Sleep Problems: An Emerging Global Epidemic? Findings From the INDEPTH WHO-SAGE Study Among More Than 40,000 Older Adults From 8 Countries Across Africa and Asia

摘要: OBJECTIVE:To estimate the prevalence of sleep problems and effect potential correlates in low-income settings from Africa Asia, where evidence is lacking. DESIGN: Cross-sectional. SETTING: Community-wide samples 8 countries across Asia participating INDEPTH WHO-SAGE multicenter collaboration during 2006-2007. The sites included rural populations Ghana, Tanzania, South Africa, India, Bangladesh, Vietnam, Indonesia, an urban area Kenya. PARTICIPANTS: There were 24,434 women 19,501 men age 50 yr older. INTERVENTIONS: N/A. MEASUREMENTS AND RESULTS: Two measures quality, over past 30 days, assessed alongside a number sociodemographic variables, quality life, comorbidities. Overall, 16.6% participants reported severe/extreme nocturnal problems, with striking variation populations, ranging 3.9% (Purworejo, Indonesia Nairobi, Kenya) to more than 40.0% (Matlab, Bangladesh). There was consistent pattern higher older groups. In bivariate analyses, lower education, not living partnership, poorer self-rated life consistently associated (P < 0.001). multivariate logistic regression limited physical functionality or greater disability feelings depression anxiety strong, independent both men, 0.001). CONCLUSIONS: A large adults are currently experiencing which emphasizes global dimension this emerging public health issue. This study corroborates multifaceted nature strongly linked general well-being psychiatric comorbidities