Social participation and older adults' sleep

Chen, Jen-Hao; Lauderdale, Diane S.; Waite, Linda J.

doi:10.1016/j.socscimed.2015.11.045

Cited by 58 publications

(67 citation statements)

References 65 publications

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“…It is widely believed that social participation is the key to healthy ageing. However, data from the US National Social Life, Health, and Aging Project has shown that older adults with greater social participation slept better, but increasing social participation did not improve sleep …”

Section: Introductionmentioning

confidence: 98%

“…However, data from the US National Social Life, Health, and Aging Project has shown that older adults with greater social participation slept better, but increasing social participation did not improve sleep. 8 The percentage of the elderly population is growing due to increased life expectancy and improved socioeconomic development. Surprisingly, in the World Health Organization's 2015 World Report on Ageing and Health, there is no mention of sleep disorders.…”

Section: Introductionmentioning

confidence: 99%

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Sleep disorders in the elderly: a growing challenge

2018

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In contrast to newborns, who spend 16-20 h in sleep each day, adults need only about sleep daily. However, many elderly may struggle to obtain those 8 h in one block. In addition to changes in sleep duration, sleep patterns change as age progresses. Like the physical changes that occur during old age, an alteration in sleep pattern is also a part of the normal ageing process. As people age, they tend to have a harder time falling asleep and more trouble staying asleep. Older people spend more time in the lighter stages of sleep than in deep sleep. As the circadian mechanism in older people becomes less efficient, their sleep schedule is shifted forward. Even when they manage to obtain 7 or 8 h sleep, they wake up early, as they have gone to sleep quite early. The prevalence of sleep disorders is higher among older adults. Loud snoring, which is more common in the elderly, can be a symptom of obstructive sleep apnoea, which puts a person at risk for cardiovascular diseases, headaches, memory loss, and depression. Restless legs syndrome and periodic limb movement disorder that disrupt sleep are more prevalent in older persons. Other common medical problems of old age such as hypertension diabetes mellitus, renal failure, respiratory diseases such as asthma, immune disorders, gastroesophageal reflux disease, physical disability, dementia, pain, depression, and anxiety are all associated with sleep disturbances.

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Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Sleep disorders in the elderly: a growing challenge

2018

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“…Crosssectional analyses in a study published by Chen et al found positive associations between social participation and objectively-measured sleep among adults older than age 57. 21 No study to date has assessed the association between resilience and sleep in older adults. [21][22][23][24] Meanwhile, several studies have examined correlates of sleep complaints among older adults, but these efforts have not captured the full picture of physical and mental illness, medication use, and psychosocial factors.…”

Section: Introductionmentioning

confidence: 99%

“…21 No study to date has assessed the association between resilience and sleep in older adults. [21][22][23][24] Meanwhile, several studies have examined correlates of sleep complaints among older adults, but these efforts have not captured the full picture of physical and mental illness, medication use, and psychosocial factors. Thus, the primary objectives of this cross-sectional study were to (1) investigate the prevalence of poor sleep quality and short/long sleep duration among older adults with chronic musculoskeletal pain, and (2) estimate the effects of negative risk factors, medications, and positive psychosocial factors on these sleep outcomes.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Factors Associated with Sleep Quality and Duration Among Older Adults with Chronic Pain

Zaidel

Karl

Kraemer³

et al. 2021

Population Health Management

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Sleep complaints are common among older adults with chronic pain. Because of the risk of significant side effects, sleep medications are not recommended as first-line treatments. Little is known about the association between positive psychosocial factors and sleep, but further awareness could support non-drug strategies to minimize poor sleep. The purpose of this study was to (1) determine the prevalence of self-reported poor sleep quality and short/long sleep duration in a population of older adults with chronic pain, and (2) examine the associations of negative risk factors, sleep-inducing medications, and positive psychosocial characteristics on sleep outcomes in this population. This study analyzed survey responses from 4201 adults ages ‡65 years with diagnosed back pain, osteoarthritis, and/or rheumatoid arthritis, and at least 1 year of continuous medical and drug plan enrollment. The most commonly reported sleep outcome was short sleep duration (39%), followed by poor sleep quality (22%), and long sleep duration (9%). Based on pharmaceutical claims, prescriptions for opioids (59%) or benzodiazepines (22%) were common. Perceived stress, depression, and pain or sleep prescription medications were independently associated with poor sleep quality and short or long sleep durations. The positive psychosocial factors of higher resilience and more diverse social networks were independently associated with good sleep quality and optimal sleep duration. These results underscore the importance of social and coping factors to sleep, which may provide new opportunities to improve sleep and well-being in older adults with chronic pain.

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“…Many previous studies that focused on the link between SP and health measures relied on samples of old adults [7][8][9]. Only few focused on younger ages or examined the mediating role of different SP practices in the SES-health association [10,11].…”

Section: Introductionmentioning

confidence: 99%

Socio-economic status, self-rated health and mental health: the mediation effect of social participation on early-late midlife and older adults

Achdut

Sarid

2020

Isr J Health Policy Res

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Background: Socioeconomic status (SES) is a major determinant of diverse health outcomes, among these are selfrated-health and mental health. Yet the mechanisms underlying the SES-health relation are not fully explored. Socioeconomic inequalities in health and mental health may form along several pathways. One is social participation which is linked to better self-rated-health and mental health. We examined (1) whether various social participation practices, including the usage of information and communication technology, relate to a unidimensional or multidimensional phenomenon (2) the relationship among SES, social participation, self-rated-health and mental health; (3) whether social participation and mental health mediates the association between SES and self-rated-health; (4) whether social participation and self-rated-health mediates the links between SES and mental health. Method: Cross-sectional data for individuals aged 35 and older were taken from the Israeli Social Survey for 2016 (N = 4848). Social participation practices included connection with family and friends, self-perceived-support, self-perceived trust, volunteering, civic and political involvement, and information and communication technology usage. An exploratory factor analysis was conducted for all social participation practices. We then constructed structural Equation Modeling (SEM) to explore paths of relations among SES, social participation, self-rated-health and mental health. Results: We found disparities in self-rated health and mental health across SES. Social participation practice, 'frequency of meeting with friends', mediated the links between SES-self-rated health and SES-mental health. Formal social participation practices along with internet usage mediated the SES-self-rated health link. Informal social participation practices and self-perceived trust mediated the SES-mental health link. Mental health mediated the SESself-rated health link and self-rated health mediated the SES-mental health link. Conclusion: The links between SES and the two health constructs were enhanced by common and distinct social participation practices. Enhancement of social participation practices among low SES individuals is recommended. Social participation should be a prominent aspect of preventive medicine practice and health promotion interventions. Policy makers are called to support such programs as an important way to promote public health.

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Social participation and older adults' sleep

Cited by 58 publications

References 65 publications

Sleep disorders in the elderly: a growing challenge

Sleep disorders in the elderly: a growing challenge

Psychosocial Factors Associated with Sleep Quality and Duration Among Older Adults with Chronic Pain

Socio-economic status, self-rated health and mental health: the mediation effect of social participation on early-late midlife and older adults

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