The Relationship between the Number of Daily Health-Related Behavioral Risk Factors and Sleep Health of the Elderly in China
2019
Xiaojun Liu | Jingshu Chen | Jiayi Zhou | Jianjian Liu | Chanida Lertpitakpong | Anran Tan | Shaotang Wu | Zongfu Mao
This study examined the cross-sectional association among a number of daily health-related behavioral risk factors and sleep among Chinese elderly. A sample of 4993 adults, aged 60 years and older, from the China&rsquo:s Health-Related Quality of Life Survey for Older Adults 2018 was included in this study. Five daily health-related behaviors, which included smoking, drinking, unhealthy eating habits, insufficient leisure activities, and physical inactivity were measured. Sleep disturbances and sleep quality were used to represent the respondents&rsquo: sleep status. Multiple logistic regression models and multiple linear regression models were established. The odds ratios (ORs) of sleep disturbances for those with one to five health-related risk behaviors were 1.41 (95% CI = 1.11 to 1.78), 2.09 (95% CI = 1.66 to 2.63), 2.54 (95% CI = 1.99 to 3.25), 2.12 (95% CI = 1.60 to 2.80), and 2.49 (95% CI = 1.70 to 3.65), respectively. Individuals with one health-related risk behavior (B = 0.14, 95% CI = &minus:0.23 to &minus:0.06), two health-related risk behaviors (B = 0.21, 95% CI = &minus:0.30 to &minus:0.13), three health-related risk behaviors (B = 0.46, 95% CI = &minus:0.55 to &minus:0.37), four health-related risk behaviors (B = 0.50, 95% CI = &minus:0.62 to &minus:0.39), and five health-related risk behaviors (B = 0.83, 95% CI = &minus:1.00 to &minus:0.66) showed lower scores of self-perceived sleep quality. Having multiple health-risk behaviors was positively correlated with a higher risk of sleep disturbances among Chinese elderly. Moreover, elderly individuals with multiple health-related risk behaviors were significantly associated with poorer sleep quality.
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