Social participation and older adults' sleep

被引:58
作者
Chen, Jen-Hao [1 ,2 ]
Lauderdale, Diane S. [3 ]
Waite, Linda J. [4 ]
机构
[1] Univ Missouri, Dept Hlth Sci, 501 Clark Hall, Columbia, MO 65211 USA
[2] Univ Missouri, Harry S Truman Sch Publ Affairs, 501 Clark Hall, Columbia, MO 65211 USA
[3] Univ Chicago, Dept Publ Hlth Sci, Chicago, IL 60637 USA
[4] Univ Chicago, Dept Sociol, Chicago, IL 60637 USA
基金
美国国家卫生研究院;
关键词
Actigraphy; Aging; Social participation; Sleep; RELIGIOUS ATTENDANCE; CIGARETTE-SMOKING; MORTALITY; HEALTH; INSOMNIA; POPULATION; DURATION; LIFE; PREVALENCE; MECHANISMS;
D O I
10.1016/j.socscimed.2015.11.045
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Sleep complaints are common among older adults, and poor sleep has been found to predict chronic diseases and mortality. Many studies suggest that social participation benefits healthy aging. We examined the relationships between older adults' social participation and their sleep using two waves (2005-2006, 2010-2011) of data from the National Social Life, Health, and Aging Project (NSHAP). The NSHAP recorded older adults' social participation (including religious attendance, volunteer work, and attendance at meetings of organized groups) over five years, and included self-reported sleep duration in both waves and, in the second wave, measures of insomnia symptoms and measures of sleep patterns and rhythms using actigraphy for a subsample. Cross-sectional analysis of the second wave indicates that those reporting higher levels of social participation had better actigraphic sleep but not better self reported sleep. However, longitudinal analysis suggests that change in social participation was not associated with actigraphic or self-reported sleep characteristics in the second wave data. Further analysis using fixed-effects model showed no association between change in social participation and change in self-reported sleep duration. Thus, although older adults with greater social participation slept better, we did not find that increasing social participation improved sleep. These findings imply that a self-selection process may at work; or if social participation does affect sleep, the causal effect may be over a much shorter time frame than five years. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:164 / 173
页数:10
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