Health status and behavior influences to sleep quality among community-dwelling elderly in Chanthaburi Province, Thailand

Abstract

Purpose – The trend of sleep disorder is typically more common in aged changes due to health condition changes leading to poor sleep satisfies. Therefore the purpose of this study was to examine the rate and factors associated to sleep quality among Community-Dwelling Elderly in Chanthaburi Province, Thailand. Design/methodology/approach – A cross-sectional was conducted in 208 elderly by multi-stage sampling. All participants were interviewed by the questionnaire. sleep quality was assessed by Pittsburgh sleep quality index (PSQI). Sleep quality score ≥ 5 indicating poor sleep quality. Chi-square tests and Multivariate logistic regression models were performed to find significant associations. Findings – We found that 208 participants found 66.3% were poor sleep quality with score ≥ 5 PSQI. The adjusted odds ratio (AOR) for gender, age, and BMI, the multivariate logistic regression model, presented that elders had never participated social activities was increased poor sleep quality 5.962-fold odds (p.value<0.05; 95% CI 1.459 – 24.361). Elders had never prayed before sleep was increased poor sleep quality 1.478-fold odds (p.value<0.05; 95% CI 0.273 – 0.838). Perception of musculoskeletal problem was increased poor sleep quality 2.288-fold odds (p.value<0.05; 95% CI 1.249 – 4.192). Bladder problem perception was increased poor sleep quality 2.618-fold odds (p.value<0.05; 95% CI 1.084 – 6.327). Depression was increased poor sleep quality 3.275-fold odds (p.value<0.05; 95% CI 1.179 - 9.095). Lastly, smoking was increased poor sleep quality 2.147-fold odds (p.value<0.05; 95% CI 1.062 – 4.340). Originality/value – Promoting intervention regulation strategies particularly improving social participation, health education to prevent chronic diseases, and engages the mental health among elderly are essential.