Associations of sleep duration and prediabetes prevalence in a middle-aged and elderly Chinese population with regard to age and hypertension: The China Health and Retirement Longitudinal Study baseline survey

2018 ◽  
Author(s):  
Mingming Yan ◽  
Zhen Fu ◽  
Tingting Qin ◽  
Nanjin Wu ◽  
Yalan Lv ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Sleep Duration ◽  
Chinese Population ◽  
Baseline Survey ◽  
Middle Aged ◽  
Elderly Chinese

scholarly journals Relationship Between Sleep and Arthritis in a Middle-aged and Older Chinese Population- the China Health and Retirement Longitudinal Study

2021 ◽  
Author(s):  
Chunnan Li ◽  
Shang shaomei
Keyword(s):  
Logistic Regression ◽  
Longitudinal Study ◽  
Protective Effect ◽  
Sleep Duration ◽  
Chinese Population ◽  
P Value ◽  
Confounding Factors ◽  
Middle Aged ◽  
Older Chinese ◽  
The Relationship

Abstract Objective. To evaluate the relationship between sleep duration, sleep restless and arthritis in middle-aged and older Chinese population. Methods. A total of 4957 middle-aged and elderly people aged 45 years and above from The China Health and Retirement Longitudinal Study (CHARLS) wave 3 were included. Multivariable logistic regression was used to calculate adjusted odds ratios (ORs) and 95 % confidence intervals (CIs) for arthritis. Results. Sleep duration was shown to have a U-shaped association with arthritis after adjusting confounding factors. Compared with <5h sleep duration per night, ORs (95 % CIs) of sleep duration 5-7,7-8 and 8-9 h per night for arthritis were 0.61 (0.52– 0.73, P value <0.001) ,0.47 (0.38-0.58, P value <0.001),0.50 (0.41,0.60, P value <0.001)and 0.50 (0.39–0.64, P value <0.001), respectively. Sleep restless was positively correlated with the prevalence of arthritis. After stratification according to sleep restless status, for those without sleep restless, 8-9 hours duration (OR=0.55, 95 % CI 0.39-0.78,P value=0.001)had the best protective effect on arthritis, while7-8 hours duration (OR=0.45, 95 % CI 0.34-0.60,P value <0.001)was best in people with sleep restless. Conclusion. In middle aged and old Chinese population, sleep duration is U-shaped associated with arthritis, and sleep restless affect the correlation.

scholarly journals Forgone care among middle aged and elderly with chronic diseases in China: evidence from the China Health and Retirement Longitudinal Study Baseline Survey

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019901 ◽  
Author(s):  
Xiangjun Li ◽  
Mingsheng Chen ◽  
Zhonghua Wang ◽  
Lei Si
Keyword(s):  
Longitudinal Study ◽  
Chronic Diseases ◽  
Elderly People ◽  
Inpatient Care ◽  
Healthcare Utilisation ◽  
Income Group ◽  
Baseline Survey ◽  
Middle Aged ◽  
Elderly Individuals ◽  
Physical Examinations

ObjectiveIn general, published studies analyse healthcare utilisation, rather than foregone care, among different population groups. The assessment of forgone care as an aspect of healthcare system performance is important because it indicates the gap between perceived need and actual utilisation of healthcare services. This study focused on a specific vulnerable group, middle-aged and elderly people with chronic diseases, and evaluated the prevalence of foregone care and associated factors among this population in China.MethodsData were obtained from a nationally representative household survey of middle-aged and elderly individuals (≥45 years), the China Health and Retirement Longitudinal Study, which was conducted by the National School of Development of Peking University in 2013. Descriptive statistics were used to analyse sample characteristics and the prevalence of foregone care. Andersen’s healthcare utilisation and binary logistic models were used to evaluate the determinants of foregone care among middle-aged and elderly individuals with chronic diseases.ResultsThe prevalence of foregone outpatient and inpatient care among middle-aged and elderly people was 10.21% and 6.84%, respectively, whereas the prevalence of foregone care for physical examinations was relatively high (57.88%). Predisposing factors, including age, marital status, employment, education and family size, significantly affected foregone care in this population. Regarding enabling factors, individuals in the highest income group reported less foregone inpatient care or physical examinations compared with those in the lowest income group. Social healthcare insurance could significantly reduce foregone care in outpatient and inpatient situations; however, these schemes (except for urban employee medical insurance) did not appear to have a significant impact on foregone care involving physical examinations.ConclusionIn China, policy-makers may need to further adjust healthcare policies, such as health insurance schemes, and improve the hierarchical medical system, to promote reduction in foregone care and effective utilisation of health services.

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