ArticlePloS one2017
Association between elder abuse and poor sleep: A cross-sectional study among rural older Malaysians.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Measuring Subjective Sleep Quality: A Review.International journal of environmental research and public health · 2021Pooled it
- Dimensionality of the Pittsburgh Sleep Quality Index: a systematic review.Health and quality of life outcomes · 2018Pooled it
- Examining the Factor Structure of the Pittsburgh Sleep Quality Index in a Multi-Ethnic Working Population in Singapore.International journal of environmental research and public health · 2019Trial
- Behind Closed Doors: Elder Abuse as an Overlooked Pandemic of Modern Times.Nursing reports (Pavia, Italy) · 2026Review
- Latent profile analysis of self-neglect and associated factors among rural older adults with chronic diseases: a cross-sectional study.Frontiers in public health · 2026Article
- Association between sleep quality and quality of life in Singapore.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Relationship between emotional elder abuse and developmental function of the family.Nursing open · 2023Article
- Socioeconomic status and sleep health: a narrative synthesis of 3 decades of empirical research.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Review
- Development of a Conceptual Framework for Severe Self-Neglect (SN) by Modifying the CREST Model for Self-Neglect.Frontiers in medicine · 2021Article
- Article
- Circadian rhythm and its association with birth and infant outcomes: research protocol of a prospective cohort study.BMC pregnancy and childbirth · 2020Article
- Reliability, Validity, and Factor Structure of Pittsburgh Sleep Quality Index in Community-Based Centenarians.Frontiers in psychiatry · 2020Article
- Self-Reported Sleep Quality Using the Malay Version of the Pittsburgh Sleep Quality Index (PSQI-M) In Malaysian Adults.International journal of environmental research and public health · 2019Article
- Unhealthy Lifestyle Associated with Higher Intake of Sugar-Sweetened Beverages among Malaysian School-Aged Adolescents.International journal of environmental research and public health · 2019Article
- Article
- Correction: Association between elder abuse and poor sleep: A cross-sectional study among rural older Malaysians.PloS one · 2017Article
- A Scoping Review and Conceptual Framework Examining the Role of Sleep Disturbance in Financial Exploitation in Older Adults.Gerontology & geriatric medicineArticle
Corrections and comments
- Erratum issued
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine the association between elder abuse and poor sleep using a Malay validated version of Pittsburgh Sleep Quality Index (PSQI).
designThis study was divided into two phases. Phase I tested the construct validity and reliability of the Malay version of PSQI. Phase II was a population-based, cross-sectional study with a multi-stage cluster sampling method. Home-based interviews were conducted by trained personnel using a structured questionnaire, to determine exposure and outcome.
settingKuala Pilah, a district in Negeri Sembilan which is one of the fourteen states in Malaysia.
participants1648 community-dwelling older Malaysians.
resultsThe Malay version of PSQI had significant test re-test reliability with intra-class correlation coefficients of 0.62. Confirmatory factor analyses revealed that one factor PSQI scale with three components (subjective sleep quality, sleep latency, and sleep disturbances) was most suitable. Cronbach's Alpha was 0.60 and composite reliability was 0.63. PSQI scores were highest among neglect (4.11), followed by physical (4.10), psychological (3.96) and financial abuse (3.60). There was a dose-response relationship between clustering of abuse and PSQI scores; 3.41, 3.50 and 3.84 for "no abuse", "1 type of abuse" and "2 types or more". Generalized linear models revealed six variables as significant determinants of sleep quality-abuse, co-morbidities, self-rated health, income, social support and gait speed. Among abuse subtypes, only neglect was significantly associated with poor sleep.
conclusionThe Malay PSQI was valid and reliable. Abuse was significantly associated with poor sleep. As sleep is essential for health and is a good predictor for mortality among older adults, management of abuse victims should entail sleep assessment. Interventions or treatment modalities which focus on improving sleep quality among abuse victims should be designed.
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