RESEARCH ARTICLE


Prevalence and Associated Factors of Cognitive Impairment and Poor Sleep Quality among Community-Dwelling Older Adults in Northern Thailand



Nitayapa Nanthakwang1, Penprapa Siviroj1, *, Anuchart Matanasarawoot2, Ratana Sapbamrer1, Peerasak Lerttrakarnnon2, Ratanaporn Awiphan3
1 Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
2 Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
3 Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, Thailand


Article Metrics

CrossRef Citations:
0
Total Statistics:

Full-Text HTML Views: 669
Abstract HTML Views: 269
PDF Downloads: 54
ePub Downloads: 35
Total Views/Downloads: 1027
Unique Statistics:

Full-Text HTML Views: 375
Abstract HTML Views: 152
PDF Downloads: 47
ePub Downloads: 25
Total Views/Downloads: 599



Creative Commons License
© 2020 Nanthakwang et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand; Tel: +66 53 935472; Fax: +66 53 935 476; E-mail: psivirioj@gmail.com


Abstract

Background:

Early detection of cognitive impairment and poor sleep quality are necessary to prevent dementia and the improve the quality of life further. This study aimed to investigate the cognitive impairment and poor sleep quality in the community-dwelling older adults and its association with socio-demographic and health characteristics.

Methods:

A cross-sectional study of 1,180 people in Northern Thailand aged 60 years and above was conducted in 2017. Mental State Examination-Thai version (MSET10) was used to measure cognitive function while the Pittsburgh Sleep Quality Index (PSQI) assessed sleep quality. Multiple logistic regression was used to analyze associations.

Results:

The prevalence of CI in older adults was 52.45% (95% CI: 49.64 - 55.42) which increased with age. The prevalence of poor sleep quality was 44.15% (95% CI: 1.29-47.03). Age, illiteracy, hypertension, comorbidities of hypertension and diabetes, alcohol consumption, lack of exercise, and depression were significantly associated with increased risk of CI, while being single, comorbidities of hypertension and diabetes, and depression were significantly associated with poor sleep quality.

Conclusion:

The rate of CI and poor sleep quality in older adults was relatively high in Thailand. Early detection of CI and poor sleep quality and screening for all risk factors are important to improve in access to service, optimization of medical management, reduction in risk factors, and increased quality of life in older adults.

Keywords: Prevalence, Associated factors, Cognitive impairment, Poor sleep quality, Older adults, Thailand.