Research Paper Volume 12, Issue 4 pp 3926—3935
Association between sleep–wake habits and use of health care services of middle-aged and elderly adults in China
- 1 School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China
- 2 School of Media, Communication and Sociology, University of Leicester, Leicester LE1 7JA, UK
Received: October 3, 2019 Accepted: February 4, 2020 Published: February 24, 2020
https://doi.org/10.18632/aging.102860How to Cite
Copyright © 2020 Ye et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Objective: To examine the relationship between sleep-wake habits and the use of health care services.
Results: The proportions of the participants who were “early to bed” and “late to bed” were 48.7% and 51.3%, respectively. In the full sample, compared with those who were early to bed and early to rise, participants who went to bed late were more likely to report physician visits (late to bed and early to rise: OR = 1.13, 95% CI: 1.08–1.19, late to bed and late to rise: OR = 1.27, 95% CI: 1.18–1.38, respectively). We found no significant association between sleep-wake habits and the number of hospitalization.
Conclusions: Those middle-aged and elderly people who stayed up late and got up late are more likely to visit the doctors than those who went to bed early and got up early.
Methods: We obtained data from a cohort study of retired employees in China, and 36,601 (95.59%) involved in the present study. The participants were allocated into 4 sleep-wake habits groups: Early-bed/Early-rise, Early-bed/Late-rise, Late-bed/Early-rise, and Late-bed/Late-rise. We explored the association between sleep-wake habits with the number of physician visits and hospitalizations.