Insomnia in institutionalized older people in Cairo, Egypt: Prevalence and risk factors associated

Bakr, Iman; Elaziz, Khaled M. Abd; Ezz, Nahla F. Abou El; Fahim, Hoda

doi:10.1016/j.eurger.2012.02.002

Cited by 12 publications

(12 citation statements)

References 21 publications

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“…This result is in agreement with previous findings (Reid, 2006;Makhlouf, 2007;Enomoto, et al, 2010, Sabry, 2010, Jaussent, 2011. However, other studies in urban localities in Egypt reported a much lower rate of insomnia down to 33.4% (Bakr, 2012;Saber, 2013 andShokry, 2014). This contradiction cloud be explained by differences in the socio-demographic characteristics of studied elderly.…”

Section: Discussionsupporting

confidence: 82%

“…The older adult chooses the best answer either yes: one (1) or No: zero (0) for how he/ she has felt over the last week. From the 15 questions, 10 questions were indicating the presence of depression when answered positively, while the rest (question numbers 1,5,7,11,13) were indicating depression when answered negatively. Scores ranges from zero to 15, items are summed for total scores.…”

Section: Tools For Data Collectionmentioning

confidence: 99%

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Prevalence of insomnia and its associated factors among rural elderly: a community based study

El‐Gilany

Saleh

Mohamed

et al. 2017

IJANS

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Background: Insomnia is a common problem among older adults and can lead to several complications affecting the quality of life of elderly people. Aim: To estimate the prevalence of insomnia and its associated factors among community-dwelling elderly. Study design: This is a cross-sectional descriptive study carried out on 1059 elderly living in three villages affiliated to Mansoura District, Egypt. Data collected during an interview included: socio-demographic and clinical features, habits before sleeping, environmental factors that could affect sleeping, the geriatric depression scale and Athens insomnia scale. Logistic regression analysis was done to find out the independent predictors of insomnia. Results: The prevalence of insomnia was 62.1%. The logistic regression revealed that insomnia is less likely among elderly of 75 and more (AOR=0.3) compared to those aged 60-75 years. The risk of insomnia is high among those with depression (AOR=6.4 and 14.6 for mild and moderate/severe depression; respectively), fear of death (AOR=14.7), life stressors (AOR=7.1), presence of musculoskeletal disorders (AOR=5.6), respiratory disorders (AOR=4.5), worry about children (AOR=4.5) and cold bedroom (AOR=2.7). Conclusion: Slightly less than two-thirds of the studied subjects have insomnia, and most of the associated factors are preventable and/or controllable. Recommendations: According to the results of the present study, the following recommendations are suggested: Design educational program for elders to enhance sleep through emphasizing on the importance of sleep hygiene practice, behavioral and nonpharmacological interventions, and healthy lifestyle.

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Section: Discussionsupporting

confidence: 82%

Section: Tools For Data Collectionmentioning

confidence: 99%

Prevalence of insomnia and its associated factors among rural elderly: a community based study

El‐Gilany

Saleh

Mohamed

et al. 2017

IJANS

View full text Add to dashboard Cite

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“…Interestingly, having a moderate, rather than poor, perception of health was found to be the most important risk factor. Studies in the literature showed that health perception was associated with insomnia . This result reflects the importance of subjective health—that is how chronic diseases, rather than the number of chronic diseases, affect the elderly in terms of insomnia.…”

Section: Discussionmentioning

confidence: 91%

“…The prevalence of insomnia is significantly affected by various sociodemographic and medical factors such as sex, age, marital status, income level, education level, employment status, and somatic or psychiatric conditions . It is important to determine the sociodemographic and medical factors that are associated with insomnia on distinct country samples in order to decrease negative outcomes …”

Section: Introductionmentioning

confidence: 99%

The prevalence of insomnia and its risk factors among older adults in a city in Turkey's Aegean Region

2019

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Aim: Experienced by many older adults, insomnia is a significant public health problem that requires the attention of health-care professionals and researchers. This study aimed to identify insomnia and its risk factors among community-dwelling older adults. Methods: This cross-sectional study was conducted in Denizli, Turkey. The study sample consisted of 360 elderly individuals aged 60 years and older who were admitted to one of six family health centres for any reason between 29 March 2016 and 17 June 2016. Data were collected by using a descriptive form for the elderly and the Insomnia Severity Index. The χ 2 test was used to compare independent variables and insomnia status. Logistic regression analysis was used for the variables that were found to be significant at the end of the single-variable analysis. Results: The mean age of the subjects, all of whom lived at home, was 69.52 AE 8.36 years. Insomnia was quite common among them (51%), and its severity was low (8.51 AE 5.56). At the end of logistic regression analysis, a moderate perception of health (OR = 10.859, 95%CI: 3.532-33.385) and the number of medications used (OR = 3.326, 95%CI: 1.014-10.907) were identified as risk factors for insomnia. Conclusion: Based on the results of this study, we can state that insomnia is common among older adults. Therefore, older adults who are admitted to health-care institutions should be evaluated for insomnia. Factors identified as affecting insomnia were health perception and the number of medications used. Given that health perception and polypharmacy are associated with chronic disease management, helping the elderly to effectively manage chronic diseases may alleviate insomnia.

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“…In Egypt, in Alexandria (2013) a study reported that 33.4% of elderly people experienced insomnia (Saber A, 2013). Other studies done in Cairo 2012 and Zagazig 2014-Egypt, found that the prevalence of insomnia among older people were 36.4%, and 33.6% respectively (Bakr et al, 2012;Abd Allah et al, 2014).…”

Section: Introductionmentioning

confidence: 88%

Relationship between Night Sleep and Day Time Sleepiness, Activities of Daily Living, and Cognitive Status of Community Dwelling Elders

Fouad

Mohammed

Mohamed

2017

Egyptian Journal of Health Care

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Sleep disorders are commonly under diagnosed and are a significant source of concern in the geriatric population. Because of the high prevalence, complexity, and health implications associated with sleep-related disorders in older individuals, increasing attention is now being focused on this topic. Aim: The aim of this study is to identify the relationship between night sleep and day time sleepiness, activities of daily living, and cognitive status of community dwelling elders. Setting: The study was carried out in the medical outpatient clinics in The South Valley Main University Hospital at Qena city. Subjects: The study included, one hundred older adults aged 60 years and above, able to communicate effectively, and accept to participate in the study Tools: five tools were used in this study; the socio-demographic and clinical data structured interview schedule, Short Portable Mental Status Questionnaire (SPMSQ), The Katz Activities of Daily Living (ADL) Scale, The Epworth Sleepiness Scale (ESS), and Functional Outcomes of Sleep Questionnaire. Results: A statistically significant difference was observed between elders' social characteristics outcome and excessive daytime Sleepiness of the studied elders. More than half of a very sleepy studied elders reported poor productivity, poor social outcome, poor activity levels, and poor vigilance. Around two thirds of the poor functional outcome' studied elders were dependent in ADLs, and had mild-moderate cognitive impairment. Conclusion: positive relationships were found between poor functional outcomes of sleep subscales (poor productivity, poor social outcome, poor activity levels, and poor vigilance) and the older adults' dependency in performing A DL. Sever cognitive impairment, and very sleepy older adults, that should seek medical advice. Recommendations: Preparation of an instructional booklet to include tips to improve sleep pattern, importance of stick to a regular bedtime, sleep hygiene practice, and healthy life style. Taking into consideration criteria of written materials for the elders should be considered.

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Insomnia in institutionalized older people in Cairo, Egypt: Prevalence and risk factors associated

Cited by 12 publications

References 21 publications

Prevalence of insomnia and its associated factors among rural elderly: a community based study

Prevalence of insomnia and its associated factors among rural elderly: a community based study

The prevalence of insomnia and its risk factors among older adults in a city in Turkey's Aegean Region

Relationship between Night Sleep and Day Time Sleepiness, Activities of Daily Living, and Cognitive Status of Community Dwelling Elders

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