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Open AccessArticle

Sleep Quality and Its Associated Factors among Low-Income Adults in a Rural Area of China: A Population-Based Study

1
Department of Occupational and Environmental Health, School of Health Sciences, Wuhan University; Wuhan 430071, China
2
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(9), 2055; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15092055
Received: 8 July 2018 / Revised: 14 September 2018 / Accepted: 14 September 2018 / Published: 19 September 2018
(This article belongs to the Special Issue Sleep Health)
Background: There is limited population-based research focusing on sleep quality among low-income Chinese adults in rural areas. This study aimed to assess sleep quality among low-income adults in a rural area in China and identify the association between sleep quality and sociodemographic, lifestyle and health-related factors. Methods: The study was conducted from September to November in 2017 using a cross-sectional survey questionnaire. A total of 6905 participants were recruited via multistage, stratified cluster sampling. Data were collected using the Chinese versions of Pittsburgh Sleep Quality Index and Food Frequency Questionnaire, while we also determined the sociodemographic profiles of the participants. Results: The mean age of the sample was 58.71 ± 14.50 years, with 59.7% being male, while the mean duration of daily sleep was 5.95 ± 1.31 h, with 56.7% reportedly experiencing poor sleep quality. Multiple regression analysis revealed that older age, unemployment, lower income, disability and chronic disease comorbidities were significant factors associated with an increased risk of poor sleep quality for both genders. Moreover, married and higher education level were associated with decreased risk of poor sleep quality for females, while a meat-heavy diet and illness during the past two weeks increased the risk of poor sleep quality for males. Conclusions: Sociodemographic, lifestyle and health-related factors had an impact on the frequently poor sleep quality of low-income Chinese adults in rural areas. Thus, comprehensive measures must be developed to address the modifiable predictive factors that can possibly enhance sleep quality. View Full-Text
Keywords: China; rural area; low-income; sleep quality China; rural area; low-income; sleep quality
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MDPI and ACS Style

Wu, W.; Wang, W.; Dong, Z.; Xie, Y.; Gu, Y.; Zhang, Y.; Li, M.; Tan, X. Sleep Quality and Its Associated Factors among Low-Income Adults in a Rural Area of China: A Population-Based Study. Int. J. Environ. Res. Public Health 2018, 15, 2055. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15092055

AMA Style

Wu W, Wang W, Dong Z, Xie Y, Gu Y, Zhang Y, Li M, Tan X. Sleep Quality and Its Associated Factors among Low-Income Adults in a Rural Area of China: A Population-Based Study. International Journal of Environmental Research and Public Health. 2018; 15(9):2055. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15092055

Chicago/Turabian Style

Wu, Wenwen; Wang, Wenru; Dong, Zhuangzhuang; Xie, Yaofei; Gu, Yaohua; Zhang, Yuting; Li, Mengying; Tan, Xiaodong. 2018. "Sleep Quality and Its Associated Factors among Low-Income Adults in a Rural Area of China: A Population-Based Study" Int. J. Environ. Res. Public Health 15, no. 9: 2055. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15092055

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