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Gepubliceerd in: Quality of Life Research 3/2018

30-11-2017

Prospective associations of social isolation and loneliness with poor sleep quality in older adults

Auteurs: Bin Yu, Andrew Steptoe, Kaijun Niu, Po-Wen Ku, Li-Jung Chen

Gepubliceerd in: Quality of Life Research | Uitgave 3/2018

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Abstract

Purpose

There is evidence for negative associations between social isolation and loneliness and sleep quality in older adults. However, it is unclear to what extent these two factors independently affect sleep quality. This study examined the simultaneous associations of social isolation and loneliness with sleep quality in a longitudinal study of older adults.

Methods

Data were analyzed from the Social Environment and Biomarkers of Aging Study in Taiwan collected in 2000 and 2006, involving a cohort of 639 participants (mean age = 66.14, SD 7.26). Poisson regression models were conducted to examine the association of social isolation and/or loneliness with sleep quality at follow-up after adjusting for multiple confounding variables.

Results

Univariate analysis showed that sleep quality was inversely associated with both social isolation and loneliness. After demographic, health, cognitive factors, and depressive symptoms were controlled in multivariable analysis, social isolation at the baseline still predicted poor sleep quality 6 years later (incident rate ratio, IRR 1.14; 95% CI 1.04–1.24; p < 0.01), while the association between loneliness and sleep quality was no longer significant (IRR 1.08; 95% CI 0.94–1.23; p = 0.27). The results were unchanged when participants who had poor sleep quality at the baseline were excluded from the analysis.

Conclusions

These findings confirm an adverse effect of social isolation on the sleep quality of older adults, but indicate that this effect is independent of loneliness. Social isolation and loneliness seem to have distinct pathways in affecting the sleep quality of older adults.
vorige artikel The association between somatic and psychological discomfort and health-related quality of life according to the elderly and non-elderly
volgende artikel Causal effects of informal care and health on falls and other accidents among the elderly population in China
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Metagegevens
Titel
Prospective associations of social isolation and loneliness with poor sleep quality in older adults
Auteurs
Bin Yu
Andrew Steptoe
Kaijun Niu
Po-Wen Ku
Li-Jung Chen
Publicatiedatum
30-11-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 3/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1752-9

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