Self-reported sleep disturbance among African-American elderly: The effects of depression, health status, exercise, and social support

Self-reported sleep disturbance among African-American elderly: The effects of depression, health status, exercise, and social support
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DOI:
10.2190/gm89-nrty-derq-lc7d
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发表时间:
1996-01-01
影响因子:
2
通讯作者:
Bazargan, M
Bazargan, M
中科院分区:
医学4区
文献类型:
--
作者:
Bazargan, M

文献摘要

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对998名黑人老年人进行了自我报告的睡眠启动和维持困难的患病率及其相关性调查。就患病率而言,只有68.3%的样本没有入睡困难。在这项研究中,超过14.5%的男性参与者和23.6%的女性参与者报告睡眠潜伏期超过30分钟。近13%的人报告称,他们晚上的睡眠时间不到四个小时。此外,14.5%的参与者在通常的夜间睡眠中,除了上厕所外,至少会醒来三次,45.3%的参与者表示,当他们在夜间醒来时,他们至少保持清醒30分钟,然后才能再次入睡。与男性相比,女性报告的睡眠潜伏期更长,晚上醒来更频繁,而且更有可能因睡眠问题去看健康医生。多变量分析表明,黑人老年人中自我报告的睡眠问题明显更严重,他们是女性,抑郁/焦虑水平较高,患有慢性病的人数较多,不锻炼的人,以及报告情感社会支持水平较低的人。
The prevalence and correlates of self-reported difficulties in initiating and maintaining sleep were investigated for a sample of 998 Black elderly. In terms of prevalence, only 68.3 percent of this sample had no trouble falling asleep. Over 14.5 percent of men and 23.6 percent of women participants in this study reported sleep latencies exceeding thirty minutes. Almost 13 percent reported getting less than four hours of sleep at night. Moreover, 14.5 percent of participants wake up at least three times during a typical night's sleep other than to use the bathroom and 45.3 percent said when they wake up during the night, they remain awake at least thirty minutes before falling back to sleep. Compared to men, women reported longer sleep latency, waking up more frequently at night, and were more likely to visit a health practitioner for sleeping problems. Multivariate analysis indicates that self-reported sleep problems were significantly greater among Black elderly who were women, with a higher level of depression/anxiety, those with a higher number of chronic illnesses, those who did not exercise, and those who reported lower levels of emotional social support.