Insomnia and Health Services Utilization in Middle-Aged and Older Adults: Results From the Health and Retirement Study

Kaufmann, Christopher N.; Canham, Sarah L.; Mojtabai, Ramin; Gum, Amber M.; Dautovich, Natalie D.; Kohn, Robert; Spira, Adam P.

doi:10.1093/gerona/glt050

Cited by 66 publications

(56 citation statements)

References 21 publications

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“…However, while such measurement error might reduce the strength of association, we believe it is not the primary reason why we found no association between social participation and the insomnia symptom scale. First, these questions have been used in prior studies that yielded valuable insights about insomnia in the general population (e.g., Kaufmann et al, 2013). Second, while the reliability of the scale is not high, it is within the acceptable range for an additive scale.…”

Section: Discussionmentioning

confidence: 99%

Social participation and older adults' sleep

Chen

Lauderdale

Waite

2016

Social Science & Medicine

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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 models showed no association between changes in social participation and changes 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.

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Section: Discussionmentioning

confidence: 99%

Social participation and older adults' sleep

Chen

Lauderdale

Waite

2016

Social Science & Medicine

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“…Consistent with past research (Kaufmann et al, 2013), the responses of “almost always”, “often”, or “sometimes” to the four questions were coded as indicators of poor sleep quality. These four items were summed as an index that ranged from 0 to 4, with higher scores representing worse sleep quality.…”

Section: Methodsmentioning

confidence: 99%

Personality and sleep quality: Evidence from four prospective studies.

Stéphan¹,

Sutin²,

Bayard³

et al. 2018

Health Psychology

110

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Objective The present study examined the longitudinal association between personality traits and sleep quality in four samples of middle-aged and older adults. Method Participants (N > 22,000) were adults aged 30 to 107 years old from the Wisconsin Longitudinal Study (WLS), the Midlife in the United States Study (MIDUS), the Health and Retirement Study (HRS), and the Midlife in Japan Study (MIDJA). Personality and sleep quality were assessed at baseline and again 4 to 10 years later. Results Scoring lower on neuroticism and higher on extraversion was associated with better sleep quality at baseline and over time, with effect sizes larger than those of demographic factors. Low conscientiousness was associated with a worsening of sleep quality over time. Openness and agreeableness were unrelated to sleep quality. Poor sleep quality at baseline was associated with steeper declines in extraversion, agreeableness, and conscientiousness and a smaller decrease in neuroticism over time. Conclusion Replicable findings across samples support longitudinal associations between personality and sleep quality. This study identified specific personality traits that are associated with poor and worsening sleep quality, and substantiated previous findings that poor sleep quality is associated with detrimental personality trajectories.

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“…According to the Kaiser Family Foundation, inpatient care in 2011 accounted for the greatest portion of spending for Medicare beneficiaries aged 65 and older. 4 Prior studies [5][6][7] suggested that sleep disturbances and sleep disorders including insomnia are associated with greater healthcare utilization. These studies have not focused specifically on older adult populations, where the burden of sleep disorders and risk of inpatient hospitalizations are highest, and have also relied on self-reported sleep data that may not be as accurate as more objective sleep measures from actigraphy or polysomnography.…”

Section: Introductionmentioning

confidence: 99%

Sleep Disturbances and Risk of Hospitalization and Inpatient Days Among Older Women

Paudel

Taylor

et al. 2017

Sleep

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and poorer sleep quality (OR = 1.33, 95% CI 1.07-1.65) were each associated with a higher age and site-adjusted odds of hospitalization; associations were attenuated after multivariable adjustment for traditional prognostic factors with the OR for reduced SE (OR = 1.60, 95% CI 1.08-2.38) and shorter TST (OR = 1.63, 95% CI 1.12-2.37) remaining significant. Among women who were hospitalized, greater WASO (rate ratio [RR] = 1.20, 95% CI 1.04-1.37) and poorer sleep quality (RR = 1.18, 95% CI 1.02-1.35) were each associated with a greater age and site-adjusted RR of inpatient days, but associations did not persist after multivariate adjustment. Conclusions: Older women with sleep disturbances have an increased risk of hospitalization partially attributable to demographics, poorer health status, and comorbidities.

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Insomnia and Health Services Utilization in Middle-Aged and Older Adults: Results From the Health and Retirement Study

Cited by 66 publications

References 21 publications

Social participation and older adults' sleep

Social participation and older adults' sleep

Personality and sleep quality: Evidence from four prospective studies.

Sleep Disturbances and Risk of Hospitalization and Inpatient Days Among Older Women

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