Prevalence of self-reported sleep disturbance among older adults and the association of disturbed sleep with service demand and medical conditions

Prevalence of self-reported sleep disturbance among older adults and the association of disturbed sleep with service demand and medical conditions

Author Blay, Sergio Luis Autor UNIFESP Google Scholar
Andreoli, Sergio Baxter Autor UNIFESP Google Scholar
Gastal, Fabio Leite Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: This cross-sectional study investigated the prevalence of disturbed sleep and the association of disturbed sleep with medical conditions and service use among older adults.Methods: A sample of 6961 household residents aged 60 and over was recruited from a population-based random sample. Each subject was examined in a face-to-face interview.Results: the overall prevalence of disturbed sleep was 33.7%, with the condition being more prevalent in women (37.2%) than in men (27.4%). the overall rate of medical consultations was 78%, and higher in those with sleep disturbance (males 73% vs 27%; females 80% vs 20%) compared to persons without disturbed sleep. the overall rate of hospitalizations was 20.2%. in logistic regression analyses, being female, of low income, low education, younger age, with psychiatric morbidity, pneumonia, urinary infection, dermatological problems and/or hypertension were significantly associated with self-reported sleep disturbance. Ethnicity, civil status or outpatient visits in the previous six months and hospitalizations in the previous year were not associated with self-reported sleep disturbance.Conclusion: Self-reported sleep disturbance was a frequent problem in the study population and was associated with gender, income, education, lower age and medical conditions. There was no association between sleep problems and use of medical services in the surveyed population.
Keywords elderly
comorbidity
health service
service utilization
sleep
insomnia
disturbed sleep
mood disorders
Language English
Date 2008-06-01
Published in International Psychogeriatrics. New York: Cambridge Univ Press, v. 20, n. 3, p. 582-595, 2008.
ISSN 1041-6102 (Sherpa/Romeo, impact factor)
Publisher Cambridge Univ Press
Extent 582-595
Origin http://dx.doi.org/10.1017/S1041610207006308
Access rights Closed access
Type Article
Web of Science ID WOS:000259519000012
URI http://repositorio.unifesp.br/handle/11600/30709

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