ArticleFrontiers in public health2026
Validity and reliability of the sleep health index among community-dwelling older adults.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Sleep health represents a positive and multidimensional framework that extends beyond the absence of sleep disturbances or insufficient sleep duration. Despite its clinical relevance, empirical research on sleep health in older adults remains limited. The Sleep Health Index (SHI) was developed to comprehensively evaluate sleep health. This study aimed to validate the Chinese version of the SHI among community-dwelling older adults. Methods: This is a cross-sectional design. Older adults aged 60 years and above were recruited ( Results: Exploratory factor analysis supported a three-factor structure, which was subsequently confirmed by confirmatory factor analysis (i.e., sleep quality, sleep duration, and disordered sleep), consistent with the original validation study. Parallel analysis further confirmed the three-factor solution. Measurement invariance testing across gender supported full metric and scalar invariance. The SHI-C demonstrated concurrent validity through strong negative correlations with both the PSQI ( Conclusion: The SHI-C is a reliable and valid measurement for assessing sleep health in community-dwelling older adults. These findings suggest its potential utility for the sleep health assessment among this population, thereby contributing to the geriatric care enhancement.
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