Sagayadevan Vathsala, Abdin Edimansyah, Binte Shafie Saleha, Jeyagurunathan Anitha, Sambasivam Rajeswari, Zhang Yunjue, Picco Louisa, Vaingankar Janhavi, Chong Siow A, Subramaniam Mythily
Research Division, Institute of Mental Health, Singapore, Singapore.
Psychogeriatrics. 2017 Jan;17(1):43-51. doi: 10.1111/psyg.12190. Epub 2016 Jan 27.
The current study examined the prevalence and correlates of sleep problems among elderly Singaporeans.
Data were taken from the Well-being of Singapore Elderly study, a cross-sectional, epidemiological survey conducted among Singapore residents aged 60 years and above (n = 2565). Respondents were screened for sleep problems through a series of questions in the Geriatric Mental State examination. Details on sociodemographic characteristics, physical activity, cognition, disability, chronic physical conditions, and depression were also collected. Logistic regression analysis was used to explore significant associations between sleep problems, sociodemographic characteristics, physical activity, cognition, disability, chronic physical conditions, and depression.
Overall, 13.7% (n = 341) of older adults reported at least one sleep problem. Of those who reported sleep problems, 69.4% experienced sleep interruption at night, 48.9% reported having difficulty falling asleep, 22.3% reported early morning awakening, and 11.4% had all three problems. Elderly with sleep problems were significantly more likely to have a range of chronic physical conditions and depression and were also significantly less likely to be physically active. Older adults with at least one sleep problem reported significantly greater disability compared to those with no sleep problems.
The high probability of comorbid chronic conditions as well as higher disability among those with sleep problems makes this an important area of research.
本研究调查了新加坡老年人睡眠问题的患病率及其相关因素。
数据取自新加坡老年人福祉研究，这是一项针对60岁及以上新加坡居民开展的横断面流行病学调查（n = 2565）。通过老年精神状态检查中的一系列问题对受访者进行睡眠问题筛查。还收集了社会人口学特征、身体活动、认知、残疾、慢性身体状况和抑郁方面的详细信息。采用逻辑回归分析来探讨睡眠问题、社会人口学特征、身体活动、认知、残疾、慢性身体状况和抑郁之间的显著关联。
总体而言，13.7%（n = 341）的老年人报告至少存在一种睡眠问题。在报告有睡眠问题的人群中，69.4%的人夜间睡眠受到干扰，48.9%的人表示难以入睡，22.3%的人报告有早醒情况，11.4%的人这三种问题都有。有睡眠问题的老年人患一系列慢性身体疾病和抑郁症的可能性显著更高，身体活动的可能性也显著更低。与没有睡眠问题的老年人相比，至少有一个睡眠问题的老年人报告的残疾程度明显更高。
睡眠问题患者合并慢性疾病的高概率以及更高的残疾率使得这成为一个重要的研究领域。
