Prevalence of Sleep Disorders and Association with Various Occupations Among Indian Population Aged ≥ 45 Years: Insight from Longitudinal Ageing Study in India (LASI)

Overview

Journal J Family Med Prim Care

Specialty Public Health

Date 2024 Dec 4

PMID 39629430

Authors

Sai SreeValli Sarma Sreepada

Pritam Halder

K S Amudhamozhi

Vaishali Soni

Hitendra Sharma

Shivani Rathor

Affiliations

Soon will be listed here.

Abstract

Introduction: By scrutinizing the impact of job schedules, workplace culture and stress levels, our study aims to determine the prevalence of sleep disorders among various occupations and its associated factors. The findings promise to enhance the overall well-being, sleep quality and productivity in various occupational settings.

Methods: This is an analytical cross-sectional study involving secondary data from the nationally representative Longitudinal Ageing Study in India (LASI Wave I 2017-18) of 35 Indian states and union territories with exception of Sikkim. The study included 59441 Indian volunteers who older than 45 years. Multivariable logistic regression analysis was conducted to study the association of sleep disorders among various occupations while accounting for other associated factors.

Results: Prevalence of sleep disorders was higher among the females (12.66%), unemployed (13.34%), ≥ 60-yr age group (13.45%), those who lived in rural areas (12.35%), those who were illiterate (12.80%) and reported themselves to be widowed, separated or divorced (14.54%), people with no health insurance (11.74%), smokers (12.11%), without physical activity (12.67%) and also rated themselves as poor in the self-rated health status (26.77%). Alcohol consumption was not statistically significant factor for sleep disorders.

Conclusions: There is an emerging need for targeted screening, prompt detection and early management of insomnia and other sleep disorders among the high-risk groups. Provision of accessible and affordable screening tools, training skills for early diagnosis at primary care level and/or proper referral services to higher centres form the cornerstone for adequate management of sleep disorders.

References

Xiang Y, Ma X, Cai Z, Li S, Xiang Y, Guo H . The prevalence of insomnia, its sociodemographic and clinical correlates, and treatment in rural and urban regions of Beijing, China: a general population-based survey. Sleep. 2008; 31(12):1655-62. PMC: 2603488. DOI: 10.1093/sleep/31.12.1655. View

Kaneita Y, Ohida T, Osaki Y, Tanihata T, Minowa M, Suzuki K . Insomnia among Japanese adolescents: a nationwide representative survey. Sleep. 2007; 29(12):1543-50. DOI: 10.1093/sleep/29.12.1543. View

Haynes P, Wolf R, Howe G, Kelly M . Unemployed Individuals Reporting Hindrance Work Stress at Previous Job Have Increased Likelihood of Insomnia Disorder. Int J Behav Med. 2020; 28(1):39-47. PMC: 7494615. DOI: 10.1007/s12529-020-09874-9. View

Blay S, Andreoli S, Gastal F . Prevalence of self-reported sleep disturbance among older adults and the association of disturbed sleep with service demand and medical conditions. Int Psychogeriatr. 2007; 20(3):582-95. DOI: 10.1017/S1041610207006308. View

Tamanna S, Geraci S . Major sleep disorders among women: (women's health series). South Med J. 2013; 106(8):470-8. DOI: 10.1097/SMJ.0b013e3182a15af5. View

Booker L, Magee M, Rajaratnam S, Sletten T, Howard M . Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematic review. Sleep Med Rev. 2018; 41:220-233. DOI: 10.1016/j.smrv.2018.03.005. View

Cho E, Chen T . The bidirectional relationships between effort-reward imbalance and sleep problems among older workers. Sleep Health. 2020; 6(3):299-305. DOI: 10.1016/j.sleh.2020.01.008. View

Jefferson C, Drake C, Scofield H, Myers E, McClure T, Roehrs T . Sleep hygiene practices in a population-based sample of insomniacs. Sleep. 2005; 28(5):611-5. DOI: 10.1093/sleep/28.5.611. View

Ohayon M, Zulley J, Guilleminault C, Smirne S, Priest R . How age and daytime activities are related to insomnia in the general population: consequences for older people. J Am Geriatr Soc. 2001; 49(4):360-6. DOI: 10.1046/j.1532-5415.2001.49077.x. View

10.

Xie Y, Liu S, Chen X, Yu H, Yang Y, Wang W . Effects of Exercise on Sleep Quality and Insomnia in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Front Psychiatry. 2021; 12:664499. PMC: 8215288. DOI: 10.3389/fpsyt.2021.664499. View

11.

Maggi S, Langlois J, Minicuci N, Grigoletto F, Pavan M, Foley D . Sleep complaints in community-dwelling older persons: prevalence, associated factors, and reported causes. J Am Geriatr Soc. 1998; 46(2):161-8. DOI: 10.1111/j.1532-5415.1998.tb02533.x. View

12.

Ohayon M . Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev. 2003; 6(2):97-111. DOI: 10.1053/smrv.2002.0186. View

13.

Pengpid S, Peltzer K . Associations of loneliness with poor physical health, poor mental health and health risk behaviours among a nationally representative community-dwelling sample of middle-aged and older adults in India. Int J Geriatr Psychiatry. 2021; 36(11):1722-1731. PMC: 8511338. DOI: 10.1002/gps.5592. View

14.

Inoue S, Yorifuji T, Sugiyama M, Ohta T, Ishikawa-Takata K, Doi H . Does habitual physical activity prevent insomnia? A cross-sectional and longitudinal study of elderly Japanese. J Aging Phys Act. 2012; 21(2):119-39. DOI: 10.1123/japa.21.2.119. View

15.

Hiyoshi A, Fall K, Netuveli G, Montgomery S . Remarriage after divorce and depression risk. Soc Sci Med. 2015; 141:109-14. DOI: 10.1016/j.socscimed.2015.07.029. View

16.

Foley D, MONJAN A, Brown S, Simonsick E, Wallace R, Blazer D . Sleep complaints among elderly persons: an epidemiologic study of three communities. Sleep. 1995; 18(6):425-32. DOI: 10.1093/sleep/18.6.425. View

17.

Li H, Liu Y, Xing L, Yang X, Xu J, Ren Q . Association of Cigarette Smoking with Sleep Disturbance and Neurotransmitters in Cerebrospinal Fluid. Nat Sci Sleep. 2020; 12:801-808. PMC: 7591043. DOI: 10.2147/NSS.S272883. View

18.

Amiri S, Behnezhad S . Smoking and risk of sleep-related issues: a systematic review and meta-analysis of prospective studies. Can J Public Health. 2020; 111(5):775-786. PMC: 7501367. DOI: 10.17269/s41997-020-00308-3. View

19.

Antillon M, Lauderdale D, Mullahy J . Sleep behavior and unemployment conditions. Econ Hum Biol. 2014; 14:22-32. PMC: 4083051. DOI: 10.1016/j.ehb.2014.03.003. View

20.

Doi Y, Minowa M, Okawa M, Uchiyama M . Prevalence of sleep disturbance and hypnotic medication use in relation to sociodemographic factors in the general Japanese adult population. J Epidemiol. 2000; 10(2):79-86. DOI: 10.2188/jea.10.79. View