Abstract
Objective To investigate the sleep quality of older adults in Shaoxing City and to examine its influencing factors. Methods Based on a cross-sectional questionnaire survey, a cluster sampling method was adopted to collect participants. Five villages were chosen randomly from 20 in the Yuecheng district of Shaoxing. The respondents were adults aged more than 60 years in the 5 villages. In total, 1 303 adults participated, including 603 men and 700 women, and the average age was (70.99±7.38). The information related to sociodemographic factors, health status, sleep characteristics, and behavioral and lifestyle factors were collected. A chi-square test and variance analysis were used to compare sleep quality and sleep duration among participants. An ordinal regression model was adopted to examine the factors influencing sleep quality. Results One hundred and ninety-six (15.0%) older adults reported that sleep quality was always bad during the past year, 180 (13.8%) reported that sleep quality was bad occasionally, and 927 (71.1%) reported that sleep quality was good every day. The average sleep duration of participants was (6.64±1.38) h per night, and sleep durations for older adults who reported that sleep quality was always bad, bad occasionally, and good every day were (4.21±1.13) h, (6.12±1.40) h, and (7.26±1.39) h, respectively, and older adults with poor sleeping quality had a shorter sleep duration (F=421.828, P<0.001). Being a woman, more than 80 years old, not working, and taking sleeping pills were risk factors for poor sleep quality with ORs (95%CI) of 1.492 (1.132-1.964), 1.564 (1.108-2.206), 1.331 (1.015-1.747), and14.614 (7.164-29.844), respectively. Conclusions Elderly individuals in Shaoxing had poor sleep quality. The sleep quality of those who were women, were oldest and took sleeping pills is cause for concern. Encouraging them to engage in work may improve their sleeping status. Key words: Sleep; Sleep disorders; Risk factors; Aged
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