Abstract
PurposeThe present study was aimed to identify inappropriate sleep duration and its correlates among the Bangladeshi older adults during the COVID-19 pandemic. Material and methodsThis cross-sectional study was carried out among 1030 older adults aged 60 years and above in Bangladesh. Information was collected through telephone interviews using a pretested semi-structures questionnaire installed in SurveyCTO mobile app. Sleep duration was defined as total sleep time (TST) in last 24 h including day and nighttime sleep. TST was further categorized into shorter (<7 h), recommended (7–8 h), and longer sleep (>8 h) according to 2015 National Sleep Foundation guideline. The multinomial logistic regression model identified the factors associated with sleep duration. ResultsMean TST was 7.9 h (SD=1.62). Of the total participants, 28.2% had longer and 17.8% shorter sleep duration. In the regression model, participants’ age of ≥80 years (OR: 3.36, 1.46–7.73), monthly family income of <5,000 Bangladeshi Taka (OR: 3.50, 1.79–6.82), difficulty in getting medicine during COVID-19 (OR: 1.72, 1.05–2.82), lack of communication during the pandemic (OR: 2.20, 1.43–3.40) and receiving COVID-19 related information from friends/family/neighbours (OR: 1.83, 1.11–3.01) were significantly associated with shorter TST. On the other hand, monthly family income of < 5,000 Bangladeshi Taka (OR: 2.00, 1.13–3.53), difficulty in getting medicine during COVID-19 pandemic (OR: 2.01, 1.33–3.03) and receiving COVID-19 related information from radio/TV (OR: 2.09, 1.22–3.59) were associated with longer TST. ConclusionsThe study findings suggest implementing sleep management program for older adults in Bangladesh, particularly during emergencies like COVID-19.
Highlights
The COVID-19 pandemic has emerged as the most remarkable global public health challenge of this century
Age being a critical determinant of COVID-19, Bangladeshi older adults are at increased risk
Around 69.6% of the study participants had not faced difficulty getting routine medical care during COVID-19 and radio/television was the prime source of COVID-19 information
Summary
The COVID-19 pandemic has emerged as the most remarkable global public health challenge of this century. Older adults are at risk of severe morbidities and death due to COVID-19 because of the presence of co-morbidities among many of them [2]. Similar to that of many other countries [4], population is rapidly aging in Bangladesh. In 2019, the total number of people aged 60 years and above was 13 million (8% of total population) in Bangladesh, and is projected to reach around 36 million in 2050 (21.9% of the total estimated population) [5]. It is reported that the prevalence of non-communicable chronic conditions such as hypertension, obesity, diabetes, cardiovascular disease, and chronic lung disease, are higher among older adults in Bangladesh [6]. Age being a critical determinant of COVID-19, Bangladeshi older adults are at increased risk
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