ArticlePloS one2020
The prevalence of poor sleep quality and associated risk factors among Chinese elderly adults in nursing homes: A cross-sectional study.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Socially-supported sleep in older adults aged 50 and older: a concept analysis.Frontiers in public health · 2024Pooled it
- Health effects of social connectedness in older adults living in congregate long-term care settings: A systematic review of quantitative and qualitative evidence.International journal of older people nursing · 2023Pooled it
- Prospective multidimensional predictors of poor sleep quality in older adults: A cross-national study.Applied psychology. Health and well-being · 2026Article
- Validity and reliability of the sleep health index among community-dwelling older adults.Frontiers in public health · 2026Article
- VR-based nature interventions for health promotion in long-term care facilities (Nature Boost)-a mixed-methods feasibility study protocol.Frontiers in digital health · 2026Article
- Efficacy of Taiji Stick exercise on sleep quality and anxiety in older adults: a randomized controlled trial.Frontiers in psychology · 2026Article
- Sleep quality and possible sarcopenia in community-dwelling older adults: physical and mental fatigability as mediators.BMC geriatrics · 2025Article
- Quality of Sleep among the Post Operative Patients at a Tertiary Care Hospital: An Observational Study.JNMA; journal of the Nepal Medical Association · 2025Observational
- Worldwide Prevalence of Poor Sleep Quality in Older Adults: A Systematic Review and Meta-Analysis.Iranian journal of psychiatry · 2025Review
- Scoping review of the measurement of care environment factors that impact sleep in the rehabilitation, subacute, and aged care settings.Sleep advances : a journal of the Sleep Research Society · 2025Review
- Poor sleep quality was associated with increased plasma aldosterone concentration in community dwellers, a cross-sectional study.Scientific reports · 2025Article
- Exploring perceptions of dignity among older adults living in nursing homes: a qualitative study.Frontiers in psychiatry · 2025Article
- Association of the interaction between nutritional status and frailty level with sleep quality in older adults.Frontiers in public health · 2025Article
- The relationship between childhood adversity and sleep quality among rural older adults in China: the mediating role of anxiety and negative coping.BMC psychiatry · 2024Article
- Healthier Dietary Patterns Are Associated with Better Sleep Quality among Shanghai Suburban Adults: A Cross-Sectional Study.Nutrients · 2024Article
- The Association Between Essential Metal Element Mixture and Sleep Quality in Chinese Community-Dwelling Older Adults.Biological trace element research · 2024Article
- Article
- Subjective sleep quality and sleep habits of elderly inhabiting rural areas of Sambalpur district of Odisha, India.PloS one · 2024Article
- Associations between food insecurity and Sleep Duration, Quality, and Disturbance among older adults from six low- and middle-income countries.The journal of nutrition, health & aging · 2024Article
- Sleep Quality and Subjective Cognitive Decline among Older Adults: The Mediating Role of Anxiety/Depression and Worries.Journal of aging research · 2024Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSleep problems have become the most common complaints among the elderly. There are a few studies that explored the prevalence of poor sleep quality and its associated factors among the elderly in nursing homes. Therefore, this study aimed to examine the prevalence of poor sleep quality and its associated factors among the Chinese elderly in nursing homes.
methodsA total of 817 elderly residents, from 24 nursing homes, were included in this cross-sectional study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and poor sleep quality was defined as PSQI >5. Multiple binary logistic regression was used to estimate the strength of the association between risk factors and poor sleep quality in terms of adjusted odds ratios (AORs) and their 95% confidence intervals (CIs), and interactions of risk factors for poor sleep quality were also examined.
resultsThe prevalence of poor sleep quality was 67.3% (95% CI: 64.0, 70.5%) among the Chinese elderly in nursing homes. Multiple binary logistic regression results showed that participants with the following characteristics had an increased risk of poor sleep quality after adjustments for other confounders: being 70-79 years old (AOR: 1.78, 95% CI: 1.08, 2.92) or 80 years old and above (AOR: 2.67, 95% CI: 1.68, 4.24); having one to two kinds of chronic diseases (AOR: 2.05, 95% CI: 1.39, 3.01) or three or more kinds of chronic diseases (AOR: 2.35, 95% CI: 1.39, 4.00); depression symptoms (AOR: 1.08, 95% CI: 1.04, 1.11), anxiety symptoms (AOR: 1.11, 95% CI: 1.05, 1.18), and social support(AOR: 0.97, 95% CI: 0.95, 0.99). Additive interactions were detected between age and anxiety symptoms (AOR: 8.34, 95% CI: 4.43, 15.69); between chronic disease and anxiety symptoms (AOR: 8.61, 95% CI; 4.28, 17.31); and between social support and anxiety symptoms (AOR: 6.43, 95% CI: 3.22, 12.86).
conclusionsThe prevalence of poor sleep quality among the elderly in nursing homes is relatively high. Besides, anxiety symptoms has additive interactions with age, chronic disease and social support for poor sleep quality. These findings have significant implications for interventions that aim to improve sleep quality among elderly residents in nursing homes.
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