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Sleep quality and mental health of the elderly in China: evidence from longitudinal data

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Abstract

Against a macro backdrop of accelerating population aging, the mental health and sleep quality of China’s elderly have become subjects of interest because these factors are both closely linked to seniors’ quality of life. Based on multi-period tracking data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), this study uses a fixed-effects model to examine the correlation between the sleep quality and mental health of China’s elderly and found that: (1) the elderly in China generally had good sleep quality and mental health; (2) better sleep quality has a positive effect on the mental health of the elderly, while better mental health also positively boosts sleep quality of the elderly; and (3) there may be a causal relationship between the sleep quality and mental health of the elderly.

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References

  • Chang, P., Ford, D., Mead, L., et al. (1997). Insomnia in young men and subsequent depression: the Johns Hopkins precursors study. American Journal of Epidemiology, 146(2), 105–114.

    Article  Google Scholar 

  • Chen, C., Li, J., & Wang, J. (2007). The aged sleep quality and related factors among different areas. Chinese Journal of Health Psychology, 02, 188–189.

    Google Scholar 

  • Ding, L., Wu, B., Zheng, X., Li, L., & Wang, J. (2014). Analyzing the status of mental health of aging population in Shandong Province and its influencing factors. Chinese Health Service Management, 31(12), 948–951.

    Google Scholar 

  • Dregan, A., & Armstrong, D. (2009). Age, cohort, and period effects in the prevalence of sleep disturbances among older people: the impact of economic downturn. Social Science & Medicine, 69(10), 1432–1438.

    Article  Google Scholar 

  • Du, M. (2017). Impact of social support on the mental health of the elderly. Journal of Nan**g College for Population Programme Management, 33(04), 12–19.

    Google Scholar 

  • Du, P., Zhai, Z., & Chen, W. (2005). The elderly population of China: a century-long projection. Population Research, 06, 92–95.

    Google Scholar 

  • Grandner, M., Patel, N., Gehrman, P., et al. (2010). Who gets the best sleep? Ethnic and socio-economic factors related to sleep complaints. Sleep Medicine, 11(5), 470–478.

    Article  Google Scholar 

  • Hu, A. (2012). Propensity score matching and causal inference: a review of methodological arguments. Sociological Research, 27(01), 221-242+246.

    Google Scholar 

  • Jiang, K., & Chen, Y. (2016). Can parent-child living together improve the well-being of the elderly?—Evidence based on CLHLS data. Population Journal, 38(06), 77–86.

    Google Scholar 

  • Jiang, X., Wei, M., & Zhang, W. (2015). Study on the health status and influencing factors of China’s aging population. Population Journal, 37(02), 46–56.

    Google Scholar 

  • Li, J., Yao, Y., Dong, Q., et al. (2013). Characterization and factors associated with sleep quality among rural elderly in China. Archives of Gerontology & Geriatrics, 56(1), 237–243.

    Article  Google Scholar 

  • Li, Q., Xu, W., & Li, L. (2014). Elderly mental health quality and mental health condition: mediating effect of social support. Chinese Journal of Clinical Psychology, 22(04), 688-690+695.

    Google Scholar 

  • Livingston, G., Blizard, B., & Mann, A. (1993). Does sleep disturbance predict depression in elderly people? A study in inner London. British Journal of General Practice, 43(376), 445.

    Google Scholar 

  • Lu, J., & Guo, R. (2017). An empirical study on health and health inequality of Chinese elderly: based on regional and community perspective. Population Journal, 39(02), 57–67.

    Google Scholar 

  • Maurice, M., & Teresa, S. (2010). Prevalence of insomnia and sleep characteristics in the general population of Spain. Sleep Medicine, 11(10), 1010–1018.

    Article  Google Scholar 

  • Ming, Z., & Chen, Z. (2020). Mental health literacy: Concept, measurement, intervention, and effect. Advances in Psychological Science, 28(01), 1–12.

    Article  Google Scholar 

  • Peng, L. (2013). Impact of sleep quality on the mental health of in the elderly. Chinese Journal of Gerontology, 33(07), 1622–1624.

    Google Scholar 

  • Peng, Y. (2011). Causal analyses in social sciences. Sociological Studies, 26(03), 1-32+243.

    Google Scholar 

  • Quan, D., Li, H., Li, G., Lin, H., & Guo, G. (2008). Correlations of sleep conditions and mental health of the elderly in residential communities. Guangdong Medical Journal, 11, 1894–1896.

    Google Scholar 

  • Roberts, R., Shema, S., Kaplan, G., et al. (2000). Sleep complaints and depression in an aging cohort: a prospective perspective. American Journal of Psychiatry, 157(1), 81–88.

    Article  Google Scholar 

  • Rodin, J., Mcavay, G., & Timko, C. (1988). A longitudinal study of depressed mood and sleep disturbances in elderly adults. Journal of Gerontology, 43(2), 45–53.

    Article  Google Scholar 

  • Ruth, M., & Michael, J. (2008). Insomnia and depression. Sleep Medicine, 9(Suppl 1), S3-9.

    Google Scholar 

  • Sun, J., & Ji, Y. (2017). The influences of “downward” intergenerational support on mental health of the Chinese elderly: the moderating effects of cognitive evaluation. Population Research, 41(06), 98–109.

    Google Scholar 

  • Taylor, D., Lichstein, K., Durrence, H., et al. (2005). Epidemiology of insomnia, depression, and anxiety. Sleep, 28(11), 1457–1464.

    Article  Google Scholar 

  • Vgontzas, A., Julio, F., Bixler, E., et al. (2012). Persistent insomnia: the role of objective short sleep duration and mental health. Sleep, 1, 1.

    Google Scholar 

  • Xu, Qi. (2018). Living arrangement and depression among the Chinese elderly people: an empirical study based on CHARLS. Sociological Review of China, 6(04), 47–63.

    Google Scholar 

  • Yu, G., Chen, T., & Zhao, F. (2020). The influence of air temperature and temperature variability on mental health. Advances in Psychological Science, 28(8), 1282–1292.

    Article  Google Scholar 

  • Yu, J., & **e, Y. (2014). The effect of fertility on women’s wages in China. Population Research, 38(01), 18–29.

    Google Scholar 

  • Zhai, Z., Chen, J., & Li, L. (2017). Future trends of China’s population and aging: 2015–2100. Population Research, 41(04), 60–71.

    Google Scholar 

  • Zhu, Q., Jian, W., Yang, L., Wu, Z., Zhuo, L., & Wang, H. (2019). Sleep quality of the Chinese elderly in residential communities and influencing factors. Chinese Journal of Gerontology, 39(03), 606–611.

    Google Scholar 

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Funding

This study is funded by the National Strategic Research on the Active Response to Population Ageing (20ZDA32), a major project planned by Bei**g Municipal Social Science Foundation.

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Correspondence to Keqi Liu.

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Lu, J., Liu, K. Sleep quality and mental health of the elderly in China: evidence from longitudinal data. China popul. dev. stud. 5, 378–393 (2021). https://doi.org/10.1007/s42379-021-00096-4

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  • DOI: https://doi.org/10.1007/s42379-021-00096-4

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