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Abstract：
UNASSIGNED: To examine factors associated with poor sleep quality in community-dwelling midlife women.
UNASSIGNED: Healthy women (aged 45-69 years) of Chinese, Malay and Indian ethnicities attending well-women clinics at the National University Hospital, Singapore, completed the Pittsburgh Sleep Quality Index (PSQI). A PQSI score >5 denoted poor sleep quality. The women filled out validated questionnaires covering menopausal and genito-urinary symptoms, and mental health. Physical performance was measured. Bone mineral density and visceral adiposity were assessed by dual energy X-ray absorptiometry. Binary logistic regression analyses assessed independent factors for poor sleep.
UNASSIGNED: Poor sleep quality was reported in 38.2% of women (n = 1094, mean age: 56.4 ± 6.2 years). Indian women had higher sleep disturbance scores than Chinese women (mean ± SD: 1.33 ± 0.58 vs 1.17 ± 0.49). Malays experienced more daytime dysfunction (0.54 ± 0.60 vs 0.33 ± 0.55) and had a higher overall PSQI score (6.00 ± 3.31 vs 5.02 ± 2.97) than the Chinese. A low education level (aOR: 1.76, 95% CI: 1.01-3.05), feelings of irritability (2.67, 1.56-4.60) and vaginal dryness (1.62, 1.03-2.54) were associated with poor sleep quality in the adjusted multivariable model. Women with moderate to severe disability were ∼3 times (2.99, 1.20-7.44) more likely to experience less than ideal sleep quality, while urinary incontinence (1.53, 1.08-2.17) and breast cancer history (2.77, 1.36-5.64) were also associates of poor sleep quality.
UNASSIGNED: Self-reports of education level, irritability, vaginal dryness, disability, urinary incontinence, and breast cancer history were independently related to poor sleep. Ethnic differences suggest the need for targeted interventions among the ethnic groups.
UNASSIGNED: Healthy women (aged 45-69 years) of Chinese, Malay and Indian ethnicities attending well-women clinics at the National University Hospital, Singapore, completed the Pittsburgh Sleep Quality Index (PSQI). A PQSI score >5 denoted poor sleep quality. The women filled out validated questionnaires covering menopausal and genito-urinary symptoms, and mental health. Physical performance was measured. Bone mineral density and visceral adiposity were assessed by dual energy X-ray absorptiometry. Binary logistic regression analyses assessed independent factors for poor sleep.
UNASSIGNED: Poor sleep quality was reported in 38.2% of women (n = 1094, mean age: 56.4 ± 6.2 years). Indian women had higher sleep disturbance scores than Chinese women (mean ± SD: 1.33 ± 0.58 vs 1.17 ± 0.49). Malays experienced more daytime dysfunction (0.54 ± 0.60 vs 0.33 ± 0.55) and had a higher overall PSQI score (6.00 ± 3.31 vs 5.02 ± 2.97) than the Chinese. A low education level (aOR: 1.76, 95% CI: 1.01-3.05), feelings of irritability (2.67, 1.56-4.60) and vaginal dryness (1.62, 1.03-2.54) were associated with poor sleep quality in the adjusted multivariable model. Women with moderate to severe disability were ∼3 times (2.99, 1.20-7.44) more likely to experience less than ideal sleep quality, while urinary incontinence (1.53, 1.08-2.17) and breast cancer history (2.77, 1.36-5.64) were also associates of poor sleep quality.
UNASSIGNED: Self-reports of education level, irritability, vaginal dryness, disability, urinary incontinence, and breast cancer history were independently related to poor sleep. Ethnic differences suggest the need for targeted interventions among the ethnic groups.
摘要：
未经授权：研究与社区居住的中年女性睡眠质量差相关的因素。
未经授权：中国健康女性（45-69岁），马来人和印度人在国立大学医院的妇女诊所就诊，新加坡,完成匹兹堡睡眠质量指数（PSQI）。PQSI评分>5表示睡眠质量差。这些妇女填写了经过验证的问卷，涵盖更年期和生殖泌尿症状，和心理健康。测量物理性能。通过双能X射线吸收法评估骨密度和内脏肥胖。二元逻辑回归分析评估了睡眠不良的独立因素。
未经评估：据报道，38.2%的女性睡眠质量差（n=1094，平均年龄：56.4±6.2岁）。印度女性的睡眠障碍得分高于中国女性（平均值±SD：1.33±0.58vs1.17±0.49）。与中国人相比，马来人的日间功能障碍更多（0.54±0.60vs0.33±0.55），总体PSQI评分更高（6.00±3.31vs5.02±2.97）。低教育水平(AOR：1.76，95%CI：1.01-3.05)，在调整后的多变量模型中,易怒感(2.67,1.56-4.60)和阴道干燥感(1.62,1.03-2.54)与睡眠质量差相关.中度至重度残疾的女性睡眠质量低于理想水平的可能性是其3倍（2.99，1.20-7.44），而尿失禁（1.53，1.08-2.17）和乳腺癌病史（2.77，1.36-5.64）也与睡眠质量差有关。
未经评估：教育水平的自我报告，烦躁，阴道干燥，残疾,尿失禁,乳腺癌病史与睡眠不良独立相关。种族差异表明需要在种族群体中进行有针对性的干预。
未经授权：中国健康女性（45-69岁），马来人和印度人在国立大学医院的妇女诊所就诊，新加坡,完成匹兹堡睡眠质量指数（PSQI）。PQSI评分>5表示睡眠质量差。这些妇女填写了经过验证的问卷，涵盖更年期和生殖泌尿症状，和心理健康。测量物理性能。通过双能X射线吸收法评估骨密度和内脏肥胖。二元逻辑回归分析评估了睡眠不良的独立因素。
未经评估：据报道，38.2%的女性睡眠质量差（n=1094，平均年龄：56.4±6.2岁）。印度女性的睡眠障碍得分高于中国女性（平均值±SD：1.33±0.58vs1.17±0.49）。与中国人相比，马来人的日间功能障碍更多（0.54±0.60vs0.33±0.55），总体PSQI评分更高（6.00±3.31vs5.02±2.97）。低教育水平(AOR：1.76，95%CI：1.01-3.05)，在调整后的多变量模型中,易怒感(2.67,1.56-4.60)和阴道干燥感(1.62,1.03-2.54)与睡眠质量差相关.中度至重度残疾的女性睡眠质量低于理想水平的可能性是其3倍（2.99，1.20-7.44），而尿失禁（1.53，1.08-2.17）和乳腺癌病史（2.77，1.36-5.64）也与睡眠质量差有关。
未经评估：教育水平的自我报告，烦躁，阴道干燥，残疾,尿失禁,乳腺癌病史与睡眠不良独立相关。种族差异表明需要在种族群体中进行有针对性的干预。
