Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA.
Division of Geriatric Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Med Care. 2021 Apr 1;59(Suppl 2):S206-S211. doi: 10.1097/MLR.0000000000001446.
Adults experiencing homelessness have a high burden of sleep disturbance, which may be reduced by accessing permanent supportive housing.
To assess sleep disturbances and their correlates, including demographics, activity level, health status, age-related health issues (eg, functionality and cognitive impairment), substance use, and homelessness history in a sample of permanent supportive housing (PSH) tenants.
Cross-sectional survey design.
A total of 237 formerly homeless adults between 45 and 80 years old.
The Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance short form was used to measure sleep disturbance.
Twenty-eight percent of our sample had PROMIS scores indicative of a moderate or severe sleep disturbance. Functional impairment, pain, and mental health comorbidities were associated with increased sleep disturbance in multivariable linear regression analyses. The number of years a person experienced homelessness was inversely associated with sleep disturbance.
This study supports the need to screen for sleep disturbances among PSH tenants. The findings suggest that supportive services in PSH may need to include integrated physical and behavioral health care, pain management, and interventions designed to address activities of daily livings to improve tenant sleep. They also suggest that improved sleep may help reduce PSH tenant pain, impairment, and mental health symptoms among PSH tenants.
无家可归的成年人睡眠障碍负担沉重，而获得永久性支持性住房可能会减轻这种负担。
评估永久性支持性住房（PSH）租户中的睡眠障碍及其相关因素，包括人口统计学、活动水平、健康状况、与年龄相关的健康问题（如功能和认知障碍）、物质使用和无家可归史。
横断面调查设计。
共 237 名年龄在 45 至 80 岁之间的曾经无家可归的成年人。
使用患者报告的结果测量信息系统（PROMIS）睡眠障碍简短形式来衡量睡眠障碍。
我们的样本中有 28%的人 PROMIS 得分表明存在中度或重度睡眠障碍。功能障碍、疼痛和心理健康合并症在多变量线性回归分析中与睡眠障碍增加相关。一个人经历无家可归的年限与睡眠障碍呈负相关。
这项研究支持对 PSH 租户进行睡眠障碍筛查的必要性。研究结果表明，PSH 中的支持性服务可能需要包括综合的身体和行为健康护理、疼痛管理以及旨在改善日常生活活动的干预措施，以改善租户的睡眠。它们还表明，改善睡眠可能有助于减少 PSH 租户的疼痛、功能障碍和心理健康症状。
