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Association between elder abuse and poor sleep: A cross-sectional study among rural older Malaysians

Author

Listed:
  • Raudah Mohd Yunus
  • Syeda Wasfeea Wazid
  • Noran N Hairi
  • Wan Yuen Choo
  • Farizah M Hairi
  • Rajini Sooryanarayana
  • Sharifah N Ahmad
  • Inayah A Razak
  • Devi Peramalah
  • Suriyati A Aziz
  • Zaiton L Mohamad
  • Rosmala Mohamad
  • Zainudin M Ali
  • Awang B Awang Mahmud

Abstract

Objectives: To examine the association between elder abuse and poor sleep using a Malay validated version of Pittsburgh Sleep Quality Index (PSQI). Design: This study was divided into two phases. Phase I tested the construct validity and reliability of the Malay version of PSQI. Phase II was a population-based, cross-sectional study with a multi-stage cluster sampling method. Home-based interviews were conducted by trained personnel using a structured questionnaire, to determine exposure and outcome. Setting: Kuala Pilah, a district in Negeri Sembilan which is one of the fourteen states in Malaysia. Participants: 1648 community-dwelling older Malaysians. Results: The Malay version of PSQI had significant test re-test reliability with intra-class correlation coefficients of 0.62. Confirmatory factor analyses revealed that one factor PSQI scale with three components (subjective sleep quality, sleep latency, and sleep disturbances) was most suitable. Cronbach’s Alpha was 0.60 and composite reliability was 0.63. PSQI scores were highest among neglect (4.11), followed by physical (4.10), psychological (3.96) and financial abuse (3.60). There was a dose-response relationship between clustering of abuse and PSQI scores; 3.41, 3.50 and 3.84 for “no abuse”, “1 type of abuse” and “2 types or more”. Generalized linear models revealed six variables as significant determinants of sleep quality–abuse, co-morbidities, self-rated health, income, social support and gait speed. Among abuse subtypes, only neglect was significantly associated with poor sleep. Conclusion: The Malay PSQI was valid and reliable. Abuse was significantly associated with poor sleep. As sleep is essential for health and is a good predictor for mortality among older adults, management of abuse victims should entail sleep assessment. Interventions or treatment modalities which focus on improving sleep quality among abuse victims should be designed.

Suggested Citation

  • Raudah Mohd Yunus & Syeda Wasfeea Wazid & Noran N Hairi & Wan Yuen Choo & Farizah M Hairi & Rajini Sooryanarayana & Sharifah N Ahmad & Inayah A Razak & Devi Peramalah & Suriyati A Aziz & Zaiton L Moha, 2017. "Association between elder abuse and poor sleep: A cross-sectional study among rural older Malaysians," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-14, July.
    • Handle: RePEc:plo:pone00:0180222
    DOI: 10.1371/journal.pone.0180222
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    References listed on IDEAS

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    1. Edward O. Laumann & Sara A. Leitsch & Linda J. Waite, 2008. "Elder Mistreatment in the United States: Prevalence Estimates From a Nationally Representative Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 63(4), pages 248-254.
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    1. Nor MF Farah & Teh Saw Yee & Hanif Farhan Mohd Rasdi, 2019. "Self-Reported Sleep Quality Using the Malay Version of the Pittsburgh Sleep Quality Index (PSQI-M) In Malaysian Adults," IJERPH, MDPI, vol. 16(23), pages 1-10, November.
    2. Wan Ying Gan & Siti Fathiah Mohamed & Leh Shii Law, 2019. "Unhealthy Lifestyle Associated with Higher Intake of Sugar-Sweetened Beverages among Malaysian School-Aged Adolescents," IJERPH, MDPI, vol. 16(15), pages 1-13, August.
    3. Atta Ullah & Chen Pinglu & Saif Ullah & Asif Ali Safeer & Shumaila Meer Perhiar, 2020. "Role of Corporate Social Responsibility in Sustaining Earning Value: Insights from an Emerging Country," Asian Economic and Financial Review, Asian Economic and Social Society, vol. 10(11), pages 1280-1298, November.
    4. Gerard Dunleavy & Ram Bajpai & André Comiran Tonon & Ai Ping Chua & Kei Long Cheung & Chee-Kiong Soh & Georgios Christopoulos & Hein de Vries & Josip Car, 2019. "Examining the Factor Structure of the Pittsburgh Sleep Quality Index in a Multi-Ethnic Working Population in Singapore," IJERPH, MDPI, vol. 16(23), pages 1-12, November.
    5. Marco Fabbri & Alessia Beracci & Monica Martoni & Debora Meneo & Lorenzo Tonetti & Vincenzo Natale, 2021. "Measuring Subjective Sleep Quality: A Review," IJERPH, MDPI, vol. 18(3), pages 1-50, January.

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