sleep disorders. In addition, after controlling for all potential variables, family social capital was significantly negatively associated with sleep disorders (OR = 0.95, P < 0.05), while community and society social capital was not associated with sleep disorders. Then, when we did all the sex-stratified analyses, the significant association between social capital and sleep disorders was found only in women (OR = 0.94, P < 0.05), while no association was found in males; neither males nor females showed any association with community and society social capital. CONCLUSION: Our study would help to better understand the extent of health inequality in China, and guide future interventions, strategies and policies to promote sleep quality in low-income areas, taking into account both the role of Tibetan specific cultural traditions, lifestyles and religious beliefs in social capital and the gender differences in social capital.
OBJECTIVE: Sleep plays an important role in the health and well-being of middle aged and elderly people, and social capital may be one of the important factors for sleep disorders. This study aimed to understand the relationship between social capital and sleep disorders in a unique region of China -Tibet that generally has the disadvantaged economic status compared to other parts of China. METHODS: The study was based on Tibetan data from The China Multi-Ethnic Cohort (CMEC) and was conducted from May 2018 to September 2019. A total of 3194 Tibetans aged > 50 were selected from the community population by multi-stage stratified cluster sampling. Social capital was measured using two validated health-related social capital scales, family/community and society.. Sleep disorders were measured as the presence of disorders of initiating and maintaining sleep, early morning awakening, or daytime dysfunction. Logistic regression models were applied to examine the association between social capital and sleep disorders. RESULTS: 39.9% (1271/3194) of the participants had sleep disorders. In addition, after controlling for all potential variables, family social capital was significantly negatively associated with sleep disorders (OR = 0.95, P < 0.05), while community and society social capital was not associated with sleep disorders. Then, when we did all the sex-stratified analyses, the significant association between social capital and sleep disorders was found only in women (OR = 0.94, P < 0.05), while no association was found in males; neither males nor females showed any association with community and society social capital. CONCLUSION: Our study would help to better understand the extent of health inequality in China, and guide future interventions, strategies and policies to promote sleep quality in low-income areas, taking into account both the role of Tibetan specific cultural traditions, lifestyles and religious beliefs in social capital and the gender differences in social capital.
Entities:
Keywords:
Middle aged and elderly people; Sleep disorders; Social capital; Tibet
Authors: Zhanghua Chen; Muhammad T Salam; Claudia Toledo-Corral; Richard M Watanabe; Anny H Xiang; Thomas A Buchanan; Rima Habre; Theresa M Bastain; Fred Lurmann; John P Wilson; Enrique Trigo; Frank D Gilliland Journal: Diabetes Care Date: 2016-02-11 Impact factor: 19.112