Associations of loneliness and social isolation with actigraph and self-reported sleep quality in a national sample of older adults.

Sleep
Jade A BensonDiane S Lauderdale

Abstract

To examine associations of social isolation and loneliness with sleep in older adults and whether associations differ for survey and actigraph sleep measures. This study used data from the National Social Life, Health, and Aging Project (NSHAP), a nationally representative study of community-dwelling older adults born 1920-1947. A random one-third of participants in 2010-2011 were invited to participate in a sleep study (N = 759) that included survey questions, 72 hours of wrist actigraphy, and a sleep log. Perceived loneliness was measured using three questions from the UCLA Loneliness Scale. An index of social isolation was constructed from nine items that queried social network characteristics and social interactions. We used ordinary least squares and ordinal logistic regression to examine whether sleep measures were associated with loneliness and social isolation adjusted for potential sociodemographic confounders. Social isolation and loneliness had a low correlation (Spearman's correlation = 0.20). Both loneliness and social isolation were associated with actigraphy measures of more disrupted sleep: wake after sleep onset and percent sleep. Neither was associated with actigraph total sleep time. Increased loneliness was ...Continue Reading

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Citations

Jul 25, 2021·International Journal of Environmental Research and Public Health·Anagha Kumar, Joel Salinas

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