Public Health Study Program, Faculty of Technology and Science, Universitas Jenderal Achmad Yani, Bandung, West Java, Indonesia.
Nurse Professional Education Study Program, Faculty of Medicine, Universitas Halu Oleo, Kendari, Southeast Sulawesi, Indonesia.
BMC Public Health. 2024 Sep 2;24(1):2385. doi: 10.1186/s12889-024-19876-x.
Insomnia is a common complaint among older adults. However, the comparative prevalence between older adults living in urban versus rural areas remains under-researched. This study aims to validate the overall prevalence of insomnia among older adults in Indonesia and investigate the comparative prevalence between older adults living in urban and rural areas.
The data were derived from the 2018 Indonesian Basic Health Research Study. We included a total of 93,830 older participants aged > 60 years old who completed the insomnia questions. The prevalence and regression models were analyzed using the SPSS software.
The insomnia group has a higher age compared to the non-insomnia group (P < 0.05). Insomnia is more prevalent in females compared to males (P < 0.05). When classified by age groups (60-64, 65-69, 70-74, and > 75 years old), the prevalence of insomnia was 20%, 21%, 23%, and 24%, respectively. The prevalence of insomnia among older individuals living in rural areas was higher compared to those living in urban areas. In addition, increasing age, being female, unemployed, having comorbidities, being less active, and drinking alcohol are associated with insomnia symptoms.
The findings of this study indicated that the prevalence of insomnia is high among older adults in Indonesia, with older adults living in rural areas exhibiting a higher prevalence compared to those living in urban areas. Our findings strengthen the importance of sleep management in clinical or community settings.
失眠是老年人常见的主诉。然而，关于生活在城市和农村地区的老年人之间的失眠患病率比较，相关研究仍较少。本研究旨在验证印度尼西亚老年人失眠的总体患病率，并调查生活在城市和农村地区的老年人之间的失眠患病率比较。
数据来源于 2018 年印度尼西亚基本健康研究。我们共纳入了 93830 名年龄大于 60 岁并完成失眠问题问卷的老年人。采用 SPSS 软件分析患病率和回归模型。
失眠组的年龄高于非失眠组（P<0.05）。女性的失眠患病率高于男性（P<0.05）。按年龄组（60-64、65-69、70-74 和>75 岁）分类，失眠的患病率分别为 20%、21%、23%和 24%。与生活在城市地区的老年人相比，生活在农村地区的老年人失眠的患病率更高。此外，年龄增长、女性、失业、合并症、活动量少和饮酒与失眠症状有关。
本研究结果表明，印度尼西亚老年人失眠的患病率较高，生活在农村地区的老年人比生活在城市地区的老年人失眠的患病率更高。我们的研究结果强调了在临床或社区环境中进行睡眠管理的重要性。
