Sleep Quality Of Elderly In A Rural Community Of Hunan Province: Status And Associated Factors

Objective:To assess the sleep quality of rural elderly in Hengyang County, Hunan Province,and find out associated factors.The results would provide scientific basis to improve the sleep quality and enhance the quality life of rural elderly.Methods:By stratified cluster random sampling method, all the towns of Hengyang County were divided into three levels according to economic status and one were selected as survey fields from each economic level.And then we randomly selected three villages from each town.all the 60 years old and older from the nine villages made up our sample in the abstract.all of them filled in Pittsburgh Sleep Quality Index(PSQI),the version 2 of the SF-36 health survey (SF36-â…¡),Life Events Scale for the Elderly (LESE) and other measures for general circumstances.Results:In the nine villages,there were 1198 elderly people aged 60 years and older, of which 1126 were identified as our sample.1042 were investigated and sum of effective samples was 1040 (male:540, female:500);the response rate was 92.5%.The percentage of rural elderly whose self-evaluated sleep quality was poor was 65.4%.81.1% had been judged as poor sleep quality depending on a PSQI> 7;and more female had sleep problem. Rural elderly people generally went to bed around 20:15 and got up around 6:40.The average sleep time was 4.5 hours.The percentage of difficulty falling asleep, difficulty maintaining asleep, early awakening, advanced sleep phase, delayed sleep phase were respectively 51.1%, 29.2%,62.8%,8.4%,0.1%.There were 12.9% subjects had napping frequently.76.9% subjects dozed in the daytime.The consultation rate because of sleep problems was 2.1%.The rate of using hypnotic was 0.5%.The single factor analysis show:Female, elder,unstable marital status, low education level, farming peasants dependent economic status, poor self-evaluated economic status, poor self-evaluated health status were the risk factors of poor sleep quality.Non-conditional Logistic Stepwise Regression show:Female (OR=1.818,95%CI:1.240-2.664),unstable marital status(OR=1.654, 95%CI:1.096-2.497),low education level(OR=1.551,95%CI: 1.203-1.999),poor self-evaluated health status(OR=2.823,95%CI: 2.206-3.613)were the influencing factors of sleep quality.Conclusion:The sleep quality which has been affected by many factors is generally poor among the rural elderly in Hengyang County. The sleep quality of rural elderly with various demographic characteristics was different. Female,nstable marital status,low education level, poor self-evaluated health status are the independent risk factors. Strengthening the health education and guidance on sleep quality of rural elderly, improving the sleep quality, in order to improving their quality of life.