Associação entre autopercepção do ambiente da vizinhança e problemas de sono em idosos brasileiros: resultados do ELSI-Brasil

Sutil, Daiana Vieira; Moreira, Bruno de Souza; Canever, Jaquelini Betta; Cândido, Letícia Martins; Danielewicz, Ana Lúcia; Lima-Costa, Maria Fernanda; Avelar, Núbia Carelli Pereira de

Daiana Vieira Sutil

contributed with the data analysis and interpretation

writing and review

approved the final version

Universidade Federal de Santa Catarina, Araranguá, Brasil.

https://orcid.org/0009-0005-4230-5288

Bruno de Souza Moreira

contributed with writing and review

approved the final version

Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.

https://orcid.org/0000-0001-8840-4496

Jaquelini Betta Canever

contributed with the writing and review

approved the final version

Universidade Federal de Santa Catarina, Araranguá, Brasil.

https://orcid.org/0000-0002-2238-0556

Letícia Martins Cândido

contributed with the study design, writing and review

approved the final version

Universidade Federal de Santa Catarina, Araranguá, Brasil.

https://orcid.org/0000-0002-3564-5322

Ana Lúcia Danielewicz

contributed with the study design, writing and review

approved the final version

Universidade Federal de Santa Catarina, Araranguá, Brasil.

https://orcid.org/0000-0003-1563-0470

Maria Fernanda Lima-Costa

contributed with the writing and review

approved the final version

Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.

Programa de Pós-graduação em Saúde Pública, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.

https://orcid.org/0000-0002-3474-2980

Núbia Carelli Pereira de Avelar

contributed with the study design, writing and review

approved the final version

Universidade Federal de Santa Catarina, Araranguá, Brasil.

https://orcid.org/0000-0003-4212-4039

Correspondence
N. C. P. Avelar Rua das Orquídeas 1219, Araranguá, SC 88906-078, Brasil. nubia.carelli@ufsc.br

Additional information

ORCID: Daiana Vieira Sutil (0009-0005-4230-5288); Bruno de Souza Moreira (0000-0001-8840-4496); Jaquelini Betta Canever (0000-0002-2238-0556); Letícia Martins Cândido (0000-0002-3564-5322); Ana Lúcia Danielewicz (0000-0003-1563-0470); Maria Fernanda Lima-Costa (0000-0002-3474-2980); Núbia Carelli Pereira de Avelar (0000-0003-4212-4039).

Conflict of interests

There are no conflicts of interest.

Characteristics	Total (n = 5,719) *	Poor sleep quality (n = 5,719) *	Daytime sleepiness (n = 5,719) *	Primary insomnia complaints (n = 5,717) *	Difficulty staying asleep (n = 5,711) *	Waking up at dawn (n = 5,711) *
Characteristics	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)
Sex
Male	44.9 (42.1; 47.7)	11.2 (9.2; 13.6)	33.6 (28.7; 38.9)	41.1 (36.4; 46.0)	42.0 (37.4; 46.8)	39.7 (35.0; 44.6)
Female	55.0 (52.2; 57.8)	20.0 (17.1; 23.3)	41.4 (36.7; 46.3)	54.2 (50.5; 57.9)	53.5 (49.6; 57.3)	49.2 (45.4; 53.0)
Age group (years)
60-69	55.1 (51.3; 58.9)	16.0 (13.7; 18.7)	38.3 (33.3; 43.5)	47.0 (42.7; 51.3)	46.8 (42.6; 50.9)	43.0 (38.7; 47.5)
70-79	30.5 (28.0; 33.2)	15.7 (12.8; 19.1)	36.9 (32.6; 41.4)	48.9 (44.3; 53.5)	49.0 (44.4; 53.6)	45.5 (40.8; 50.2)
≥ 80	14.2 (12.1; 16.5)	17.0 (12.3; 22.9)	38.6 (31.9; 45.8)	52.5 (46.1; 58.8)	53.0 (46.8; 59.1)	51.1 (45.2; 57.0)
Education (years)
Illiterate	13.8 (10.6; 17.6)	21.1 (18.0; 24.5)	41.8 (33.9; 50.1)	53.9 (47.9; 59.7)	52.4 (46.1; 58.6)	49.0 (42.7; 55.4)
1-4	42.7 (39.2; 46.3)	17.6 (14.8; 20.8)	39.8 (34.5; 45.4)	50.7 (45.3; 56.2)	49.4 (44.9; 54.0)	47.4 (42.9; 52.0)
5-8	19.3 (17.0; 21.7)	13.0 (9.4; 17.6)	36.7 (29.2; 44.9)	45.3 (40.2; 50.4)	48.2 (42.8; 53.7)	43.8 (38.2; 49.5)
≥ 9	24.0 (20.7; 27.7)	13.4 (9.8; 18.0)	33.1 (28.1; 38.6)	43.1 (38.0; 48.3)	43.6 (38.2; 49.2)	38.5 (33.5; 43.6)
Marital status
Not married	55.8 (52.2; 59.3)	15.0 (12.8; 17.4)	36.2 (31.5; 41.3)	46.5 (42.2; 50.9)	46.6 (42.6; 50.5)	42.7 (38.4; 47.1)
Married/Stable union	44.1 (40.6; 47.7)	17.5 (14.4; 21.0)	40.0 (34.2; 46.2)	50.6 (46.3; 54.9)	50.6 (46.2; 55.0)	47.8 (43.4; 52.2)
Time of residence in the same municipality (years)
0-9	5.6 (4.2; 7.6)	16.2 (10.9; 23.2)	44.4 (30.7; 59.0)	49.5 (38.3; 60.7)	51.6 (38.4; 64.7)	46.5 (34.3; 59.2)
10-19	4.6 (3.6; 6.0)	18.3 (11.4; 28.0)	42.3 (34.1; 50.9)	52.0 (44.7; 59.2)	54.9 (48.2; 61.5)	46.2 (39.6; 52.8)
20-29	8.1 (5.9; 11.1)	19.4 (14.7; 25.2)	40.2 (33.0; 47.8)	46.4 (38.6; 54.4)	45.9 (38.5; 53.4)	40.1 (32.6; 48.1)
30-39	12.8 (9.8; 16.6)	15.9 (12.4; 20.2)	39.1 (30.7; 48.3)	49.6 (43.3; 55.8)	50.8 (45.2; 56.4)	46.3 (40.4; 52.4)
40-49	16.9 (14.1; 20.0)	16.3 (12.1; 21.7)	39.1 (31.5; 47.2)	47.1 (40.6; 53.7)	47.7 (40.6; 54.9)	43.4 (35.9; 51.3)
≥ 50	51.6 (45.9; 57.3)	15.3 (12.9; 18.0)	35.8 (31.6; 40.2)	48.3 (44.1; 52.5)	47.4 (42.9; 51.9)	45.5 (41.0; 50.2)
Household income per capita (minimum wages)
< 1	61.1 (55.9; 66.2)	18.3 (15.9; 20.9)	39.5 (34.7; 44.5)	51.3 (47.4; 55.3)	49.9 (46.1; 53.6)	47.0 (43.1; 50.9)
≥ 1 and < 3	32.9 (28.7; 37.4)	14.4 (11.4; 18.0)	36.4 (30.3; 42.8)	44.8 (39.4; 50.4)	47.0 (41.9; 52.2)	43.0 (37.9; 48.3)
≥ 3	5.8 (4.2; 8.0)	8.7 (4.4; 16.4)	33.0 (19.9; 49.5)	42.9 (28.3; 58.9)	42.5 (28.4; 57.9)	36.6 (22.9; 52.9)
Multimorbidity
Yes	60.0 (56.1; 63.9)	21.0 (18.2; 24.0)	41.8 (37.2; 46.5)	54.6 (50.2; 58.9)	56.0 (51.6; 60.3)	51.0 (46.5; 55.5)
No	39.9 (36.0; 43.8)	8.0 (6.4; 10.0)	31.5 (25.5; 38.2)	39.1 (35.0; 43.3)	36.3 (32.6; 40.2)	35.6 (31.3; 40.1)
BMI
Underweight	11.4 (9.6; 13.4)	17.3 (13.9; 21.4)	39.0 (33.0; 45.3)	48.6 (41.9; 55.3)	46.2 (40.8; 51.7)	46.4 (41.2; 51.6)
Eutrophic	35.6 (33.5; 37.8)	15.5 (12.7; 18.9)	36.3 (31.7; 41.2)	47.2 (43.3; 51.1)	46.9 (42.6; 51.3)	44.0 (39.8; 48.2)
Overweight	52.8 (50.2; 55.4)	16.7 (14.0; 19.8)	37.1 (32.4; 41.9)	47.7 (43.9; 51.5)	48.4 (44.6; 52.3)	43.8 (40.3; 47.4)
Sleeping medication
Yes	14.5 (12.6; 16.5)	49.7 (42.7; 56.7)	63.0 (57.2; 68.5)	84.4 (80.2; 87.9)	80.6 (76.1; 84.4)	76.7 (71.0; 81.5)
No	85.4 (83.4; 87.3)	10.4 (8.5; 12.5)	33.6 (29.3; 38.2)	42.1 (38.3; 46.1)	42.8 (39.1; 46.6)	39.5 (35.8; 43.3)
Cognitive function
With impairment	32.1 (26.7; 38.1)	14.2 (11.3; 17.7)	38.6 (31.7; 46.0)	47.3 (41.5; 53.1)	44.8 (39.3; 50.4)	44.1 (38.5; 49.9)
Without impairment	67.8 (61.8; 73.2)	15.5 (12.7; 18.8)	34.7 (30.1; 39.7)	45.5 (41.1; 49.9)	46.3 (42.0; 50.6)	41.3 (36.7; 46.0)
Leisure-time physical activity level
Sufficiently active	18.6 (16.1; 21.2)	14.9 (12.1; 18.3)	36.2 (29.5; 43.5)	45.6 (40.0; 51.3)	47.2 (41.4; 52.9)	44.9 (38.4; 51.5)
Insufficiently active	81.3 (78.7; 83.8)	16.3 (13.7; 19.3)	38.3 (33.9; 42.8)	48.9 (45.1; 52.8)	48.6 (44.7; 52.5)	44.9 (41.3; 48.7)

Characteristics	Poor sleep quality (n = 5,719) *	Daytime sleepiness (n = 5,719) *	Primary insomnia complaints (n = 5,717) *	Difficulty staying asleep (n = 5,711) *	Waking up at dawn (n = 5,711) *
Characteristics	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)
Physical environment
Physical disorder
Houses and buildings with graffiti on the walls, broken windows, damaged walls, or abandoned	19.4 (14.0; 26.3)	36.8 (30.4; 43.7)	44.8 (37.6; 52.2)	46.8 (39.7; 54.1)	41.9 (36.1; 47.9)
Garbage, rubbish, or tall grass on the streets, sidewalks, or vacant lots	19.2 (14.9; 24.3)	40.6 (34.7; 46.9)	50.3 (44.4; 56.1)	51.1 (45.7; 56.5)	46.9 (42.1; 51.7)
Rats or signs of them on the street	19.9 (16.1; 24.4)	40.0 (34.6; 45.6)	49.0 (45.0; 53.1)	48.5 (44.5; 52.6)	44.5 (40.0; 49.1)
Concerns with community mobility
Concern about falling due to damaged sidewalks	20.0 (16.5; 24.0)	42.1 (37.6; 46.8)	53.5 (49.2; 57.8)	54.0 (49.9; 58.0)	51.1 (47.0; 55.2)
Concern about having difficulties taking the bus, subway, or train	21.9 (18.0; 26.5)	46.5 (40.9; 52.2)	57.9 (53.7; 62.0)	57.6 (53.7; 61.5)	54.1 (50.0; 58.2)
Concern about having difficulties crossing the street	22.3 (17.8; 27.6)	45.6 (40.2; 51.0)	57.0 (52.7; 61.5)	57.8 (53.8; 61.8)	54.2 (50.4; 57.8)
Noise pollution
Sound/Noise of buses and cars	19.7 (14.9; 25.6)	44.1 (37.0; 51.4)	54.7 (47.2; 62.0)	56.0 (48.3; 63.4)	51.2 (42.9; 59.5)
Services
Grocery shops, street markets, or other selling points with a variety of fresh fruits and vegetables	15.7 (13.3; 18.5)	37.5 (32.6; 42.7)	48.1 (43.9; 52.3)	48.1 (44.1; 52.1)	44.6 (40.5; 48.8)
Social environment
Safety
Unsafe due to crime and violence	18.9 (15.2; 23.2)	41.0 (35.9; 46.2)	50.5 (42.1; 58.8)	49.9 (41.8; 58.0)	47.4 (40.5; 54.4)
Violence
Victim of theft/robbery or had home broken into	16.0 (11.5; 21.9)	46.4 (35.8; 57.4)	50.2 (39.0; 61.4)	52.7 (42.8; 62.3)	49.1 (39.2; 59.0)
Social cohesion
Trust most people in the neighborhood	14.8 (12.3; 17.7)	34.0 (29.7; 38.5)	45.9 (41.3; 50.6)	45.9 (41.3; 50.4)	41.9 (37.5; 46.5)
Pleasantness
Good place to live	15.5 (13.2; 18.1)	35.6 (30.9; 40.6)	46.7 (42.5; 50.9)	46.9 (43.1; 50.8)	43.3 (39.3; 47.4)
Kids and younger people treat adults with respect	15.0 (12.5; 18.0)	34.8 (30.8; 39.1)	46.2 (42.3; 50.2)	47.0 (43.1; 51.0)	43.0 (39.1; 46.9)
Good place for kids to play and to raise teenagers	14.5 (11.8; 17.7)	34.5 (30.1; 39.2)	46.4 (42.0; 50.8)	46.0 (41.7; 50.4)	43.1 (39.1; 47.3)
Nice to walk, jog, or ride a bicycle	14.8 (12.2; 17.7)	35.6 (30.5; 40.9)	46.7 (42.2; 51.1)	46.6 (42.4; 50.8)	43.4 (39.2; 47.6)
Desire to move from where living	22.6 (17.6; 28.5)	42.4 (36.9; 48.0)	52.8 (47.6; 58.0)	52.8 (47.6; 58.0)	48.4 (42.8; 54.1)

Characteristics	Poor sleep quality (n = 5,719) **	Daytime sleepiness (n = 5,719) **	Primary insomnia complaints (n = 5,717) **	Difficulty staying asleep (n = 5,711) **	Waking up at dawn (n = 5,711) **
Characteristics	OR (95%CI)	OR (95%CI)	OR (95%CI)	OR (95%CI)	OR (95%CI)
Physical disorder
Houses and buildings with graffiti on the walls, broken windows, damaged walls, or abandoned (vs. no)	1.55 (0.93; 2.58)	1.03 (0.72; 1.47)	0.82 (0.57; 1.18)	0.98 (0.72; 1.32)	0.93 (0.71; 1.22)
Garbage, rubbish, or tall grass on the streets, sidewalks, or vacant lots (vs. no)	1.51 (1.01; 2.25)	1.15 (0.84; 1.58)	1.15 (0.87; 1.52)	1.09 (0.86; 1.39)	1.18 (0.95; 1.48)
Rats or signs of them on the street (vs. no)	1.37 (0.99; 1.89)	1.08 (0.80; 1.45)	0.94 (0.74; 1.20)	0.88 (0.69; 1.12)	0.88 (0.70; 1.11)
Concerns with community mobility
Concern about falling due to damaged sidewalks (vs. no)	1.45 (1.04; 2.04)	1.41 (1.08; 1.85)	1.41 (1.11; 1.77)	1.29 (1.01; 1.64)	1.48 (1.20; 1.83)
Concern about having difficulties taking the bus, subway, or train (vs. no)	1.50 (1.04; 2.15)	1.75 (1.35; 2.28)	1.63 (1.26; 2.11)	1.52 (1.22; 1.91)	1.66 (1.22; 2.25)
Concern about having difficulties crossing the street (vs. no)	1.72 (1.13; 2.61)	1.58 (1.24; 2.00)	1.54 (1.15; 2.06)	1.51 (1.19; 1.90)	1.63 (1.29; 2.06)
Noise pollution
Sound/Noise of buses and cars (vs. no)	1.55 (1.06; 2.26)	1.31 (0.98; 1.75)	1.16 (0.90; 1.76)	1.51 (1.12; 2.02)	1.40 (1.07; 1.85)
Services
Grocery shops, street markets, or other selling points with a variety of fresh fruits and vegetables (vs. no)	0.73 (0.46; 1.16)	0.76 (0.51; 1.12)	0.88 (0.57; 1.36)	0.90 (0.61; 1.32)	0.83 (0.55; 1.27)

Characteristics	Poor sleep quality (n = 5,719) **	Daytime sleepiness (n = 5,719) **	Primary insomnia complaints (n = 5,717) **	Difficulty staying asleep (n = 5,711) **	Waking up at dawn (n = 5,711) **
Characteristics	OR (95%CI)	OR (95%CI)	OR (95%CI)	OR (95%CI)	OR (95%CI)
Safety
Unsafe due to crime and violence (vs. safe)	1.23 (0.81 1.85)	1.23 (0.90; 1.67)	1.11 (0.75; 1.65)	0.95 (0.66; 1.37)	1.07 (0.77; 1.49)
Violence
Victim of theft/robbery or had home broken into (vs. no)	0.71 (0.36; 1.40)	1.52 (0.89; 2.58)	1.03 (0.57; 1.84)	1.16 (0.76; 1.76)	1.06 (0.62; 1.81)
Social cohesion
Trust most people in the neighborhood (vs. no)	0.79 (0.59; 1.05)	0.65 (0.49; 0.86)	0.71 (0.54; 0.95)	0.74 (0.54; 1.01)	0.73 (0.56; 0.96)
Pleasantness
Good place to live (vs. no)	0.77 (0.51; 1.18)	0.57 (0.38; 0.85)	0.66 (0.44; 0.99)	0.73 (0.48; 1.09)	0.73 (0.50; 1.07)
Kids and younger people treat adults with respect (vs. no)	0.75 (0.52; 1.10)	0.64 (0.49; 0.84)	0.67 (0.50; 0.89)	0.81 (0.60; 1.09)	0.74 (0.57; 0.95)
Good place for kids to play and to raise teenagers (vs. no)	0.78 (0.55; 1.10)	0.67 (0.50; 0.90)	0.82 (0.59; 1.14)	0.79 (0.57; 1.09)	0.88 (0.63; 1.21)
Nice to walk, jog, or ride a bicycle (vs. no)	0.90 (0.61; 1.32)	0.76 (0.55; 1.06)	0.84 (0.67; 1.05)	0.87 (0.69; 1.11)	0.93 (0.74; 1.18)
Desire to move form where living (vs. no)	1.52 (1.04; 2.22)	1.10 (0.79; 1.54)	1.27 (0.99; 1.62)	1.23 (0.96; 1.58)	1.09 (0.83; 1.45)

[1] Correspondence
N. C. P. Avelar Rua das Orquídeas 1219, Araranguá, SC 88906-078, Brasil. nubia.carelli@ufsc.br

Brasil

Brasil

Associação entre autopercepção do ambiente da vizinhança e problemas de sono em idosos brasileiros: resultados do ELSI-Brasil

Resumo: