To analyze the sleep quality and associated factors among community-dwelling adults aged ≥ 60 years in the urban areas of Nanjing, China, thus providing evidence for optimizing sleep quality in this population.
From July to December 2023, a multi-stage stratified sampling method was used to randomly select 2 851 adults aged ≥ 60 years from urban communities in Nanjing. Face-to-face questionnaire surveys were conducted to systematically collect data on general demographic characteristics, daily lifestyle behaviors, and medical history. The Pittsburgh sleep quality index (PSQI) was adopted to assess sleep quality.
The older adults in the urban areas of Nanjing presented the mean PSQI score of 5.31 ± 3.27, with the poor sleep quality detection rate of 40.3%. Multivariate analysis revealed that the individuals aged 70–79 (OR = 1.24, 95%CI: 1.04–1.47) and ≥ 80 years (OR = 1.69, 95%CI: 1.30–2.19) had worse sleep quality than those aged 60–69 years. Additionally, the presence of cardiovascular diseases (OR = 1.50, 95%CI: 1.19–1.88), other chronic diseases (OR = 1.68, 95%CI: 1.19–2.38), depressive symptoms (OR = 2.04, 95%CI: 1.24–3.37), and anxiety symptoms (OR = 2.69, 95%CI: 1.88–3.86) were also significant influencing factors for poor sleep quality (all P < 0.05).
Poor sleep quality is common among older adults in the urban areas of Nanjing, and its occurrence is associated with age, cardiovascular diseases, other chronic diseases, depressive symptoms, and anxiety symptoms.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |