Marital Status, Marital Transitions, and Sleep Quality in Mid to Late Life

August, Kristin J.

doi:10.1177/01640275211027281

Cited by 13 publications

(8 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[44] The study participants who had unstable marriages were associated with poor sleep quality compared to those who had stable marriages (AOR = 3.758; 95% CI: 1.151-12.277). This is in agreement with the studies conducted in New Jersey, [45] Saudi, [46] and Yunnan, China. [47] Lee et al found that marital quality is positively correlated with sleep quality.…”

Section: Discussionsupporting

confidence: 93%

Sleep quality and related influencing factors in adult hypertensive patients in Shandong Province, China

2023

View full text Add to dashboard Cite

Hypertension is a leading cause of death worldwide. Hypertension is associated with poor sleep quality, which adversely affects physical and mental health, and can increase the incidence rate and mortality of cardiovascular disease, cancer, and depression. This study aimed to investigate the prevalence of the factors related to poor sleep quality in hypertensive patients in Shandong Province, China. This cross-sectional study of adult patients with hypertension from August 2020 to February 2021was conducted in 10 cooperative hospitals in Shandong Province, China. Information was collected in the form of a questionnaire. In this study, Pittsburgh sleep quality index was used to evaluate sleep quality. A multivariate logistic regression model was used to analyze the risk of poor sleep quality. Variables with a P value < 0.05 and a 95% confidence interval (CI) were considered statistically significant. A total of 528 patients with hypertension were included, ranging in age from 31 to 90 years old. The prevalence of poor sleep quality among study participants with hypertension was 319 (60.4%) (95% CI: 0.562–0.646). Female gender (adjusted odds ratios [AOR] = 3.231; 95% CI: 2.194–4.757), stage III blood pressure (AOR = 2.142; 95% CI: 1.108–4.141), mental labor, and labor both physical and mental (AOR = 1.639; 95% CI:1.03–2.611 and AOR = 1.632; 95% CI: 1.030–2.584), unstable marriage (AOR = 3.203; 95% CI: 1.026–9.997) and the very Low-density Lipoprotein (odds ratios = 0.776; 95% CI: 0.649–0.928) were significantly associated with poor sleep quality. This study preliminarily showed that poor sleep quality was a common problem in hypertensive patients, and more than half of the hypertensive patients had poor sleep quality. Poor sleep quality was significantly correlated with gender, hypertension level, occupation, marital status, and the very Low-density Lipoprotein. Considering the negative impact of sleep quality, appropriate strategies should be developed to prevent and treat poor sleep quality in hypertensive patients.

show abstract

Section: Discussionsupporting

confidence: 93%

Sleep quality and related influencing factors in adult hypertensive patients in Shandong Province, China

2023

View full text Add to dashboard Cite

show abstract

“…In this study, individuals who were divorced or currently married had better sleep quality score than those who were never married. A previous study in the USA observed that individuals transitioning into marriage had improved sleep quality while those becoming divorced had subsequent risk of poor sleep quality [ 39 ]. This study found higher odds of having sleep problems among those with DM and other multimorbid conditions, a finding consistent with that observed among individuals with similar morbidity profile in other LMICs [ 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

Sleep problems and their predictors in community-dwelling older adults with diabetes in India: Evidence from the Longitudinal Ageing Study in India

Maheshwari,

Basu

2024

Sleep Medicine: X

View full text Add to dashboard Cite

“…Results also indicate that married individuals are more efficient sleepers, use fewer medications, and have less daytime dysfunction than unmarried individuals, suggesting that despite poor overall sleep quality scores, married military personnel can compensate for the demands of daytime work by improving their sleep efficiency. Another possible explanation for the results is that sleeping with a spouse who develops sleep apnea may interfere with the individual’s sleep ( 20 ). The lack of investigation of the physical condition of the spouse in this study warrants caution in the interpretation of the results.…”

Section: Discussionmentioning

confidence: 99%

Marital status and living apart affect sleep quality in male military personnel: a study of the China’s Navy during COVID-19

Guo¹,

Yang²,

Lian³

et al. 2023

Front. Psychiatry

View full text Add to dashboard Cite

BackgroundMarital status is a robust sociodemographic predictor of sleep. Having to live apart from spouse may have different implications than those of cohabitants or singles, especially in military personnel. Further research on this group will help provide knowledge in advance and facilitate early targeted interventions.MethodsAn online questionnaire study was conducted from July to November 2021. A total of 1,832 male military personnel completed the questionnaire. The marital status was measured by a self-reported single choice question. Pittsburgh sleep quality index (PSQI), Epworth Sleepiness Scale (ESS) and The Dysfunctional Beliefs and Attitudes about sleep scale (DBAS-16) were used to measure sleep-related outcomes. Inverse probability weighting (IPW) was applied to reduce the effects of confounding. Logistic regression was used to analyze the relationship between marital status and sleep and explore the impact of living together or not.ResultsAfter inverse probability weighting, the prevalence of poor sleep quality, sleepiness and dysfunctional beliefs were 16.1, 20.1 and 7.1%, respectively. One-way ANOVA results for the means of both groups were statistically significantly different, except for the sleep latency and sleep disturbance dimensions of PSQI. Participants who were married were more likely to have poor sleep quality (OR: 1.408, 95% CI: [1.10, 1.80]), to have daytime sleepiness (OR: 1.560, 95% CI: [1.27, 1.92]) and to develop dysfunctional beliefs and attitudes (OR: 2.497, 95% CI: [1.65, 3.80]) than those who were unmarried. Further analysis showed that the odds of developing poor sleep quality and DBAS in participants who married but living apart were significantly bigger than those unmarried (OR: 1.548 and 3.991, respectively.), while there were no significant differences in the odds of daytime sleepiness (OR: 0.738, p = 0.050). Age was a protective factor for the development of bad sleep outcomes, while family economic was an independent risk factor.ConclusionMarital status appear important for sleep quality, daytime sleepiness and sleep beliefs. The effect of living apart or not should be considered separately as an important predictor of sleep.

show abstract

Marital Status, Marital Transitions, and Sleep Quality in Mid to Late Life

Cited by 13 publications

References 40 publications

Sleep quality and related influencing factors in adult hypertensive patients in Shandong Province, China

Sleep quality and related influencing factors in adult hypertensive patients in Shandong Province, China

Sleep problems and their predictors in community-dwelling older adults with diabetes in India: Evidence from the Longitudinal Ageing Study in India

Marital status and living apart affect sleep quality in male military personnel: a study of the China’s Navy during COVID-19

Contact Info

Product

Resources

About