The prevalence and clinical risk factors of insomnia in the Chinese elderly based on comprehensive geriatric assessment in Chongqing population

Zou, Yan; Chen, Yao; Yu, Weihua; Chen, Tian; Tian, Qi; Tu, Qiuyun; Deng, Yongtao; Duan, Jingxi; Xiao, Mingzhao; Lü, Yang

doi:10.1111/psyg.12402

Cited by 18 publications

(14 citation statements)

References 29 publications

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“…Second, being separated from their children or partners can cause older people to become depressed and isolated and to lack emotional comfort (54,55). Finally, may problems can occur with aging, [e.g., cognitive decline, sleep disturbances, and malnutrition (56)]. Previous studies have reported that hypertension and diabetes are characterized by a long course, a poor prognosis, and are difficult to cure.…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China

Liu

Meng

et al. 2020

Front. Public Health

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Population aging is one of the major challenges facing modern society and has attracted global attention. With population aging becoming a global phenomenon, the impact of age-related diseases on health is increasing rapidly. Frailty is one of the most pressing issues facing older adults. The purpose of this study was to explore the interrelationship between health literacy, social support, depression, and frailty among older patients with hypertension and diabetes in China. No studies have investigated the mediating effects of social support and depression between health literacy and frailty. The findings of this study can be applied to help ameliorate frailty in older hypertensive and diabetic patients. Data were collected from 637 older hypertensive and diabetic patients aged 65 years and older in Sichuan Province, China. We used structural equation modeling (SEM) to test the hypothesized relationship among the variables. The results showed that 42.4% of the participants suffered from frailty. The mean scores for health literacy, social support, depression, and frailty were 13.6 ± 5.7, 35.7 ± 6.5, 4.0 ± 3.4, and 3.5 ± 2.1, respectively. Social support had a direct negative association with frailty (β = −0.128, 95%CI: [−0.198, −0.056]), and depression had a direct positive association with frailty (β = 0.326, 95%CI: [0.229, 0.411]), while social support had no direct association with depression. Health literacy had a direct positive association with social support (β = 0.151, 95%CI: [0.077, 0.224]) and a direct negative association with depression (β = −0.173, 95%CI: [−0.246, −0.1]), while health literacy had an indirect negative association with frailty through the mediating effect of social support and depression. To mitigate frailty in older patients with hypertension and diabetes, measures that provide social support, and enhance health literacy, while alleviating depression, should be considered, along with greater attention to patients who are divorced, widowed, or unmarried, those with comorbidities, and those with lower socioeconomic status.

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Section: Discussionmentioning

confidence: 99%

The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China

Liu

Meng

et al. 2020

Front. Public Health

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“…Compared with the prevalence reported in most previous works, the insomnia prevalence revealed in this study is much higher. The prevalence was reported range 11.9-37.75% among the general population, community residents, adults, and the elderly in China [6,7]. Meanwhile, it was also higher than 24% reported for U.S. workers [9], 32.9% for Korean workers [10], and 4.7% for male workers in Japan [29], but similar to 39.7% for gas transmission industry workers in Iran [30].…”

Section: Discussionmentioning

confidence: 93%

“…However, the prevalence of insomnia and its associated factors are rarely known in steel workers, especially in China. Several socio-demographic, psychological, lifestyle-and be havior-related, as well as occupational factors are associated with insomnia, including anxiety, physical health, religious beliefs [5], sex [6], alcohol consumption [20], a lack of steady income, less frequent social contacts, reduced social capital, living alone [7], shift work [21], occupational stress [8], etc. However, little is known about whether the prevalence of insomnia and its associated factors are different across job categories of steel workers.…”

Section: Questionnaire Measurementsmentioning

confidence: 99%

“…In previous studies [1][2][3][4], the prevalence of insomnia ranged 7.1-79.8% in general populations in the world, e.g., 7.1% in Norway [2], 22.1% in the USA [1], 11.9% in Hong Kong of China [3], and 79.8% in Brazil [4]. In China, studies have shown that the prevalence of insomnia ranges 12.7-55.7% in different populations [5][6][7][8]. Although the prevalence of insomnia varies considerably in terms of criteria and symp-toms, the prevalence above 30% for the global general population is commonly accepted.…”

Section: Introductionmentioning

confidence: 97%

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Job category differences in the prevalence and associated factors of insomnia in steel workers in China

Cui

et al. 2020

Int J Occup Med Environ Health

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This study aimed to investigate the prevalence of insomnia and risk factors among different job categories of steel workers in China, in order to improve their quality of occupational life. Material and Methods: A cross-sectional face-to-face survey was conducted which involved 5834 steel workers from a large enterprise located in northern China, including front-line, maintenance and inspection, and other auxiliary workers. The Athens Insomnia Scale and the Job Content Questionnaire were used to assess the status of insomnia and job stress/social support, respectively. Multivariable logistic regression was used to identify factors influencing insomnia. Results: The overall prevalence of insomnia was determined at 42.0% (95% confidence interval: 40.7%-43.2%). For front-line, maintenance and inspection, and other auxiliary workers, the prevalence was 42.3%, 39.8%, and 47.9% (p = 0.001), respectively. The participants with high stress and low support, and those who had experienced ≥2 major life events in the past 12 months, compared to those with low stress and high support, and those without major events, displayed an increased risk of insomnia among all 3 job categories (the adjusted odds ratio ranged 1.56-2.38 and 1.30-1.75, respectively). The educational level, shift work, alcohol consumption, and present illness were identified as influencing factors of insomnia for 1 or 2 job categories. Conclusions: The prevalence of insomnia was the highest in the group of other auxiliary steel workers among the 3 job categories of steel workers under consideration. While the influencing factors of insomnia differed among the groups, job stress and major life events were common risk factors of insomnia among the 3 categories of steel workers.

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“…The American Insomnia Survey, an epidemiological survey, showed that insomnia in the general population reached 22.1% based on the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-TR (2). The prevalence of insomnia increases with age, and its prevalence in the elderly is known to be around 20-55% (1,3,4). Chronic insomnia constitutes a vicious cycle that makes the disease more susceptible to fixation.…”

Section: Introductionmentioning

confidence: 99%

Non-pharmacological Treatment for Elderly Individuals With Insomnia: A Systematic Review and Network Meta-Analysis

et al. 2021

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Background: Insomnia causes a huge socioeconomic burden among the elderly, and is not simply a health problem. This study aimed to determine the comparative advantage of the effectiveness and acceptability of non-pharmacological interventions available for elderly individuals with insomnia.Methods: Comprehensive searches in 13 medical databases were performed to find relevant randomized controlled trials (RCTs) up to August 2019. Two independent reviewers performed study selection, data extraction, and quality assessment of included RCTs using the Cochrane Collaboration's risk of bias. A network meta-analysis within the frequentist model was performed by combining direct and indirect evidence from all available RCTs. The primary outcomes were effectiveness as measured by the Pittsburgh Sleep Quality Index (PSQI) total score and acceptability by the incidence of all-cause drop-out.Results: Twenty-eight RCTs involving 2,391 participants were included. Compared to wait-list, acupuncture (standardized mean difference −4.37, 95% confidence interval −8.53 to −0.12), acupuncture combined with benzodiazepines (−5.20, −9.82 to −0.57), behavioral therapy (−10.44, −17.31 to −3.58), benzodiazepines (−4.28, −8.45 to −0.11), benzodiazepines combined with cognitive behavioral therapy (CBT) (−7.18, −12.17 to −2.19), and CBT (−4.93, −8.63 to −1.22) showed significant superiority in their effectiveness. No significant comparative superiority or inferiority was found in terms of acceptability.Conclusions: In terms of effectiveness as indicated by the PSQI total score, compared to wait-list, superior benefits were observed for acupuncture, acupuncture combined with benzodiazepines, behavioral treatment, benzodiazepines, benzodiazepines combined with CBT, and CBT. Importantly, combined treatments, including benzodiazepines combined with CBT or with acupuncture, were generally superior to other monotherapies. In terms of acceptability, there was not enough data to draw conclusions. However, most RCTs included had methodological problems related to the lack of blinding procedure, suggesting a risk of effect size overestimation.Registration: CRD42019145518.

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The prevalence and clinical risk factors of insomnia in the Chinese elderly based on comprehensive geriatric assessment in Chongqing population

Cited by 18 publications

References 29 publications

The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China

The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China

Job category differences in the prevalence and associated factors of insomnia in steel workers in China

Non-pharmacological Treatment for Elderly Individuals With Insomnia: A Systematic Review and Network Meta-Analysis

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