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Sleep quality and associated factors among community-dwelling adults aged ≥ 60 years in Nanjing, 2023: a cross-sectional study
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Guofeng AO1, 2, Qing YE1, 2, Zhiyong WANG1, 2, Caihong HU1, Tianrui DENG1, 2, Huiqing XU1, 2, Fei XU1, 2
Chinese Journal of Public Health | 2025, 41(12) : 1450 - 1455
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Chinese Journal of Public Health | 2025, 41(12): 1450-1455
• Special Report—Promoting Healthy Aging and Improving the Quality of Life for the Elderly •
Sleep quality and associated factors among community-dwelling adults aged ≥ 60 years in Nanjing, 2023: a cross-sectional study
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Guofeng AO1, 2, Qing YE1, 2, Zhiyong WANG1, 2, Caihong HU1, Tianrui DENG1, 2, Huiqing XU1, 2, Fei XU1, 2
Affiliations
  • 1Nanjing Municipal Center for Disease Control and Prevention Affiliated to Nanjing Medical University, Nanjing, Jiangsu Province 210003, China
  • 2School of Public Health, Nanjing Medical University, Nanjing, Jiangsu Province 211166, China
Published: 2025-12-10 doi: 10.11847/zgggws1147338
Outline
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Objective

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.

Methods

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.

Results

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).

Conclusions

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.

older adults  /  sleep quality  /  prevalence characteristics  /  Nanjing city
敖国凤, 叶青, 王志勇, 胡彩红, 邓天瑞, 许慧清, 徐斐. 2023年南京市≥60岁社区老年人睡眠质量及相关因素分析:一项横断面研究. 中国公共卫生, 2025 , 41 (12) : 1450 -1455 . DOI: 10.11847/zgggws1147338
Guofeng AO, Qing YE, Zhiyong WANG, Caihong HU, Tianrui DENG, Huiqing XU, Fei XU. Sleep quality and associated factors among community-dwelling adults aged ≥ 60 years in Nanjing, 2023: a cross-sectional study[J]. Chinese Journal of Public Health, 2025 , 41 (12) : 1450 -1455 . DOI: 10.11847/zgggws1147338
Year 2025 volume 41 Issue 12
80
37
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Article Info
doi: 10.11847/zgggws1147338
  • Receive Date:2025-03-10
  • Online Date:2026-10-25
  • Published:2025-12-10
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History
  • Received:2025-03-10
  • Revised:2025-06-24
  • Accepted:2025-08-12
Affiliations
    1Nanjing Municipal Center for Disease Control and Prevention Affiliated to Nanjing Medical University, Nanjing, Jiangsu Province 210003, China
    2School of Public Health, Nanjing Medical University, Nanjing, Jiangsu Province 211166, China

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XU Fei, E-mail:
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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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
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