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Epidemiology and Health 2018;e2018018.
DOI: https://doi.org/10.4178/epih.e2018018    [Accepted] Published online May 14, 2018.
Assessing sleep quality and associated factors among the elderly living in rural Chiang Rai, northern Thailand
Weerakorn Thichumpa1  , Nopporn Howteerakul1  , Nawarat Suwannapong2  , Visasiri Tantrakul3 
1Department of Epidemiology, Mahidol University, Bangkok, Thailand
2Department of Public Health Administration, Mahidol University, Bangkok, Thailand
3Division of Pulmonary and Critical Care, Department of Medicine, Ramathibodi Hospital, Bangkok, Thailand
Correspondence  Nopporn Howteerakul ,Tel: +66 (0) 2354-8541, Fax: +66 (0) 2354-8567, Email: nopporn.how@mahidol.ac.th
Submitted: February 7, 2018  Accepted after revision: May 14, 2018
This study aimed to indentify the prevalence of poor sleep quality and its associated factors among community-dwelling elderly in northern Thailand.
A cross-sectional study was conducted among 266 randomly selected elderly from a sub-district in rural Chiang Rai Province, northern Thailand. The elderly people were interviewed using the Thai version of the Pittsburgh Sleep Quality Index (T-PSQI).
About 44.0% of the participants had poor sleep quality (PSQI score >5), 9.4% used sleep medication, 27.1% had poor family relationships and 12.0% had mild depression. Multiple logistic regression analyses indicated that being female (OR=1.74, 95%CI 1.10-3.02), higher education level (OR=3.03 95%CI 1.34-6.86 for primary school vs no school; OR=2.48 95%CI 1.31-5.44 for >primary school vs no school), mild depression (OR=2.65, 95%CI 1.11-6.36), and poor family relationships (OR=3.65, 95%CI 1.98-6.75) were significantly associated with poor sleep quality.
The prevalence of poor sleep quality among the elderly was moderately high. Healthcare providers should regularly conduct screening for sleep quality and depression; provide sleep health education; run interventions to encourage participation in family activities, resolution of conflicts, sharing of ideas and making of compromises within the family.
Keywords: sleep quality; rural elderly; prevalence; depression; family relations


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