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Insomnia in Indonesia older adults: the role of mental health, sociodemographic status, and physical function

Insomnia in Indonesia older adults: the role of mental health, sociodemographic status, and physical function
Insomnia in Indonesia older adults: the role of mental health, sociodemographic status, and physical function
Background and objective: insomnia can cause impairment in physical, mental, and social functioning, which contributes to considerable healthcare and social challenges. This study aims to investigate various potential associated factors of insomnia among older adults in Indonesia.

Methods: publicly available data of the fifth wave of the Indonesia Family Life Survey (IFLS-5) was taken cross-sectionally from 2014 to 2015 with a multistage stratified sampling method. This data included 4236 Indonesian older adults aged of 60 and older from all over Indonesia. Numerous social demographic and wellbeing variables that were gathered through assessments and surveys were examined. The evaluation of despair and its contributing components was done using multivariate logistic regression.

Results: older adults with low education (adjusted odds ratio [AOR]: 1.73, 95% confidence interval [CI]: 1.16–2.60), poor subjective economic status (AOR: 1.52, 95% CI: 1.13–2.05), having low life satisfaction (AOR: 1.46, 95% CI: 1.14–1.87), being self-perceived as unhealthy (AOR: 2.26, 95% CI: 1.80–2.84) or lonely (AOR: 1.77, 95% CI: 1.34–2.35), physically dependent measured by Activity Daily Living (AOR: 1.46, 95% CI: 1.01–1.96), having arthritis (AOR: 1.40, 95% CI: 1.04–1.85) and depression (AOR: 4.14, 95% CI: 3.21–5.33) are associated to insomnia.

Conclusions: depression has the strongest association to insomnia in elderly. Involving older adults in cognitive and social activities, providing supports for lonely individuals, improving their physical function, prompt treatment of arthritis and symptomatic pain may reduce the risk for insomnia. Early detection and providing mental services including social activities to depressed older adults may also decrease the risk of insomnia.
Indonesia, Older people, insomnia, Sleep disturbance, Insomnia, Older adults, Risk factors
2093-9175
96-105
Handajani, Yvonne Suzy
ce79656a-4c33-4d30-a1d1-cd96b90a21aa
Schröder-Butterfill, Elisabeth
b10e106a-4d5d-4f41-a7d2-9549ba425711
Hogervorst, Eef
d3cb1ae1-86b7-47d4-84b2-d124fddb0c30
Turana, Yuda
293428e7-5414-49fe-8ae4-5941630330ae
Hengky, Antoninus
44fcbb3d-968d-46aa-8214-4d67b2a120ef
Handajani, Yvonne Suzy
ce79656a-4c33-4d30-a1d1-cd96b90a21aa
Schröder-Butterfill, Elisabeth
b10e106a-4d5d-4f41-a7d2-9549ba425711
Hogervorst, Eef
d3cb1ae1-86b7-47d4-84b2-d124fddb0c30
Turana, Yuda
293428e7-5414-49fe-8ae4-5941630330ae
Hengky, Antoninus
44fcbb3d-968d-46aa-8214-4d67b2a120ef

Handajani, Yvonne Suzy, Schröder-Butterfill, Elisabeth, Hogervorst, Eef, Turana, Yuda and Hengky, Antoninus (2024) Insomnia in Indonesia older adults: the role of mental health, sociodemographic status, and physical function. Sleep Medicine Research, 15 (2), 96-105. (doi:10.17241/smr.2023.02068).

Record type: Article

Abstract

Background and objective: insomnia can cause impairment in physical, mental, and social functioning, which contributes to considerable healthcare and social challenges. This study aims to investigate various potential associated factors of insomnia among older adults in Indonesia.

Methods: publicly available data of the fifth wave of the Indonesia Family Life Survey (IFLS-5) was taken cross-sectionally from 2014 to 2015 with a multistage stratified sampling method. This data included 4236 Indonesian older adults aged of 60 and older from all over Indonesia. Numerous social demographic and wellbeing variables that were gathered through assessments and surveys were examined. The evaluation of despair and its contributing components was done using multivariate logistic regression.

Results: older adults with low education (adjusted odds ratio [AOR]: 1.73, 95% confidence interval [CI]: 1.16–2.60), poor subjective economic status (AOR: 1.52, 95% CI: 1.13–2.05), having low life satisfaction (AOR: 1.46, 95% CI: 1.14–1.87), being self-perceived as unhealthy (AOR: 2.26, 95% CI: 1.80–2.84) or lonely (AOR: 1.77, 95% CI: 1.34–2.35), physically dependent measured by Activity Daily Living (AOR: 1.46, 95% CI: 1.01–1.96), having arthritis (AOR: 1.40, 95% CI: 1.04–1.85) and depression (AOR: 4.14, 95% CI: 3.21–5.33) are associated to insomnia.

Conclusions: depression has the strongest association to insomnia in elderly. Involving older adults in cognitive and social activities, providing supports for lonely individuals, improving their physical function, prompt treatment of arthritis and symptomatic pain may reduce the risk for insomnia. Early detection and providing mental services including social activities to depressed older adults may also decrease the risk of insomnia.

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More information

Accepted/In Press date: 28 March 2024
e-pub ahead of print date: 27 June 2024
Published date: 27 June 2024
Additional Information: Publisher Copyright: Copyright © 2024 The Korean Society of Sleep Medicine
Keywords: Indonesia, Older people, insomnia, Sleep disturbance, Insomnia, Older adults, Risk factors

Identifiers

Local EPrints ID: 492204
URI: http://eprints.soton.ac.uk/id/eprint/492204
ISSN: 2093-9175
PURE UUID: dcd1a9f1-2955-4ce3-bf7d-1bbb336a6b43
ORCID for Elisabeth Schröder-Butterfill: ORCID iD orcid.org/0000-0002-5071-8710

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Date deposited: 22 Jul 2024 16:35
Last modified: 12 Dec 2024 02:41

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Contributors

Author: Yvonne Suzy Handajani
Author: Eef Hogervorst
Author: Yuda Turana
Author: Antoninus Hengky

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