Self-reported sleep characteristics and mortality in older adults of Mexican origin: Results from the hispanic established population for the epidemiologic study of the elderly

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives To determine how poor sleep affects the health of older ethnic minorities. Design Cross-sectional study involving a population-based survey. Setting Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE) survey conducted in the southwestern United States. Participants Two thousand two hundred fifty-six Mexican-American men and women aged 65 and older. Measurements The association between self-reported sleep problems and mortality over a 15-year period in a population based sample of older Mexican Americans was examined. Using five waves of data (1993-2008) from the H-EPESE, Cox proportional hazard models stratified according to sex were used to model the risk of death as a function of chronic sleep problems. Results Having any sleeping problems during the last month was associated with greater risk of mortality (hazard ratio = 1.14, 95% confidence interval = 1.00-1.29) in unadjusted models, although the association was attenuated after accounting for covariates. Conclusions Similar factors explained the association between sleep and mortality in men and women: health behaviors, depressive symptoms, and health conditions. These factors are related to stress, and both may lead to poor sleep quality. Research is needed to better understand the factors moderating the relationship between sleep, mortality, and sex.

Original languageEnglish (US)
Pages (from-to)1906-1911
Number of pages6
JournalJournal of the American Geriatrics Society
Volume60
Issue number10
DOIs
StatePublished - Oct 2012

Fingerprint

Hispanic Americans
Epidemiologic Studies
Sleep
Mortality
Population
Southwestern United States
Men's Health
Health Behavior
Health
Women's Health
Proportional Hazards Models
Cross-Sectional Studies
Confidence Intervals
Depression
Research

Keywords

  • Mexican American
  • mortality
  • older adults
  • sleep

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

@article{5a49999a6f7b44bcaf8a886fee0d3bc0,
title = "Self-reported sleep characteristics and mortality in older adults of Mexican origin: Results from the hispanic established population for the epidemiologic study of the elderly",
abstract = "Objectives To determine how poor sleep affects the health of older ethnic minorities. Design Cross-sectional study involving a population-based survey. Setting Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE) survey conducted in the southwestern United States. Participants Two thousand two hundred fifty-six Mexican-American men and women aged 65 and older. Measurements The association between self-reported sleep problems and mortality over a 15-year period in a population based sample of older Mexican Americans was examined. Using five waves of data (1993-2008) from the H-EPESE, Cox proportional hazard models stratified according to sex were used to model the risk of death as a function of chronic sleep problems. Results Having any sleeping problems during the last month was associated with greater risk of mortality (hazard ratio = 1.14, 95{\%} confidence interval = 1.00-1.29) in unadjusted models, although the association was attenuated after accounting for covariates. Conclusions Similar factors explained the association between sleep and mortality in men and women: health behaviors, depressive symptoms, and health conditions. These factors are related to stress, and both may lead to poor sleep quality. Research is needed to better understand the factors moderating the relationship between sleep, mortality, and sex.",
keywords = "Mexican American, mortality, older adults, sleep",
author = "Bret Howrey and Mary Peek and Mukaila Raji and Ray, {Laura A.} and Kenneth Ottenbacher",
year = "2012",
month = "10",
doi = "10.1111/j.1532-5415.2012.04144.x",
language = "English (US)",
volume = "60",
pages = "1906--1911",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
publisher = "Wiley-Blackwell",
number = "10",

}

TY - JOUR

T1 - Self-reported sleep characteristics and mortality in older adults of Mexican origin

T2 - Results from the hispanic established population for the epidemiologic study of the elderly

AU - Howrey, Bret

AU - Peek, Mary

AU - Raji, Mukaila

AU - Ray, Laura A.

AU - Ottenbacher, Kenneth

PY - 2012/10

Y1 - 2012/10

N2 - Objectives To determine how poor sleep affects the health of older ethnic minorities. Design Cross-sectional study involving a population-based survey. Setting Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE) survey conducted in the southwestern United States. Participants Two thousand two hundred fifty-six Mexican-American men and women aged 65 and older. Measurements The association between self-reported sleep problems and mortality over a 15-year period in a population based sample of older Mexican Americans was examined. Using five waves of data (1993-2008) from the H-EPESE, Cox proportional hazard models stratified according to sex were used to model the risk of death as a function of chronic sleep problems. Results Having any sleeping problems during the last month was associated with greater risk of mortality (hazard ratio = 1.14, 95% confidence interval = 1.00-1.29) in unadjusted models, although the association was attenuated after accounting for covariates. Conclusions Similar factors explained the association between sleep and mortality in men and women: health behaviors, depressive symptoms, and health conditions. These factors are related to stress, and both may lead to poor sleep quality. Research is needed to better understand the factors moderating the relationship between sleep, mortality, and sex.

AB - Objectives To determine how poor sleep affects the health of older ethnic minorities. Design Cross-sectional study involving a population-based survey. Setting Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE) survey conducted in the southwestern United States. Participants Two thousand two hundred fifty-six Mexican-American men and women aged 65 and older. Measurements The association between self-reported sleep problems and mortality over a 15-year period in a population based sample of older Mexican Americans was examined. Using five waves of data (1993-2008) from the H-EPESE, Cox proportional hazard models stratified according to sex were used to model the risk of death as a function of chronic sleep problems. Results Having any sleeping problems during the last month was associated with greater risk of mortality (hazard ratio = 1.14, 95% confidence interval = 1.00-1.29) in unadjusted models, although the association was attenuated after accounting for covariates. Conclusions Similar factors explained the association between sleep and mortality in men and women: health behaviors, depressive symptoms, and health conditions. These factors are related to stress, and both may lead to poor sleep quality. Research is needed to better understand the factors moderating the relationship between sleep, mortality, and sex.

KW - Mexican American

KW - mortality

KW - older adults

KW - sleep

UR - http://www.scopus.com/inward/record.url?scp=84867566216&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867566216&partnerID=8YFLogxK

U2 - 10.1111/j.1532-5415.2012.04144.x

DO - 10.1111/j.1532-5415.2012.04144.x

M3 - Article

C2 - 23006250

AN - SCOPUS:84867566216

VL - 60

SP - 1906

EP - 1911

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

IS - 10

ER -