Factors Related to Sleep Quality among Older Adults in a Northeastern Province of Thailand
Abstract
Objective: This cross-sectional study aimed to determine the factors related to sleep quality among older adults aged 60 years and above in a northeastern province of Thailand.
Material and Methods: A total of 355 participants were randomly selected by multistage sampling between October and December 2024. Data collection tools included general characteristics, physical environment, family relationships, stress assessment, the Thai Geriatric Depression Scale (TGDS-15), and the Pittsburgh Sleep Quality Index (PSQI). The instrument’s content validity was ≥0.67 for each item, and the reliability was 0.77. Descriptive statistics and multiple logistic regression analysis were performed using a statistical software package. A p-value set at <0.05.
Results: Average age of participants was 68.59±8.741 years old; 45.7% had no underlying medical conditions and 23.1% lived in a rural area. Factors associated with sleep quality were being female (aOR, 0.58; 95%CI, 0.352 to 0.954), living in a rural area (aOR, 1.97; 95%CI, 1.104 to 3.493), having severe problems related to their physical environment (aOR, 3.60; 95%CI, 1.362 to 9.510), having moderate stress (aOR, 2.11; 95%CI, 1.219 to 3.635), and having signs of depression (aOR, 2.12; 95%CI, 1.270 to 3.553).
Conclusion: People in both urban and rural areas should be supported by intervention programs in order to increase good sleep quality. Furthermore, encouraging family bonding can promote a supportive home environment, strengthen relationships, and enhance overall family well-being. Activities that promote mental health, such as exercise, recreational activities, and meditation, are suggested to help reduce stress and depression in this population.
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