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久未入眠:新冠疫情期间老年人的睡眠问题。

Long Time, No Sleep: Sleep in Older Adults During the COVID-19 Pandemic.

机构信息

Department of Neurosciences and Mental Health, Psychiatry and Mental Health, Hospital de Santa Maria, Lisbon, Portugal.

Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.

出版信息

Prim Care Companion CNS Disord. 2022 May 31;24(3):21m03224. doi: 10.4088/PCC.21m03224.

DOI:10.4088/PCC.21m03224
PMID:35666596
Abstract

The coronavirus disease 2019 (COVID-19) pandemic has had a major impact globally. While sleep problems have increased during the pandemic, their impact on specific populations is less well known. The objective of this study was to measure the impact of the COVID-19 pandemic on sleep and how it correlates with the feeling of isolation in individuals aged ≥ 50 years. A cross-sectional study was conducted using data from the Survey of Health, Aging, and Retirement conducted between June and August 2020. A multivariate logistic regression model was performed to analyze the outcome "more or less trouble sleeping since the outbreak" and its main predictors. The mean ± SD age of the participants was 71 ± 9 years. Since the outbreak, 29% reported a deterioration of their quality of sleep. Being male and older were found to be significant predictors of more sleep complaints (OR = 1.13;  = .004; CI, 1.04-1.23 and OR = 1.02;  = .000; CI, 1.02-1.03, respectively). Moreover, those who claimed that they often felt alone or more loneliness since the beginning of the outbreak also had more trouble sleeping (OR = 1.21;  = .002; CI, 1.07-1.37 and OR = 4.06;  = .000; CI, 2.75-5.99, respectively). Male sex, older age, and loneliness are associated with more sleeping difficulties since the beginning of the COVID-19 pandemic. These findings can aid health authorities to address sleep issues in this vulnerable population more directly.

摘要

2019 年冠状病毒病(COVID-19)大流行在全球范围内造成了重大影响。虽然大流行期间睡眠问题有所增加,但对特定人群的影响却知之甚少。本研究的目的是衡量 COVID-19 大流行对睡眠的影响,以及它与 50 岁以上人群的孤立感之间的关系。

本研究采用 2020 年 6 月至 8 月期间进行的“健康、老龄化和退休调查”的数据进行横断面研究。使用多元逻辑回归模型分析了“自疫情爆发以来睡眠或多或少有问题”这一结果及其主要预测因素。

参与者的平均年龄为 71 ± 9 岁。自疫情爆发以来,29%的人报告睡眠质量下降。研究发现,男性和年龄较大是睡眠抱怨增多的显著预测因素(OR=1.13;=0.004;CI,1.04-1.23 和 OR=1.02;=0.000;CI,1.02-1.03)。此外,自疫情爆发以来经常感到孤独或更孤独的人也有更多的睡眠问题(OR=1.21;=0.002;CI,1.07-1.37 和 OR=4.06;=0.000;CI,2.75-5.99)。

男性、年龄较大和孤独感与 COVID-19 大流行开始后睡眠困难增加有关。这些发现可以帮助卫生当局更直接地解决这一弱势群体的睡眠问题。

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