Does abuse in late life worsen sleep quality? A two-year prospective cohort study among rural older adults
Background: Elder abuse and neglect (EAN) is a growing public health problem, and numerous adverse health effects of abuse in late life have been documented. Little is known, however, about the impact of elder abuse on sleep quality. This study examines the longitudinal relationship between EAN and...
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| Format: | Article |
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John Wiley & Sons
2018
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| author | Yunus, Raudah Mohd Hairi, Noran Naqiah Choo, Wan Yuen Sooryanarayana, Rajini Hairi, Farizah Mohd Ismail, Norliana Kandiben, Shathanapriya Tey, Nai Peng Ali, Zainudin Mohd Ahmad, Sharifah Nor Razak, Inayah Abdul Othman, Sajaratulnisah Peramalah, Devi Mydin, Fadzilah Hanum Mohd Bulgiba, Awang |
| author_facet | Yunus, Raudah Mohd Hairi, Noran Naqiah Choo, Wan Yuen Sooryanarayana, Rajini Hairi, Farizah Mohd Ismail, Norliana Kandiben, Shathanapriya Tey, Nai Peng Ali, Zainudin Mohd Ahmad, Sharifah Nor Razak, Inayah Abdul Othman, Sajaratulnisah Peramalah, Devi Mydin, Fadzilah Hanum Mohd Bulgiba, Awang |
| author_sort | Yunus, Raudah Mohd |
| collection | UM |
| description | Background: Elder abuse and neglect (EAN) is a growing public health problem, and numerous adverse health effects of abuse in late life have been documented. Little is known, however, about the impact of elder abuse on sleep quality. This study examines the longitudinal relationship between EAN and sleep quality. Methods: This was a 2-year prospective cohort study involving 1927 older adults in a rural Malaysian district, Kuala Pilah. A multi-stage cluster sampling strategy was employed. After 2 years, 1189 respondents were re-assessed. EAN was determined using the modified Conflict Tactic Scale, while sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Results: The prevalence of elder abuse was 8.1% (95% CI:6.9,9.3). Longitudinal analysis using generalized estimating equations showed that elder abuse contributed to higher PSQI scores (B:0.49, 95% CI:0.17,0.58). Sub-analyses demonstrated that psychological abuse and neglect had significant longitudinal relationships with increase of PSQI scores, while other subtypes did not. Conclusion: Abuse in late life, particularly psychological abuse and neglect, result in greater PSQI scores. Even though this may imply decline in sleep quality, our findings were not considered clinically significant as they did not exceed the clinical cut-off score of five. Nevertheless, sleep quality is an important determinant of health and a predictor of mortality among older adults; thus, understanding its relationship with abuse is useful to health care providers and policy-makers in improving health services and upgrading preventive measures. |
| first_indexed | 2024-03-06T05:49:47Z |
| format | Article |
| id | um.eprints-19955 |
| institution | Universiti Malaya |
| last_indexed | 2024-03-06T05:49:47Z |
| publishDate | 2018 |
| publisher | John Wiley & Sons |
| record_format | dspace |
| spelling | um.eprints-199552019-01-11T04:31:55Z http://eprints.um.edu.my/19955/ Does abuse in late life worsen sleep quality? A two-year prospective cohort study among rural older adults Yunus, Raudah Mohd Hairi, Noran Naqiah Choo, Wan Yuen Sooryanarayana, Rajini Hairi, Farizah Mohd Ismail, Norliana Kandiben, Shathanapriya Tey, Nai Peng Ali, Zainudin Mohd Ahmad, Sharifah Nor Razak, Inayah Abdul Othman, Sajaratulnisah Peramalah, Devi Mydin, Fadzilah Hanum Mohd Bulgiba, Awang HB Economic Theory HC Economic History and Conditions R Medicine Background: Elder abuse and neglect (EAN) is a growing public health problem, and numerous adverse health effects of abuse in late life have been documented. Little is known, however, about the impact of elder abuse on sleep quality. This study examines the longitudinal relationship between EAN and sleep quality. Methods: This was a 2-year prospective cohort study involving 1927 older adults in a rural Malaysian district, Kuala Pilah. A multi-stage cluster sampling strategy was employed. After 2 years, 1189 respondents were re-assessed. EAN was determined using the modified Conflict Tactic Scale, while sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Results: The prevalence of elder abuse was 8.1% (95% CI:6.9,9.3). Longitudinal analysis using generalized estimating equations showed that elder abuse contributed to higher PSQI scores (B:0.49, 95% CI:0.17,0.58). Sub-analyses demonstrated that psychological abuse and neglect had significant longitudinal relationships with increase of PSQI scores, while other subtypes did not. Conclusion: Abuse in late life, particularly psychological abuse and neglect, result in greater PSQI scores. Even though this may imply decline in sleep quality, our findings were not considered clinically significant as they did not exceed the clinical cut-off score of five. Nevertheless, sleep quality is an important determinant of health and a predictor of mortality among older adults; thus, understanding its relationship with abuse is useful to health care providers and policy-makers in improving health services and upgrading preventive measures. John Wiley & Sons 2018 Article PeerReviewed Yunus, Raudah Mohd and Hairi, Noran Naqiah and Choo, Wan Yuen and Sooryanarayana, Rajini and Hairi, Farizah Mohd and Ismail, Norliana and Kandiben, Shathanapriya and Tey, Nai Peng and Ali, Zainudin Mohd and Ahmad, Sharifah Nor and Razak, Inayah Abdul and Othman, Sajaratulnisah and Peramalah, Devi and Mydin, Fadzilah Hanum Mohd and Bulgiba, Awang (2018) Does abuse in late life worsen sleep quality? A two-year prospective cohort study among rural older adults. International Journal of Geriatric Psychiatry, 34 (1). pp. 60-66. ISSN 0885-6230, DOI https://doi.org/10.1002/gps.4986 <https://doi.org/10.1002/gps.4986>. https://doi.org/10.1002/gps.4986 doi:10.1002/gps.4986 |
| spellingShingle | HB Economic Theory HC Economic History and Conditions R Medicine Yunus, Raudah Mohd Hairi, Noran Naqiah Choo, Wan Yuen Sooryanarayana, Rajini Hairi, Farizah Mohd Ismail, Norliana Kandiben, Shathanapriya Tey, Nai Peng Ali, Zainudin Mohd Ahmad, Sharifah Nor Razak, Inayah Abdul Othman, Sajaratulnisah Peramalah, Devi Mydin, Fadzilah Hanum Mohd Bulgiba, Awang Does abuse in late life worsen sleep quality? A two-year prospective cohort study among rural older adults |
| title | Does abuse in late life worsen sleep quality? A two-year prospective cohort study among rural older adults |
| title_full | Does abuse in late life worsen sleep quality? A two-year prospective cohort study among rural older adults |
| title_fullStr | Does abuse in late life worsen sleep quality? A two-year prospective cohort study among rural older adults |
| title_full_unstemmed | Does abuse in late life worsen sleep quality? A two-year prospective cohort study among rural older adults |
| title_short | Does abuse in late life worsen sleep quality? A two-year prospective cohort study among rural older adults |
| title_sort | does abuse in late life worsen sleep quality a two year prospective cohort study among rural older adults |
| topic | HB Economic Theory HC Economic History and Conditions R Medicine |
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