Evidence map›Paper›PMID 41947065›Full record

ArticleBMC geriatrics2026

Factors associated with sleep quality in community-dwelling older adults: a latent class analysis.

Yunan Tao, Liya Wang, Yinyi Zhao, Huiqin Xi, Xiaohong Zhang, Yuru Yan, Yuanjie Chen, Zhihan Yu, Aiyong Zhu, Qianqian Zhou

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yunan Tao *Graduate School, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Liya Wang *Department of Nursing, Pujin Community Health Service Center, Minhang District, Shanghai, 201112, China.
Yinyi ZhaoSchool of Nursing and Health Management, Shanghai University of Medicine & Health Sciences, Shanghai, 201318, China.
Huiqin XiDepartment of Nursing, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China.
Xiaohong ZhangDepartment of Nursing, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China.
Yuru YanDepartment of Nursing, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China.
Yuanjie ChenSchool of Nursing and Health Management, Shanghai University of Medicine & Health Sciences, Shanghai, 201318, China.
Zhihan YuSchool of Nursing and Health Management, Shanghai University of Medicine & Health Sciences, Shanghai, 201318, China.
Aiyong ZhuGraduate School, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China. zhuay@sumhs.edu.cn.
Qianqian ZhouGraduate School, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China. zhouq2007@163.com.

Funding

2025 Shanghai Teacher Enterprise Practice School-Enterprise Cooperation Project hlzjsj202502Scientific Research Program of the Minhang District Health Commission 2024MW81
6 · The paper itself

Abstract

backgroundChina is home to 264 million adults aged ≥ 60 years, with 46% of community-dwelling older adults reporting poor sleep quality. Sleep quality is closely associated with biological, psychological, and social factors; however, few studies have explored its heterogeneity, leading to poorly targeted interventions. The aim of this study is to explore latent classes of sleep quality among community-dwelling older adults and to analyze their biopsychosocial correlates, providing evidence for tailored intervention approaches.

methodsFrom April to November 2025, convenience sampling was used to recruit community-dwelling individuals aged ≥ 60 years at the Pujin Community Health Service Center of Minhang District, Shanghai. Data were collected using a general information questionnaire and the Social Support Rating Scale, Geriatric Depression Scale-15, and Pittsburgh Sleep Quality Index. Latent class analysis was conducted to identify distinct sleep quality groups. Univariate and multivariate analyses were performed to explore relationships between latent classes of sleep quality and sociodemographic characteristics, physical health, lifestyle behaviors, depression, and social support.

resultsSleep quality was categorized into Class 1 (high sleep quality, non-pharmacological dependence), Class 2 (high sleep efficiency, high functional impairment), and Class 3 (long sleep latency, low sleep efficiency), observed in 19.37%, 42.03%, and 38.60% of the sample, respectively. Multinomial logistic regression analysis revealed that gender, body mass index, educational attainment, living arrangements, Number of Chronic Diseases, number of medications, number of missing teeth, physical activity, visual impairment, depression, and social support levels significantly influenced sleep quality classes.

conclusionsResults demonstrated that 62.6% of participants experienced impaired sleep quality. Significant associations were identified between latent classes of sleep quality, and biological, psychological, and social factors. Healthcare professionals should conduct early screenings and implement biopsychosocial model–based interventions to improve sleep quality, quality of life, and life expectancy among community-dwelling older adults. Future research should focus on conducting multicenter longitudinal studies, optimizing assessment tools, and exploring other factors influencing sleep. These efforts will provide scientific evidence to support the development and implementation of personalized sleep intervention strategies for community-dwelling older adults. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Independent LivingSleep QualitySleep Wake DisordersAgedAged, 80 and overChinaCross-Sectional StudiesDepressionFemaleHumansLatent Class AnalysisMaleMiddle AgedSocial SupportSurveys and QuestionnairesCommunityDepressionLatent class analysisOlder adultsSleep qualitySocial support

Identifiers

PMID41947065
PMCPMC13192227

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.