Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-23T19:28:12.421Z Has data issue: false hasContentIssue false
  • English
  • Français

Socio-demographic and behavioural factors associated with status change of sleep quality and duration among Chinese older adults

Published online by Cambridge University Press:  17 February 2021

Yen-Han Lee Open the ORCID record for Yen-Han Lee [Opens in a new window] ,
Yen-Chang Chang ,
Po-Ju Chang  and
Mack Shelley Open the ORCID record for Mack Shelley [Opens in a new window]
Yen-Han Lee*
Affiliation:
Department of Applied Health Sciences, Indiana University School of Public Health, Bloomington, IN, USA
Yen-Chang Chang
Affiliation:
Center for General Education, National Tsing Hua University, Hsinchu City, Taiwan
Po-Ju Chang
Affiliation:
Department of Horticulture and Landscape Architecture, National Taiwan University, Taipei City, Taiwan
Mack Shelley
Affiliation:
Department of Political Science and Department of Statistics, Iowa State University, Ames, IA, USA
*
*Corresponding author. Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

China has faced challenges related to the rapid growth of its ageing population, and sleep is one of the public health challenges to this demographic group. This study examines the socio-demographic and behavioural factors associated with status change of sleeping patterns among Chinese older adults, using longitudinal data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Socio-demographic factors were selected from the 2012 wave of the CLHLS to examine the sleep status change in the 2014 wave. Multivariable logistic and multinomial regressions were used to study older adults’ changes of sleep quality and daily sleep duration. Older adults, 65 years old or above, were selected as study participants. A higher level of education was negatively associated with poor sleep quality and longer sleep duration (>8 hours). Increasing age was positively associated with both shorter and longer sleep duration. Being female was negatively associated with longer sleep duration. However, exercise status, smoking behaviour and alcohol use all were neither positively nor negatively associated with status change of sleeping patterns. Participants’ education, age and gender might be important factors associated with sleep status change. However, the effects of behavioural factors should be studied further. Policy implications and further research directions are discussed based on empirical results.

Keywords

older adultssleep qualitysleep durationlongitudinal analysisquantitative research
Type
Article
Information
Ageing & Society , Volume 42 , Issue 9 , September 2022 , pp. 2206 - 2223
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Burgard, SA and Ailshire, JA (2013) Gender and time for sleep among U.S. adults. American Sociological Review 78, 51–69.CrossRefGoogle ScholarPubMed
Chen, HC and Chou, P (2017) Predictors of change in self-reported sleep duration in community-dwelling older adults: the Shih-Pai Sleep Study, Taiwan. Scientific Reports 7, 4729.10.1038/s41598-017-04932-xCrossRefGoogle ScholarPubMed
Chen, Y, Kartsonaki, C, Clarke, R, Guo, Y, Yu, C, Bian, Z, Jiang, Q, Li, S, Chen, J, Li, L, Chen, Z and China Kadoorie Biobank Study (2018) Characteristics and correlates of sleep duration, daytime napping, snoring and insomnia symptoms among 0.5 million Chinese men and women. Sleep Medicine 44, 67–75.CrossRefGoogle ScholarPubMed
Cooke, JR and Ancoli-Israel, S (2011) Normal and abnormal sleep in the elderly. Handbook of Clinical Neurology 98, 653–665.10.1016/B978-0-444-52006-7.00041-1CrossRefGoogle ScholarPubMed
Costa, M and Esteves, M (2018) Cigarette smoking and sleep disturbance. Addictive Disorders & Their Treatment 17, 40–48.CrossRefGoogle Scholar
Devenney, LE, Coyle, KB, Roth, T and Verster, JC (2019) Sleep after heavy alcohol consumption and physical activity levels during alcohol hangover. Journal of Clinical Medicine 8, 752.10.3390/jcm8050752CrossRefGoogle ScholarPubMed
Duffy, JF, Zitting, KM and Chinoy, ED (2015) Aging and circadian rhythms. Sleep Medicine Clinics 10, 423–434.10.1016/j.jsmc.2015.08.002CrossRefGoogle ScholarPubMed
Essien, SK, Feng, CX, Sun, W, Farag, M, Li, L and Gao, Y (2018) Sleep duration and sleep disturbances in association with falls among the middle-aged and older adults in China: a population-based nationwide study. BMC Geriatrics 18, 196.10.1186/s12877-018-0889-xCrossRefGoogle ScholarPubMed
Fletcher, JM and Frisvold, DE (2009) Higher education and health investments: does more schooling affect preventive health care use? Journal of Human Capital 3, 144–176.CrossRefGoogle ScholarPubMed
Fu, L, Jia, L, Zhang, W, Han, P, Kang, L, Ma, Y, Yu, H, Zhai, T, Chen, X and Guo, Q (2017) The association between sleep duration and physical performance in Chinese community-dwelling elderly. PLOS ONE 12, e0174832.CrossRefGoogle ScholarPubMed
Gooneratne, NS and Vitiello, MV (2014) Sleep in older adults: normative changes, sleep disorders, and treatment options. Clinics in Geriatric Medicine 30, 591–627.CrossRefGoogle ScholarPubMed
Gu, D, Sautter, J, Pipkin, R and Zeng, Y (2010) Sociodemographic and health correlates of sleep quality and duration among very old Chinese. Sleep 33, 601–610.CrossRefGoogle ScholarPubMed
Hirshkowitz, M, Whiton, K, Albert, SM, Alessi, C, Bruni, O, DonCarlos, L, Hazen, N, Herman, J, Katz, ES, Kheirandish-Gozal, L, Neubauer, DN, O'Donnell, AE, Ohayon, M, Peever, J, Rawding, R, Sachdeva, RC, Setters, B, Vitiello, MV, Ware, JC and Adams Hillard, PJ (2015) National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health 1, 40–43.CrossRefGoogle ScholarPubMed
Hublin, C, Partinen, M, Koskenvuo, M and Kaprio, J (2007) Sleep and mortality: a population-based 22-year follow-up study. Sleep 30, 1245–1253.CrossRefGoogle ScholarPubMed
Jaehne, A, Unbehaun, T, Feige, B, Lutz, UC, Batra, A and Riemann, D (2012) How smoking affects sleep: a polysomnographical analysis. Sleep Medicine 13, 1286–1292.CrossRefGoogle ScholarPubMed
Kline, CE (2014) The bidirectional relationship between exercise and sleep: implications for exercise adherence and sleep improvement. American Journal of Lifestyle Medicine 8, 375–379.CrossRefGoogle ScholarPubMed
Koyanagi, A, Garin, N, Olaya, B, Ayuso-Mateos, JL, Chatterji, S, Leonardi, M, Koskinen, S, Tobiasz-Adamczyk, B and Haro, JM (2014) Chronic conditions and sleep problems among adults aged 50 years or over in nine countries: a multi-country study. PLOS ONE 9, e114742.10.1371/journal.pone.0114742CrossRefGoogle ScholarPubMed
Lee, Y-H, Chang, Y-C, Lee, Y-T, Shelley, M and Liu, CT (2018a) Dietary patterns with fresh fruits and vegetables consumption and quality of sleep among older adults in mainland China. Sleep and Biological Rhythms 16, 293–305.10.1007/s41105-018-0163-9CrossRefGoogle Scholar
Lee, Y-H, Chiang, T and Liu, C-T (2018b) Residents’ educational attainment and preventive care utilization in China. International Journal of Health Care Quality Assurance 31, 41–51.CrossRefGoogle Scholar
Lee, Y-H, Chang, Y-C, Liu, C-T and Shelley, M (2019) Evaluating the associations of consumption of non-red meat protein sources and flavor preferences on sleeping patterns among older adults in China. Sleep & Biological Rhythms 17, 79–92.10.1007/s41105-018-0187-1CrossRefGoogle Scholar
Lee, Y-H, Chang, Y-C, Chiang, T, Liu, C-T and Shelley, M (2020a) Living arrangements and sleep-related outcomes among older adults in China: a panel analytic approach. International Journal of Aging and Human Development 91, 111–126.CrossRefGoogle Scholar
Lee, Y-H, Chang, Y-C, Liu, C-T and Shelley, M (2020b) Correlates of alcohol consumption and alcohol dependence among older adults in contemporary China: results from the Chinese Longitudinal Healthy Longevity Survey. Journal of Ethnicity in Substance Abuse 19, 70–85.CrossRefGoogle Scholar
Luo, J, Zhu, G, Zhao, Q, Guo, Q, Meng, H, Hong, Z and Ding, D (2013) Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. PLOS ONE 8, e81261.CrossRefGoogle Scholar
Martindale, SL, Hurley, RA and Taber, KH (2017) Chronic alcohol use and sleep homeostasis: risk factors and neuroimaging of recovery. Journal of Neuropsychiatry and Clinical Neurosciences 29, A6–5.Google ScholarPubMed
Neikrug, AB and Ancoli-Israel, S (2010) Sleep disorders in the older adult – a mini-review. Gerontology 56, 181–189.CrossRefGoogle ScholarPubMed
Paunio, T, Korhonen, T, Hublin, C, Partinen, M, Kivimaki, M, Koskenvuo, M and Kaprio, J (2009) Longitudinal study on poor sleep and life dissatisfaction in a nationwide cohort of twins. American Journal of Epidemiology 169, 206–213.CrossRefGoogle Scholar
Ripley, B and Venables, W (2016) Package ‘nnet’. Available at https://cran.r-project.org/web/packages/nnet/nnet.pdf.Google Scholar
Schmidt, C, Peigneux, P and Cajochen, C (2012) Age-related changes in sleep and circadian rhythms: impact on cognitive performance and underlying neuroanatomical networks. Frontiers in Neurology 3, 118.CrossRefGoogle ScholarPubMed
Sedgwick, P (2014) Cross sectional studies: advantages and disadvantages. BMJ 348, g2276.CrossRefGoogle ScholarPubMed
Stein, MD and Friedmann, PD (2005) Disturbed sleep and its relationship to alcohol use. Substance Abuse 26, 1–13.CrossRefGoogle ScholarPubMed
Suzuki, K, Miyamoto, M and Hirata, K (2017) Sleep disorders in the elderly: diagnosis and management. Journal of General and Family Medicine 18, 61–71.CrossRefGoogle ScholarPubMed
Tang, J, Liao, Y, Kelly, BC, Xie, L, Xiang, YT, Qi, C, Pan, C, Hao, W, Liu, T, Zhang, F and Chen, X (2017) Gender and regional differences in sleep quality and insomnia: a general population-based study in Hunan Province of China. Scientific Reports 7, 43690.CrossRefGoogle ScholarPubMed
The Straits Times (2019) Being a woman in China means working a sixth of your life unpaid. The Straits Times. Available at https://www.straitstimes.com/asia/east-asia/being-a-woman-in-china-means-working-a-sixth-of-your-life-unpaid.Google Scholar
Wang, F and Boros, S (in press) The effect of physical activity on sleep quality: a systematic review. European Journal of Physiotherapy. Available online https://doi.org/10.1080/21679169.2019.1623314.CrossRefGoogle Scholar
Wang, P, Song, L, Wang, K, Han, X, Cong, L, Wang, Y, Zhang, L, Yan, Z, Tang, S and Du, Y (2020) Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study. Aging Clinical and Experimental Research 32, 125–131.CrossRefGoogle Scholar
Wetter, D and Young, T (1994) The relation between cigarette smoking and sleep disturbance. Preventive Medicine 23, 328–334.CrossRefGoogle ScholarPubMed
Winkleby, MA, Jatulis, DE, Frank, E and Fortmann, SP (1992) Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease. American Journal of Public Health 82, 816–820.10.2105/AJPH.82.6.816CrossRefGoogle ScholarPubMed
Wu, F, Guo, Y, Kowal, P, Jiang, Y, Yu, M, Li, X, Zheng, Y and Xu, J (2013) Prevalence of major chronic conditions among older Chinese adults: the Study on Global AGEing and adult health (SAGE) wave 1. PLOS ONE 8, e74176.10.1371/journal.pone.0074176CrossRefGoogle Scholar
Wu, S, Wang, R, Zhao, Y, Ma, X, Wu, M, Yan, X and He, J (2013) The relationship between self-rated health and objective health status: a population-based study. BMC Public Health 13, 320.10.1186/1471-2458-13-320CrossRefGoogle ScholarPubMed
Xu, Y, Xu, S, Wu, Q and Guo, Y (2016) Association between secondhand smoke exposure at home and cigarette gifting and sharing in Zhejiang, China: a repeat cross-sectional study. BMJ Open 6, e010058.10.1136/bmjopen-2015-010058CrossRefGoogle ScholarPubMed
Yang, P-Y, Ho, K-H, Chen, H-C and Chien, M-Y (2012) Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review. Journal of Physiotherapy 58, 157–163.CrossRefGoogle ScholarPubMed
Youngstedt, SD and Kline, CE (2006) Epidemiology of exercise and sleep. Sleep & Biological Rhythms 4, 215–221.CrossRefGoogle ScholarPubMed
Zajacova, A and Lawrence, EM (2018) The relationship between education and health: reducing disparities through a contextual approach. Annual Review of Public Health 39, 273–289.10.1146/annurev-publhealth-031816-044628CrossRefGoogle ScholarPubMed
Zeng, Y (2012) Towards deeper research and better policy for healthy aging – using the unique data of Chinese Longitudinal Healthy Longevity Survey. China Economic Journal 5, 131–149.CrossRefGoogle ScholarPubMed
Zhang, YS, Jin, Y, Rao, WW, Jiang, YY, Cui, LJ, Li, JF, Li, L, Ungvari, GS, Ng, CH, Li, KQ and Xiang, YT (2020) Prevalence and socio-demographic correlates of poor sleep quality among older adults in Hebei province, China. Scientific Reports 10, 12266.CrossRefGoogle ScholarPubMed
Zheng, X, Pang, L, Chen, G, Huang, C, Liu, L and Zhang, L (2016) Challenge of population aging on health. In Islam, MdN (ed.), Public Health Challenges in Contemporary China. Berlin: Springer.Google Scholar
Zhu, X, Hu, Z, Nie, Y, Zhu, T, Chiwanda Kaminga, A, Yu, Y and Xu, H (2020) The prevalence of poor sleep quality and associated risk factors among Chinese elderly adults in nursing homes: a cross-sectional study. PLOS ONE 15, e0232834.CrossRefGoogle ScholarPubMed