School of Public Policy and Administration, Institute for Population and Development Studies, 12480Xi'an Jiaotong University, Xi'an, China.
Center on Aging and Population Sciences and Population Research Center, 12330The University of Texas at Austin, Austin, TX, USA.
Res Aging. 2022 Aug-Sep;44(7-8):519-530. doi: 10.1177/01640275211065103. Epub 2022 Jan 7.
This study provides one of the first population-based investigations of the longitudinal association between social isolation and sleep difficulty among older adults in China. We analyzed three waves of longitudinal data from the China Longitudinal Aging Social Survey (2014-2018), in which 8456 respondents contributed 16,156 person-year observations. Results from multilevel logistic regression models showed that social isolation was related to a higher risk of sleep difficulty. We also found that socially isolated older adults were more likely to report higher levels of depressive symptoms, a greater prevalence of loneliness and pain, and more chronic diseases compared to their socially integrated counterparts, which in turn increased their risks of sleep difficulty. Moreover, socially isolated older adults with chronic diseases were particularly vulnerable to the risk of sleep difficulty. These findings provide helpful guidance for policymakers and practitioners to design effective intervention strategies to help older adults with sleep problems.
本研究提供了首次基于人群的调查之一，探讨了中国老年人社会隔离与睡眠困难之间的纵向关联。我们分析了中国纵向老龄化社会调查（2014-2018 年）的三波纵向数据，其中 8456 名受访者提供了 16156 人年的观测数据。多水平逻辑回归模型的结果表明，社会隔离与睡眠困难的风险增加有关。我们还发现，与社会融合的老年人相比，社会隔离的老年人更有可能报告抑郁症状水平更高、孤独和疼痛更普遍、以及更多的慢性疾病，而这些反过来又增加了他们睡眠困难的风险。此外，患有慢性疾病的社会隔离的老年人特别容易受到睡眠困难的风险影响。这些发现为政策制定者和从业者提供了有益的指导，以设计有效的干预策略，帮助有睡眠问题的老年人。
