Sleep quality and its associated factors among elderly population in a rural area of West Bengal

Inba Raja A., Jadab C. Sardar


Background: The problems with sleep increases sharply with age and can have profound effects among the elderly. The present study was done to assess the prevalence of sleep quality and its associated risk factors among the elderly people in a rural area of West Bengal.

Methods: Cross-sectional study was done at Arkhali village, West Bengal, among 80 elderly individuals of 60 years and above age during February and March 2020. Face to Face interview was conducted using self - designed general socio-demographic questionnaire, Pittsburgh Sleep Quality Index (PSQI), 7 – Item General Anxiety Disorder (GAD) Scale and 5 – Item Geriatric Depression Scale (GDS). Chi-square test was done to test association using SPSS 20 software.

Results: The mean age of the respondents was 70.1 ± 6.9 years and majority (60%) were females. Prevalence of poor sleep quality (GPSQI≥5) was 75%. The mean GPSQI of the study was 8.33±4.272.  Increasing age category (p=0.001), marital status (p=0.003), present living status (p=0.006), health problems (p=0.014), help for daily activities (p=0.030), mosquitoes disturbing sleep (p=0.001), generalised anxiety (p=0.001) and Geriatric depression (p=0.001) had a significant association with poor sleep quality.

Conclusions: Healthcare providers should regularly provide sleep health education, encourage participation in family activities, sharing of ideas and making of compromises within the family.




Anxiety, Depression, Elderly, Prevalence, Sleep quality

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NSO (2021). Elderly in India, National Statistical Office, Ministry of Statistics & Programme Implementation, Government of India, New Delhi. Available at Accessed on 12 November 2021.

Krishnan P, Hawranik P. Diagnosis and management of geriatric insomnia: a guide for nurse practitonese. J Am Academy Nurse Practitioners. 2008;20(12):590-9.

Chaudary J, Jain B, Bhadoria AS, Kishore S, Aggarwal P. Assessment of sleep habits and quality of sleep among elderly residing in rural area of Dehradun: a community-based cross-sectional survey. National J Community Med. 2020;11(2):98-102.

National Sleep Foundation. Sleep duration recommendation endorsements. Published 2018. Updated March 10, 2021. Available at Accessed on 15 August 2021.

Neleisha PW, Palayakarasi P, Deepa V, Durga P, Manjula TR. Assessment of sleep quality among elderly in selected districts, Tamilnadu, India. Int J All Research Education Scientific Methods. 2020;8(8):9-14.

Patel D, Steinberg J, Patel P. Insomnia in the elderly: a review. J Clin Sleep Med. 2018;14(6):1017-24.

George S, Paul G, Paul N. Study on sleep quality and associated psychosocial factors among elderly in a rural population of Kerala, India. Int J Community Med Public Health. 2018;5:526-31.

Mondal H, Mondal S, Baidya C. Comparison of perceived sleep quality among urban and rural adult population by Bengali Pittsburgh sleep quality index. Advances in Human Biology. 2018;8:36-40.

Hoyl MT, Alessi CA, Harker JO, Josephson KR. Pietruszka F, Koelfgen M, et al. Development and testing of a five item version of the geriatric depression scale. J Am Geriatrics Society. 1999;47:873-8.

Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder. Arch Internal Med. 2006;166:1092-7.

Das S, Roy RN, Das DK, Chakraborty A, Mondal R. Sleep quality and its various correlates: a community-based study among geriatric population in a community development block of Purba Bardhaman district, West Bengal. J Family Med Primary Care. 2020;9:1510-6.

Wu CY, Su TP, Fang CL, Chang MY. Sleep quality among community dwelling elderly people and its demographic, mental, and physical correlates. J Chinese Med Association. 2012;75:75-80.

Dağlar G, Pınar SE, Sabancıoğulları S, Kav S. Sleep quality in the elderly either living at home or in a nursing home. Australian J Advanced Nursing. 2014:31:6-13.

Thichumpa W, Howteerakul N, Suwannapong N, Tantrakul V. Sleep quality and associated factors among the elderly living in rural Chiang Rai, northern Thailand. Epidemiology Health. 2018;40:e20180-8.

Razali R, Ariffin J, Aziz A. Sleep quality and psychosocial correlates among elderly attendees of an urban primary care centre in Malaysia. Neurology Asia. 2016;21(3):265-73.

Suguna A, Goud BR, Shanbhag D. Sleep disturbances and death anxiety among the elderly in a rural area of southern Karnataka. Int J Health Sci Res. 2015;5(9):24-9.

Li J, Yao YS, Dong Q, Dongb YH, Liu JJ, Yang LS. Characterization and factors associated with sleep quality among rural elderly in China. Arch Gerontology Geriatrics. 2013;56(1):237-43.