ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2026
A Qualitative Exploration of Factors Affecting Sleep Experiences Among Older Adults in a Resource-Challenged Urban Community.
Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 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
BackgroundSleep problems are common in later life and linked to increased morbidity and mortality. African American and low-income older adults disproportionately experience sleep problems.ObjectiveOur aim was to identify factors perceived to affect sleep and garner feedback on potential components of a behavioral sleep intervention.MethodsWe conducted 21 semi-structured interviews with adults in an underserved urban community aged 50 to 74 (77% African American) reporting persistently poor sleep. We used a rapid qualitative analysis approach to develop themes.ResultsResults revealed multilevel sleep barriers related to both life stage and setting: for example, stress, chronic pain, vigilance due to security concerns and caregiving, and noise. All participants wanted to improve sleep without medications. Intervention components of most interest were contact with a community health worker, a watch to track sleep, and educational resources. The barriers identified here should be addressed in interventions to improve sleep in this population.
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