ArticleBMC geriatrics2021
Factors associated with insomnia in older adult outpatients vary by gender: a cross-sectional study.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 38 citations in OpenAlex.
- Impact of Comprehensive Health Resort Treatment on Insomnia and Quality of Life in Older Adults: A Pre-Experimental Study.Healthcare (Basel, Switzerland) · 2026Article
- Subjective and Objective Sleep Measures in Patients With Insomnia With and Without Depression.Brain and behavior · 2026Article
- Sleep characteristics and risk factors in patients of insomnia comorbid with anxiety.BMC psychology · 2026Article
- Prevalence of insomnia and related factors in individuals aged 80 years and over: a cross-sectional study.Revista da Associacao Medica Brasileira (1992) · 2026Article
- Associations between appetite loss and psychopathology as well as gender differences in adolescents with major depressive disorders.BMC psychiatry · 2025Article
- Predictors and Factors Associated with Insomnia in a Brazilian Sample: A Cross-Sectional Study.Sleep science (Sao Paulo, Brazil) · 2025Article
- Validation and Discriminant Analysis of the Athens Insomnia Scale in Older Adults.International journal of methods in psychiatric research · 2025Article
- Study on the correlation between insomnia degree and quality of life in psychiatric outpatients in Chifeng city.World journal of psychiatry · 2025Article
- Insomnia and risk of mortality in older adults.Journal of sleep research · 2024Article
- The associations between sleep quality, mood, pain and appetite in community dwelling older adults: a daily experience study.The journal of nutrition, health & aging · 2024Article
- Psycho-social problems among older people residing in community of Chitwan, Nepal-A cross-sectional study.PloS one · 2024Article
- Validity and Reliability of the Turkish Version of the Sleep Condition Indicator: A Clinical Screening Instrument Based on the DSM-5 Criteria for Insomnia.Nature and science of sleep · 2024Article
- Impact of Gender on Insomnia.Brain sciences · 2023Article
- Linking chronic stress to insomnia symptoms in older adults: The role of stress co-occurrence during the pandemic.Research in nursing & health · 2023Article
- Feasibility of Digital Cognitive Behavioral Therapy for Depressed Older Adults With the Moodbuster Platform: Protocol for 2 Pilot Feasibility Studies.JMIR research protocols · 2022Article
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInsomnia is a common sleep disturbance in older adults and is associated with many poor health outcomes. This study aimed to explore factors associated with insomnia in older adult outpatient clinics, and to further analyze the influence of gender on factors associated with insomnia.
methodsThis cross-sectional study was conducted in the outpatient clinics of a tertiary hospital in Southern Taiwan from July to September 2018. A total of 400 consecutive subjects aged 60 years or older were recruited. Insomnia was defined as a score of ≥6 points on the Athens Insomnia Scale (AIS). Socio-demographics, health behaviors and clinical data were collected by face-to-face interview. Multivariable logistic regression was adopted for statistical analysis of the entire sample and stratified by gender.
resultsParticipants' mean age was 74.74 ± 8.54 years, and the majority (93%) had more than one chronic disease. The prevalence of insomnia accounted for 30% (120/400) of all subjects, with males 22.9% (46/201) and females 37.2% (74/199). Gender, appetite, exercise, depressive symptoms, and sleep-related conditions such as short sleep duration, sleeping pills usage, medium-high risk of obstructive sleep apnea (OSA) and restless leg syndrome (RLS) were factors associated with insomnia in older adults. Exercise, sleeping pills usage, and RLS were independently associated with insomnia only in men, while appetite and medium-high risk of OSA were associated with insomnia in women only. In addition, after further adjusting for covariates, prevalence of the insomnia-related symptoms such as sleep induction, total sleep duration, sleep quality and sleepiness during the day was significantly higher in females than in males.
conclusionsInsomnia symptoms are highly prevalent among older adults, predominantly females. Significant differences are found between genders in factors associated with insomnia and insomnia-related symptoms. Understanding gender differences may help clinicians to modify associated factors when managing older adults with insomnia.
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