Self-Reported Sleep Characteristics and Mortality in Older Adults of Mexican Origin: Results from the Hispanic Established Population for the Epidemiologic Study of the Elderly

Authors

  • Bret T. Howrey PhD,

    Corresponding author
    • Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas
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  • M. Kristen Peek PhD,

    1. Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas
    2. Departments of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas
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  • Mukaila A. Raji MD, MS,

    1. Departments of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas
    2. Internal Medicine, University of Texas Medical Branch, Galveston, Texas
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  • Laura A. Ray MA,

    1. Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas
    2. Departments of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas
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  • Kenneth J. Ottenbacher PhD, OTR

    1. Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas
    2. Departments of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas
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Address correspondence to Bret T. Howrey, Department of Family Medicine, 301 University Blvd, University of Texas Medical Branch, Galveston, TX 77555. E-mail: bthowrey@utmb.edu

Abstract

Objectives

To determine how poor sleep affects the health of older ethnic minorities.

Design

Cross-sectional study involving a population-based survey.

Setting

Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE) survey conducted in the southwestern United States.

Participants

Two thousand two hundred fifty-six Mexican-American men and women aged 65 and older.

Measurements

The association between self-reported sleep problems and mortality over a 15-year period in a population based sample of older Mexican Americans was examined. Using five waves of data (1993–2008) from the H-EPESE, Cox proportional hazard models stratified according to sex were used to model the risk of death as a function of chronic sleep problems.

Results

Having any sleeping problems during the last month was associated with greater risk of mortality (hazard ratio = 1.14, 95% confidence interval = 1.00–1.29) in unadjusted models, although the association was attenuated after accounting for covariates.

Conclusions

Similar factors explained the association between sleep and mortality in men and women: health behaviors, depressive symptoms, and health conditions. These factors are related to stress, and both may lead to poor sleep quality. Research is needed to better understand the factors moderating the relationship between sleep, mortality, and sex.

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