Browse > Article
http://dx.doi.org/10.5932/JKPHN.2013.27.1.76

Sleep Quality and its Associated Factors in Adults  

Yi, Hyeryeon (Department of Nursing, Korea Nazarene University)
Publication Information
Journal of Korean Public Health Nursing / v.27, no.1, 2013 , pp. 76-88 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the degree of sleep quality and its associated factors in adults. Methods: The data was collected from 986 adults aged 19 to 64 by convenience sampling. Subjects completed a questionnaire composed of Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory, and other questions that self-rated health and sociodemographic variables. Statistical methods used included descriptive statistics, simple logistic regression, and multiple logistic regression analyses. Results: The global PSQI score was 5.7. About 45% of the subjects were poor sleepers (global PSQI score >5). Multiple logistic regression analyses showed that factors significantly associated with sleep quality were depression and poor self-rated health in young and middle-aged adults. Depression was the most significant associated factor. The presence of a spouse was also associated with sleep quality in young adults. Conclusion: These findings suggest that people with poor sleep quality should have their health carefully screened for depression. In addition, we recommend the development of a nursing program for improving sleep quality.
Keywords
Depression; Health status; Sleep;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Haseli-Mashhadi, N., Dadd, T., Pan, A., Yu, Z., Lin, X., & Franco, O. H. (2009). Sleep quality in middle-aged and elderly Chinese: Distribution, associated factors and associations with cardio-metabolic risk factors. BMC Public Health, 9(9), 130-140.   DOI   ScienceOn
2 Iliescu, E. A., Coo, H., McMurray, M. H., Meers, C. L., Quinn, M. M., Singer, M. A., & Hopman, W. M. (2003). Quality of sleep and health-related quality of life in haemodialysis patients. Nephrology, Dialysis, Transplantation, 18(1), 126-132.
3 Jennings, J. R., Muldoon, M. F., Hall, M., Buysse, D. J., & Manuck, S. B. (2007). Self-reported sleep quality is associated with the metabolic syndrome. Sleep, 30(2). 219-223.   DOI
4 Kaneita, Y., Ohida, T., Uchiyama, M., Takemura, S., Kawahara, K., Yokoyama, E., Miyake, T., Harano, S., Suzak, K., & Fujita, T. (2006). The relationship between depression and sleep disturbances: A Japanease nationwide general population survey. Journal of Clinical Psychiatry, 67(2), 196-203.   DOI   ScienceOn
5 Kang, Y. H., Kim, M. Y., Lee, G. J., Jung, D. Y., & Ma, Y. W. (2012). A study of social support, loneliness, sleep quality, and perceived health status among community -dwelling older adults. Journal of Korean Public Health Nursing, 26(2), 303-313.   DOI   ScienceOn
6 Kim, K. D. (1999). A study on quality of sleep and emotional health status in the elderly. Unpublished master's thesis, Kyungpook National University, Daegu.
7 Knutson, K. L., Ryden, A. M., Mander, B. A., & Cauter, E. V. (2006). Role of sleep duration and quality in the risk and severity of type 2 diabetes mellitus. Archives of Internal Medicine, 166(16), 1768-1774.   DOI   ScienceOn
8 Lam, R. W. (2006). Sleep disturbances and depression : a challenge for antidepressants. International Clinical Psychopharmacology, 21(Suppl 1), S25-29.   DOI   ScienceOn
9 Arber, S., Bote, M., & Meadows R. (2009). Gender and socio-economic patterning of self-reported sleep problems in Britain. Social Science and Medicine, 68(2), 281-289.   DOI   ScienceOn
10 Beck, A. T. (1967). Depression: clinical, experimental and theoretical aspects. New York: Harper & Row.
11 Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213.   DOI   ScienceOn
12 Cho, E. J. (2007). Influencing factors of subjective sleep quality among middle-aged women. Korean Journal of Women Health Nursing, 13(3), 201-210.
13 Chung, K. F., & Tang, M. K. (2006) Subjective sleep disturbance and its correlates in middle-aged Hong Kong Chinese women. Maturitas, 53(4), 396-404.   DOI   ScienceOn
14 Park, H. S., Kim, G. D., Kim, K. H., & Chung, B. Y. (2000). Comparison of quality of sleep and factors which are influenced on sleep among adolescents, adults and elderky. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 9(4), 429-439.
15 Lee, H. I. (2005). Depression. sleep patterns and health promoting behavior in female college students. Journal of Korean Public Health Nursing, 19(2), 305-315.
16 Lee, Y., & Song, J. (1991). A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean Journal of Clinical Psychiatry, 10(1), 98-113.
17 Lemma, S., Gelaye, B., Berhane, Y., Worku, A., & Williams, M. A. (2012). Sleep quality and its psychological correlates among university students in Ethiopia: A cross -sectional study. BMC Psychiatry. 28(12), 237.
18 Nakata, A. (2012). Investigating the associations between work hours, sleep status, and self-reported health among full-time employees. International Jouranl of Public Heatlh, 57(2), 403-411.
19 Nilsson, P. M., Nilssson, J. A., Hedblad, B., & Berglund, G. (2001). Sleep disturbance in association with elevated pulse rate for prediction mortality-consequences of mental strain? Journal of Internal Medicine, 250(6), 521-529.   DOI   ScienceOn
20 Phillips, K. D., Sowell, R. L., Boyd, M., Dudgeon, W. D., & Hand, G. A.; The Mind-Body Research Group (2005). Sleep quality and health-related quality of life in HIV-infected African-American women of childbearing age. Quality of Life Research, 14(4), 959-970.   DOI
21 Pilcher, J. J., Ginter, D. R., & Sadowsky, B. (1997). Sleep quality versus sleep quantity : relationship between sleep and measures of health, well-being and sleepiness in college students. Journal of Psychosomatic Research, 42(6), 583-596.   DOI   ScienceOn
22 Soltani, M., Haytabakhsh, M. R., Najman, J. M., Williams, G. M., O'Callaghan, M. J., Bor, W., Dingle, K., & Clavarino, A. (2012). Sleepless nights: the effect of socioeconomic status, physical activity, and lifestyle factors on sleep quality in a large cohort of Australian women. Archives of Womens Mental Health, 15(4), 237-247.   DOI
23 Wong, W. S., & Fielding, R. (2011). Prevalence of insomnia among Chinese adults in Hong Kong: a population-based study. Journal of Sleep Research, 20(1 Pt 1), 117-126.   DOI   ScienceOn
24 Strine, T. W., & Chapman, D. P. (2005). Association of frequent sleep insufficiency with health-related quality of life and health behaviors. Sleep Medicine, 6(1), 23-27.   DOI   ScienceOn
25 Veldi, M., Aluoja, A., & Vasar, V. (2005). Sleep quality and more common sleep-related problems in medical students. Sleep Medicine, 6(3), 269-275.   DOI   ScienceOn
26 Wang, T. J., Lee, S. C., Tsay, S. L., & Tung, H. H. (2010). Factors influencing heart failure patients' sleep quality. Journal of Advanced Nursing, 66(7), 1730-1740.   DOI   ScienceOn
27 Yang, S. A. (2012). Factors influencing depression of elderly women in a metropolitan city. Journal of Korean Public Health Nursing, 26(1), 158-173.   DOI   ScienceOn
28 Doi, Y., Minowa, M., & Tango, T. (2003). Impact and correlates of poor sleep quality in Japanese white-collar employees. Sleep, 26(4), 467-471.   DOI
29 Friedman, E. M., Hayney, M. S., Love, G. D., Urry, H. L., Rosenkranz, M. A., Davidson, R. J., Singer, B. H., & Ryff, C. D. (2005). Social relationships, sleep quality, and interleukin-6 in aging women. Proceedings of National Academy of Sciences of the United States of America, 102(51), 18757-18762.   DOI   ScienceOn
30 Hayashino, Y., Fukuhara, S., Suzukamo, Y., Okamura, T., Tanaka, T., & Ueshima, H.; HIPOP-OHP Research Group (2007). Relation between sleep quality and quantity, quality of life, and risk of developing diabetes in healthy workers in Japan : the High-risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) Study. BMC Public Health, 7(147), 129-138.   DOI