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Poor sleep quality and alcohol use problems among elderly Taiwanese aboriginal women

Published online by Cambridge University Press:  27 March 2009

Ke-Hsin Chueh ,
Mei-Sang Yang ,
Cheng-Sheng Chen  and
Shyam-Min Chiou
Ke-Hsin Chueh
Affiliation:
Department of Nursing, Yuanpei University, Hsinchu, and School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
Mei-Sang Yang*
Affiliation:
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
Cheng-Sheng Chen
Affiliation:
Department of Psychiatry, Faculty of Medicine, College of Medicine, Kaohsiung Medical University; Kaohsiung, Taiwan
Shyam-Min Chiou
Affiliation:
Wufong Village Health Center, Wufong Village, Hsin-Chiu County, Taiwan
*
Correspondence should be addressed to: Professor Mei-Sang Yang, School of Nursing, Kaohsiung Medical University, No. 100 Shih-Chuan 1st Rd., Kaohsiung 807, Taiwan. Phone: +886 7 3210479, Fax: +886 7 321 8364. Email: [email protected].
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Abstract

Background: Little is known about sleep quality and alcohol use problems in the elderly minority population. This study aimed to identify a one-month prevalence of poor sleep quality and alcohol use problems among elderly Taiwanese aboriginal women and to examine the association between them.

Methods: A cross-sectional survey with stratified random sampling was conducted in eight aboriginal communities in Taiwan. The 1261 elderly aboriginal women (response rate 84%) completed all assessments. Sleep was assessed using the Pittsburgh Sleep Quality Index (PSQI), while the CAGE questionnaire was used to evaluate alcohol use problems.

Results: Of the study participants, 20.54% and 25.59% had poor sleep quality and alcohol use problems, respectively. Controlling for confounding factors, alcohol use problems were a risk factor for poor sleep quality (AOR = 1.44, p = 0.0433). Alcohol use problems were associated with three components of PSQI: sleep disturbances, subjective sleep quality, and daytime dysfunction.

Conclusions: The elderly Taiwanese aboriginal women with problematic alcohol drinking experienced poorer sleep quality. Development of a program to reduce alcohol use problems might improve sleep quality among elderly Taiwanese aboriginal women.

Keywords

aboriginal womenelderlypoor sleep qualityalcohol use problemsTaiwan
Type
Research Article
Information
International Psychogeriatrics , Volume 21 , Issue 3 , June 2009 , pp. 593 - 599
Copyright
Copyright © International Psychogeriatric Association 2009

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References

Blay, S. L., Andreoli, S. B. and Gastal, F. L. (2008). Prevalence of self-reported sleep disturbance among older adults and the association of disturbed sleep with service demand and medical conditions. International Psychogeriatrics, 20, 582–595.CrossRefGoogle ScholarPubMed
Cameron, A., Morris, J. M. and Forrest, E. H. (2006). The prevalence of alcohol misuse among acute admissions: current experience and historical comparisons. Scottish Medical Journal, 51, 21–23.CrossRefGoogle ScholarPubMed
Carballo, J. J. et al. (2006). Prevalence of alcohol misuse among adolescents and young adults evaluated in a primary care setting. International Journal of Adolescent Medicine and Health, 18, 197–202.CrossRefGoogle Scholar
Chung, K. F. and Tang, M. K. (2006). Subjective sleep disturbance and its correlates in middle-aged Hong Kong Chinese women. Maturitas, 53, 396–404.CrossRefGoogle ScholarPubMed
Council of Indigenous Peoples, Executive Yuan (2008). Population of Indigenous Peoples in Taiwan. Department of Statistics. Available at: http://www.apc.gov.tw/chinese/docList/docList.jsp?cateID=A000297&linkParent=49&linkSelf=161&linkRoot=4.Google Scholar
Dhalla, S. and Kopec, J. A. (2007). The CAGE questionnaire for alcohol misuse: a review of reliability and validity studies. Clinical and Investigative Medicine, 30, 33–41.CrossRefGoogle ScholarPubMed
Di Bari, M. et al. (2002). Features of excessive alcohol drinking in older adults distinctively captured by behavioral and biological screening instruments: an epidemiological study. Journal of Clinical Epidemiology, 55, 41–47.CrossRefGoogle ScholarPubMed
Epstein, E. E., Fischer-Elber, K. and Al-Otaiba, Z. (2007). Women, aging, and alcohol use disorders. Journal of Women and Aging, 19, 31–48.CrossRefGoogle ScholarPubMed
Ford, D. E. and Kamerow, D. B. (1989). Epidemiologic study of sleep disturbances and psychiatric disorders: an opportunity for prevention? JAMA, 262, 1479–1484.CrossRefGoogle ScholarPubMed
Gann, H. et al. (2004). Polysomnographic comparison between patients with primary alcohol dependency during subacute withdrawal and patients with a major depression. European Archives of Psychiatry and Clinical Neuroscience, 254, 263–271.CrossRefGoogle ScholarPubMed
Gillin, J. C., Smith, T. L., Irwin, M., Butters, N., Demodena, A. and Schuckit, M. (1994). Increased pressure for rapid eye movement sleep at time of hospital admission predicts relapse in nondepressed patients with primary alcoholism at 3-month follow-up. Archives of General Psychiatry, 51, 189–197.CrossRefGoogle ScholarPubMed
Jean-Louis, G. et al. (2001). Ethnic differences in self-reported sleep problems in older adults. Sleep, 24, 926–933.CrossRefGoogle ScholarPubMed
Ko, Y. C., Liu, B. H. and Hsieh, S. F. (1994). Issues on aboriginal health in Taiwan. Kaohsiung Journal of Medical Sciences, 10, 337–351.Google ScholarPubMed
Lai, H. L. and Good, M. (2005). Music improves sleep quality in older adults. Journal of Advanced Nursing, 49, 234–244.CrossRefGoogle ScholarPubMed
Lee, Y., Yang, M. J., Lai, T. J., Chiu, N. M. and Chau, T. T. (2000). Development of the Taiwanese Depression Questionnaire. Chang Gung Medical Journal, 23, 688–694.Google ScholarPubMed
Lin, C. L., Pan, M. Y. and Yeh, M. C. (2006). The quality of sleep in community elderly. Formosan Journal of Medicine, 10, 438–446.Google Scholar
Loukissa, D. (2007). Under diagnosis of alcohol misuse in the older adult population. British Journal of Nursing, 16, 1254–1258.CrossRefGoogle ScholarPubMed
Mayfield, D., McLeod, G. and Hall, P. (1974). The CAGE questionnaire: validation of a new alcoholism screening instrument. American Journal of Psychiatry, 131, 1121–1123.CrossRefGoogle ScholarPubMed
Motivala, S. J., Levin, M. J., Oxman, M. N. and Irwin, M. R. (2006). Impairments in health functioning and sleep quality in older adults with a history of depression. Journal of the American Geriatrics Society, 54, 1184–1191.CrossRefGoogle ScholarPubMed
Niti, M., Ng, T. P., Kua, E. H., Ho, R. C. and Tan, C. H. (2007). Depression and chronic medical illnesses in Asian older adults: the role of subjective health and functional status. International Journal of Geriatric Psychiatry, 22, 1087–1094.CrossRefGoogle ScholarPubMed
Park, J. T., Kim, B. G. and Jhun, H. J. (2008). Alcohol consumption and the CAGE questionnaire in Korean adults: results from the Second Korea National Health and Nutrition Examination Survey. Journal of Korean Medical Science, 23, 199–206.CrossRefGoogle ScholarPubMed
Perkins, H. W. and Craig, D. W. (2006). A successful social norms campaign to reduce alcohol misuse among college student-athletes. Journal of Studies on Alcohol, 67, 880–889.CrossRefGoogle ScholarPubMed
Ralph-Campbell, K., Pohar, S. L., Guirguis, L. M. and Toth, E. L. (2006). Aboriginal participation in the DOVE study. Canadian Journal of Public Health, 97, 305–309.CrossRefGoogle ScholarPubMed
Rupp, T. L., Acebo, C. and Carskadon, M. A. (2007a). Evening alcohol suppresses salivary melatonin in young adults. Chronobiology International, 24, 463–470.CrossRefGoogle ScholarPubMed
Rupp, T. L., Acebo, C., van Reen, E. and Carskadon, M. A. (2007b). Effects of a moderate evening alcohol dose: I. Sleepiness. Alcoholism: Clinical and Experimental Research, 31, 1358–1364.CrossRefGoogle ScholarPubMed
Sekine, M., Chandola, T., Martikainen, P., McGeoghegan, D., Marmot, M. and Kagamimori, S. (2006). Explaining social inequalities in health by sleep: the Japanese civil servants study. Journal of Public Health, 28, 63–70.CrossRefGoogle ScholarPubMed
Solberg, L. I., Maciosek, M. V. and Edwards, N. M. (2008). Primary care intervention to reduce alcohol misuse: ranking its health impact and cost effectiveness. American Journal of Preventive Medicine, 34, 143–152.CrossRefGoogle ScholarPubMed
Stevenson, J. S. and Masters, J. A. (2005). Predictors of alcohol misuse and abuse in older women. Journal of Nursing Scholarship, 37, 329–335.CrossRefGoogle ScholarPubMed
Su, T. P., Huang, S. R. and Chou, P. (2004). Prevalence and risk factors of insomnia in community-dwelling Chinese elderly: a Taiwanese urban area survey. Australian and New Zealand Journal of Psychiatry, 38, 706–713.CrossRefGoogle ScholarPubMed
Szklo-Coxe, M., Young, T., Finn, L. and Mignot, E. (2007). Depression: relationships to sleep paralysis and other sleep disturbances in a community sample. Journal of Sleep Research, 16, 297–312.CrossRefGoogle Scholar
Tang, X., Chen, X., Li, H., Stanton, B. and Li, X. (2005). Smoking and drinking patterns among residents of Li ethnic minority villages in Hainan, China. Substance Use and Misuse, 40, 687–701.CrossRefGoogle ScholarPubMed
Tsai, C. H., Chen, Y. C., Wang, C., Liu, G. M., Wu, W. C. and Lin, G. D. (2000). Sleep disturbance and its related factors in the elderly – a study from a regional hospital. Taiwan Journal of Family Medicine, 10, 119–128.Google Scholar
Turner, J., Perkins, H. W. and Bauerle, J. (2008). Declining negative consequences related to alcohol misuse among students exposed to a social norms marketing intervention on a college campus. Journal of American College Health, 57, 85–94.CrossRefGoogle ScholarPubMed
Unwin, C. E., Gracey, M. S. and Thomson, N. J. (1995). The impact of tobacco smoking and alcohol consumption on aboriginal mortality in Western Australia, 1989–1991. Medical Journal of Australia, 162, 475–478.CrossRefGoogle ScholarPubMed
van Reen, E., Jenni, O. G. and Carskadon, M. A. (2006). Effects of alcohol on sleep and the sleep electroencephalogram in healthy young women. Alcoholism: Clinical and Experimental Research, 30, 974–981.CrossRefGoogle ScholarPubMed
Watts, M. (2007). Incidences of excess alcohol consumption in the older person. Nursing Older People, 18, 27–30.CrossRefGoogle ScholarPubMed
Woerle, S., Roeber, J. and Landen, M. G. (2007). Prevalence of alcohol dependence among excessive drinkers in New Mexico. Alcoholism: Clinical and Experimental Research, 31, 293–298.CrossRefGoogle ScholarPubMed
Wu, C. Y. (2002). A correlational study among sleep quality, physical activity, and depression of community-dwelling elders. Unpublished dissertation, Department of Nursing. National Taiwan University, Taipai.Google Scholar
Yang, M. S., Ko, Y. C. and Wen, J. K. (1996). Prevalences and related factors of substances use in female aborigines in southern Taiwan. Kaohsiung Journal of Medical Sciences, 12, 634–640.Google ScholarPubMed
Yao, K. W., Yu, S., Cheng, S. P. and Chen, I. J. (2008). Relationships between personal, depression and social network factors and sleep quality in community-dwelling older adults. Journal of Nursing Research, 16, 131–139.CrossRefGoogle ScholarPubMed
Yen, C. F. et al. (2006). Relationships among mental health status, social context, and demographic characteristics in Taiwanese aboriginal adolescents: a structural equation model. Psychiatry and Clinical Neurosciences, 60, 575–583.CrossRefGoogle ScholarPubMed