Chen Wen-Hsueh, Chen Chao-Tung, Cheng Kai-Hung, Tsao Yu-Chung, Lin Yu-Hsiang, Chen Jau-Yuan
Department of Family Medicine, Chang-Gung Memorial Hospital, Chiayi Branch, Chiayi 613, Taiwan.
Department of Family Medicine, Chang-Gung Memorial Hospital, Linkou Branch, Taoyuan 333, Taiwan.
Healthcare (Basel). 2025 May 28;13(11):1272. doi: 10.3390/healthcare13111272.
: Poor sleep quality is a prevalent health concern among older adults, impacting cognitive and physical functions. This study aimed to determine the association between sleep quality and self-reported health status among middle-aged and older adults in northern Taiwan. : This cross-sectional study, conducted from April to October 2017, assessed participants using the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) with a cut-off of 5; scores above 5 indicated poor sleep quality. The self-reported health status was evaluated using a questionnaire. Statistical analyses included the chi-squared test, one-way ANOVA, Cochran-Armitage trend test, and multiple logistic regression models. : This study included 850 adults (243 males and 607 females). The participants were grouped according to their self-reported health status as follows: good (n = 278), fair (n = 499), and poor (n = 73). Poor health status was associated with worse sleep quality components, including sleep latency, efficiency, disturbances, medication use, and daytime dysfunction ( for trend < 0.001). The multiple logistic regression analysis showed higher dissatisfaction with health status among the participants with a CPSQI score of >5 (odds ratio, 4.12; 95% CI 2.26-7.50; < 0.001). A poor health status was reported by 19.51% of the participants sleeping < 5 h, compared to 6.97% of the participants sleeping 5-6 h, 6.60% of the participants sleeping 6-7 h, and 6.34% of the participants sleeping > 7 h, showing a trend toward a shorter sleep duration ( for trend = 0.002). : Our study findings indicate that a poor sleep quality and short sleep duration were independent risk factors for poor self-reported health status in middle-aged and older adults in Taiwan. Addressing sleep quality is crucial for implementing preventive health measures in this demographic group.
睡眠质量差是老年人中普遍存在的健康问题，会影响认知和身体功能。本研究旨在确定台湾北部中年及老年人群睡眠质量与自我报告的健康状况之间的关联。：这项横断面研究于2017年4月至10月进行，使用中文版匹兹堡睡眠质量指数（CPSQI）对参与者进行评估，临界值为5；得分高于5表明睡眠质量差。自我报告的健康状况通过问卷调查进行评估。统计分析包括卡方检验、单因素方差分析、 Cochr an - Armitage趋势检验和多元逻辑回归模型。：本研究纳入了850名成年人（243名男性和607名女性）。参与者根据自我报告的健康状况分为以下几组：良好（n = 278）、中等（n = 499）和较差（n = 73）。健康状况较差与更差的睡眠质量成分相关，包括入睡潜伏期、睡眠效率、睡眠干扰、药物使用和日间功能障碍（趋势检验P < 0.001）。多元逻辑回归分析显示，CPSQI得分>5的参与者对健康状况的不满程度更高（比值比，4.12；95%置信区间2.26 - 7.50；P < 0.001）。睡眠<5小时的参与者中有19.51%报告健康状况较差，而睡眠5 - 6小时的参与者中这一比例为6.97%，睡眠6 - 7小时的参与者中为6.60%，睡眠>7小时的参与者中为6.34%，显示出睡眠时间越短有上升趋势（趋势检验P = 0.002）。：我们的研究结果表明，睡眠质量差和睡眠时间短是台湾中年及老年人群自我报告健康状况差的独立危险因素。改善睡眠质量对于在这一人群中实施预防性健康措施至关重要。
