Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China; Key Laboratory of Health Economics and Policy Research, Shandong University, Jinan, China.
J Am Med Dir Assoc. 2021 Oct;22(10):2140-2146. doi: 10.1016/j.jamda.2020.11.014. Epub 2020 Dec 10.
Sleep quality plays a crucial role in maintaining the health of older people and has become a major public health concern throughout the world. Social engagement, as a core component of "Active Ageing", is one of the key determinants of health outcomes of older adults. This study estimated the relationship between social engagement and sleep quality among older adults living in rural China, and to determine whether there is a sex difference in these associations.
A cross-sectional design. Multilevel, multiple linear regression models were used to examine the independent associations between each type of social engagement and sleep quality. All standard errors were clustered at the community level.
Data were from 3243 adults age 60 years or older from rural areas in China.
Sleep quality was measured by the Pittsburgh Sleep Quality Index. Social engagement was measured by 3 types of social groups' activity in this study, including participation in hobby groups, community-related organization, and sports groups.
Participating in hobby groups, community-related organization, and sports groups with high frequency are all associated with better sleep quality. In addition, the positive relation between participating in community-related organization and sleep quality is stronger for older male than female adults, and the positive association between participating in hobby groups/sports groups is stronger for older female than male adults.
Older adults with high-frequency of social engagement may have better sleep quality. This study offers new insight for the sleep quality from the perspective of social engagement among older people, implies that encouraging targeted social engagement in older people with different sex may be effective in promoting sleep quality in rural China.
睡眠质量对老年人的健康至关重要，已成为全球主要的公共卫生关注点。社会参与作为“积极老龄化”的核心组成部分，是老年人健康结果的关键决定因素之一。本研究旨在评估中国农村老年人的社会参与与睡眠质量之间的关系，并确定这些关联是否存在性别差异。
横断面设计。采用多层次、多元线性回归模型来检验每种社会参与类型与睡眠质量之间的独立关联。所有标准误差均在社区层面聚类。
数据来自中国农村地区 3243 名 60 岁及以上的成年人。
睡眠质量通过匹兹堡睡眠质量指数进行测量。社会参与通过本研究中的 3 种社交群体活动来衡量，包括参与兴趣小组、社区相关组织和体育团体。
高频参与兴趣小组、社区相关组织和体育团体与更好的睡眠质量相关。此外，对于老年男性而言，参与社区相关组织与睡眠质量之间的积极关系更强，而对于老年女性而言，参与兴趣小组/体育团体与睡眠质量之间的积极关联更强。
社会参与度高的老年人可能睡眠质量更好。本研究从老年人社会参与的角度为睡眠质量提供了新的见解，意味着在中国农村地区，鼓励不同性别的老年人有针对性地参与社会活动可能对促进睡眠质量有效。
