Relationship of Cognitive and Social Engagement to Health and Psychological Outcomes in Community-Dwelling Older Adults

Liebzeit, Daniel; Kuo, Wan-Chin; Carlson, Beverly; Mueller, Kimberly D.; Koscik, Rebecca L.; Smith, Marianne; Johnson, Sterling C.; Bratzke, Lisa C.

doi:10.1097/nnr.0000000000000589

Cited by 2 publications

(1 citation statement)

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“…Definitions of what ages define “senior citizens” are based on different legal, social, and health contexts (e.g., social security benefits, senior housing, retirement saving plan, or Medicare). To cover a broad range of the aging population, respondents who were 55 or older in 2020 were included in the current data analysis (Liebzeit et al, 2022 ). In total, 2021 respondents were included in the current data analysis, after deleting respondents who were under the age of 55 or had missing data in the primary exposure or outcome variables (i.e., chronic stressors and insomnia symptoms).…”

Section: Methodsmentioning

confidence: 99%

Linking chronic stress to insomnia symptoms in older adults: The role of stress co‐occurrence during the pandemic

Kuo

Ersig

Kunkul

et al. 2022

Research in Nursing & Health

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Studies examining the associations of chronic stressors with sleep health in older adults have shown conflicting results. While the COVID-19 pandemic increased perceived stress at the population level, less is known about chronic stressors experienced by older adults in the context of the COVID-19 pandemic and its impact on sleep health in an aging population. This study aims to examine the association of older adults' chronic stress with insomnia symptoms during the first year of the COVID-19 pandemic. A cross-sectional analysis was performed using early-release COVID-19 data from the Health and Retirement Study. Data on chronic stressors and insomnia symptoms in older adults (N = 2021; mean age = 68.8) were examined. Co-occurrence network analysis, latent class analysis, Rao-Scott χ 2 tests, and multivariable logistic regression were used to characterize the co-occurrence of chronic stressors and associations with insomnia symptoms. The most common co-occurring chronic stressors during the first year of the COVID-19 pandemic were self-health issues, family-health issues, and financial stress. Older adults experiencing frequent stress co-occurrence had 91% higher odds of difficulty initiating sleep (p < 0.001), 40% higher odds of frequent nocturnal awakening (p = 0.028), and 83% higher odds of nonrestorative sleep (p < 0.001). However, adjustment for health risk factors and COVID-19 concerns attenuated the effects, leaving strongest association for difficulty initiating sleep (odds ratio = 1.51, p = 0.010). Frequent stress co-occurrence plays an important role linking chronic stress to insomnia symptoms in an aging population.Ongoing research is needed to examine the lingering effects of frequent stress cooccurrence on older adults' sleep health in the post COVID-19 era.

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Section: Methodsmentioning

confidence: 99%