睡眠问题、疼痛干扰与整体主观健康结果：来自加纳一项具有代表性的老龄化研究的结果
Sleep problems, pain interference, and global subjective health outcome: Findings from a representative aging study in Ghana.
作者信息
Gyasi Razak M, Konadu Emmanuel, Appiah Priscilla, Agyei Desmond, Nyaaba Emmanuel, Ntiamoah Michael Kwadwo, Asiedu Hubert Bimpeh, Koomson-Yalley Elizabeth Nana Mbrah, Tayviah Margaret Makafui, Opoku-Ware Jones, Hajek André
机构信息
African Population and Health Research Center, Nairobi, Kenya; National Centre for Naturopathic Medicine, Faculty of Health, Southern Cross University, Lismore, NSW, Australia.
Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
出版信息
Geriatr Nurs. 2025 Jan-Feb;61:73-79. doi: 10.1016/j.gerinurse.2024.10.067. Epub 2024 Nov 14.
We investigated the association between sleep problems and global self-rated health (SRH) in individuals aged ≥50 years in Ghana and explored the sex-wise mediating role of pain interference in this association. Data from the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study were analyzed (N=1201). Global SRH and pain interference were assessed with the Medical Outcomes Study (Short Form-36) Scale. Sleep-related problems were assessed on a 5-point scale from none=1 to extreme=5. Adjusted OLS regressions and bootstrapped mediation models evaluated the hypothesized associations. The mean (SD) age was 66.1 (11.9) years and 63.3 % were females. Sleep problems were associated with increases in pain interference (β = 0.320, p < 0.001) and poor SRH (β = 0.039, p < 0.001). Pain interference mediated 61.6% of the sleep problems-SRH association in the overall sample (β =0.063, Bootstrap 95%CI=0.014-0.034) and 36.7% among women (β =0.023, Bootstrap 95%CI=0.023-0.053). Effective sleep and pain management strategies may improve subjective health outcomes, particularly among older women.
我们调查了加纳50岁及以上人群睡眠问题与整体自评健康状况（SRH）之间的关联，并探讨了疼痛干扰在这种关联中按性别划分的中介作用。对衰老、健康、心理健康和求医行为研究的数据进行了分析（N = 1201）。使用医学结果研究（简表36）量表评估整体SRH和疼痛干扰情况。睡眠相关问题采用从无=1到极端=5的5分量表进行评估。调整后的普通最小二乘法回归和自抽样中介模型评估了假设的关联。平均（标准差）年龄为66.1（11.9）岁，女性占63.3%。睡眠问题与疼痛干扰增加（β = 0.320，p < 0.001）和SRH不佳（β = 0.039，p < 0.001）相关。在整个样本中，疼痛干扰介导了睡眠问题与SRH关联的61.6%（β = 0.063，自抽样95%置信区间= 0.014 - 0.034），在女性中为36.7%（β = 0.023，自抽样95%置信区间= 0.023 - 0.053）。有效的睡眠和疼痛管理策略可能会改善主观健康结果，尤其是在老年女性中。
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