Factors Influencing Sleep Quality among Rural Elderly Persons of Kurnool District, Andhra Pradesh

Sleep disturbances are shared among the elderly, and they are likely to experience poor sleep quality to a large extent. In this study, the researchers examined the sleep quality of the elderly and the factors that influence as measured by it. For this purpose, the primary data was collectedfrom 380 elderly persons (186 males and 194 females) People aged 60 to 70 years and above residing in 20 villages of Kurnool district, Andhra Pradesh, used a combination of self-reported measures and objective assessments, using the Pittsburgh Sleep Quality Index. Around 66 per cent of the sample elderly reported experiencing ‘poor’ sleep quality (cumulative score of ≥ 5 on Pittsburgh Sleep Quality Index). Logistic regression analysis established that the odds of experiencing ‘poor’ sleep quality in the elderly are found to be higher among females, aged 75 and above, widowed, those part of joint families, suffering from 3 or more chronic morbidities, who smoke regularly and felt the need for assistance for physical functioning. Conversely, such odds are significantly lower among those who have studied middle school and above, come from families with higher monthly incomes, and have extensively participated in physical activities. The significance of sleep quality and the need for participation in physical activities, as well as the importence of early diagnosis and treatment for sleep problems are highlightd as policy implications. Additionally improving the economic conditions of the elderly is emphasised.