Sleep disturbances and racial–ethnic disparities in 10-year dementia risk among a national sample of older adults in the USA
2024

Sleep Disturbances and Dementia Risk in Older Adults

Sample size: 6284 publication 10 minutes Evidence: moderate

Author Information

Author(s): Wong Roger, Grullon Jason Rafael

Primary Institution: Norton College of Medicine, SUNY Upstate Medical University, New York, USA

Hypothesis

Does race/ethnicity moderate the relationship between sleep disturbances and dementia risk among older adults?

Conclusion

Sleep disturbances are more frequent among older Black, Hispanic, and Asian adults, and should be considered when addressing dementia disparities.

Supporting Evidence

  • Black, Hispanic, and Asian respondents exhibited higher frequencies of sleep-initiation and sleep-maintenance difficulties.
  • Hispanic respondents with sleep-initiation difficulty had a decreased dementia risk.
  • Asian respondents using sleep medications had a significantly higher dementia risk.

Takeaway

Older people from different races have trouble sleeping, which can affect their chances of getting dementia. It's important to look at how sleep problems differ among these groups.

Methodology

The study analyzed ten years of data from the National Health and Aging Trends Study using Cox proportional hazards models to assess dementia risk.

Potential Biases

Potential bias from self-reported data and missing data imputation.

Limitations

The study lacks psychometric testing for sleep measures and may have residual confounding from unmeasured variables.

Participant Demographics

Participants included 6284 community-dwelling older adults, with 69.9% White, 20.9% Black, 5.4% Hispanic, 1.7% Asian, and 2.1% other races.

Statistical Information

P-Value

0.01

Confidence Interval

95% CI 0.15–0.76

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1192/bjo.2024.814

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