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Science
09 March 2025

Over Half Of Older Adults In Ethiopia Suffer Poor Sleep Quality

New study highlights alarming prevalence and associated health risks for elderly population

A recent study conducted in Gondar town, Northwest Ethiopia, has revealed troubling statistics about the sleep quality of older adults, with approximately 55% reporting poor sleep. This research, carried out from February 20 to April 30, 2023, sheds light on significant health issues affecting the elderly population, particularly concerning mental health and chronic conditions.

The study surveyed 845 participants aged 50 years and older, achieving an impressive response rate of 99.5%. Utilizing the Pittsburgh Sleep Quality Index (PSQI), researchers assessed various aspects of sleep quality, finding a staggering prevalence of 54.6% of community-dwelling older adults experiencing poor sleep quality, highlighting the urgent need for improved sleep health strategies.

Poor sleep quality among this demographic is not just about feeling groggy; it is linked to serious health risks including chronic diseases and mental health challenges. The findings indicate significant associations between age, social support, physical activity, chronic illness, and depression. Notably, individuals aged 75 and older were 3.9 times more likely to report poor sleep quality compared to younger counterparts, according to adjusted odds ratios derived from the study.

The study also identified physical inactivity as a major factor; older adults who did not engage in regular physical activity were found to be 4.4 times more susceptible to poor sleep. Researchers stress the importance of community support structures, with inadequate social support increasing the risk by 3.7 times.

Depression also plays a significant role, with those experiencing depressive symptoms twice as likely to suffer from poor sleep quality. This epidemiological link emphasizes the necessity for integrated healthcare approaches where mental health and physical well-being are treated holistically.

"55% of community-dwelling older adults […] experience poor sleep quality, particularly those affected by depression, advanced age, physically inactive, chronic diseases, and inadequate social support," the authors stated. This assertion reflects the interaction of multiple lifestyle and health factors affecting sleep among the elderly.

To counteract these issues, the study suggests enhancing community support and promoting social networking activities to improve mental health outcomes. Regular physical activity is emphasized as not only beneficial for physical health but instrumental for improving sleep quality. "Engaging in physical activities has shown to significantly improve sleep quality," the authors highlight, advocating for structured community programs to encourage mobility among older individuals.

Beyond individual interventions, healthcare providers are called upon to conduct regular screenings for sleep quality and provide education on sleep hygiene. These proactive measures could facilitate early detection and prompt treatment of those experiencing sleep disturbances.

Given the broader public health implications of these findings, the need for longitudinal studies is evident. These would allow for the exploration of long-term impacts of poor sleep quality and the effectiveness of interventions among aging populations. The challenges of chronic disease management among the elderly, coupled with mental health concerns, necessitate immediate attention from healthcare systems.

This study serves as a reminder of the importance of sleep as a cornerstone of health, especially as populations globally continue to age. Tackling sleep quality issues could play a pivotal role in enhancing the overall health of older adults, allowing them to live healthier and more fulfilling lives.