孟加拉国新冠疫情期间老年人的总睡眠时间患病率及其相关因素
Prevalence and correlates of total sleep time among the older adults during COVID-19 pandemic in Bangladesh.
作者信息
Mistry Sabuj Kanti, Ali Arm Mehrab, Ahmed Md Sabbir, Yadav Uday Narayan, Khan Md Safayet, Hossain Md Belal, Yunus Fakir Md
机构信息
ARCED Foundation, 13/1, Pallabi, Mirpur-12, Dhaka, Bangladesh.
Centre for Primary Health Care and Equity, University of New South Wales, Sydney, Australia.
出版信息
Sleep Epidemiol. 2021 Dec;1:100008. doi: 10.1016/j.sleepe.2021.100008. Epub 2021 Sep 11.
PURPOSE
The present study was aimed to identify inappropriate sleep duration and its correlates among the Bangladeshi older adults during the COVID-19 pandemic.
MATERIAL AND METHODS
This cross-sectional study was carried out among 1030 older adults aged 60 years and above in Bangladesh. Information was collected through telephone interviews using a pretested semi-structures questionnaire installed in SurveyCTO mobile app. Sleep duration was defined as total sleep time (TST) in last 24 h including day and nighttime sleep. TST was further categorized into shorter (<7 h), recommended (7-8 h), and longer sleep (>8 h) according to 2015 National Sleep Foundation guideline. The multinomial logistic regression model identified the factors associated with sleep duration.
RESULTS
Mean TST was 7.9 h (SD=1.62). Of the total participants, 28.2% had longer and 17.8% shorter sleep duration. In the regression model, participants' age of ≥80 years (OR: 3.36, 1.46-7.73), monthly family income of <5,000 Bangladeshi Taka (OR: 3.50, 1.79-6.82), difficulty in getting medicine during COVID-19 (OR: 1.72, 1.05-2.82), lack of communication during the pandemic (OR: 2.20, 1.43-3.40) and receiving COVID-19 related information from friends/family/neighbours (OR: 1.83, 1.11-3.01) were significantly associated with shorter TST. On the other hand, monthly family income of < 5,000 Bangladeshi Taka (OR: 2.00, 1.13-3.53), difficulty in getting medicine during COVID-19 pandemic (OR: 2.01, 1.33-3.03) and receiving COVID-19 related information from radio/TV (OR: 2.09, 1.22-3.59) were associated with longer TST.
CONCLUSIONS
The study findings suggest implementing sleep management program for older adults in Bangladesh, particularly during emergencies like COVID-19.
目的
本研究旨在确定新冠疫情期间孟加拉国老年人中不适当的睡眠时间及其相关因素。
材料与方法
本横断面研究在孟加拉国1030名60岁及以上的老年人中进行。通过电话访谈，使用安装在SurveyCTO移动应用程序中的经过预测试的半结构化问卷收集信息。睡眠时间定义为过去24小时内的总睡眠时间（TST），包括白天和夜间睡眠。根据2015年美国国家睡眠基金会指南，TST进一步分为较短（<7小时）、推荐（7-8小时）和较长睡眠（>8小时）。多项逻辑回归模型确定了与睡眠时间相关的因素。
结果
平均TST为7.9小时（标准差=1.62）。在所有参与者中，28.2%的人睡眠时间较长，17.8%的人睡眠时间较短。在回归模型中，年龄≥80岁的参与者（比值比：3.36，1.46-7.73）、家庭月收入<5000孟加拉塔卡的参与者（比值比：3.50，1.79-6.82）、新冠疫情期间买药困难的参与者（比值比：1.72，1.05-2.82）、疫情期间缺乏沟通的参与者（比值比：2.20，1.43-3.40）以及从朋友/家人/邻居处获得新冠相关信息的参与者（比值比：1.83，1.11-3.01）与较短的TST显著相关。另一方面，家庭月收入<5000孟加拉塔卡的参与者（比值比：2.00，1.13-3.53）、新冠疫情期间买药困难的参与者（比值比：2.01，1.33-3.03）以及从广播/电视获得新冠相关信息的参与者（比值比：2.09，1.22-3.59）与较长的TST相关。
结论
研究结果表明，在孟加拉国应为老年人实施睡眠管理计划，尤其是在新冠疫情等紧急情况下。
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