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Updated: Jun 18, 2026

Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
How Changes in Living Arrangements Are Associated With Changes in Sleep Quality and Duration Among Chinese Older
1Department of Social Medicine, Ohio University Heritage College of Osteopathic Medicine, Athens Campus, OH, USA.
Abstract:
PurposeThis study examined how transitions in living arrangements are associated with changes in sleep quality and sleep duration among Chinese older adults.Major findingsUsing four waves of the Chinese Longitudinal Healthy Longevity Survey data (2008-2018), we examined how living arrangement transitions affect sleep among 10,473 observations from older adults (65+). Cox models showed that older adults who remained living with household members (hazard ratio [HR] = 0.66, 95% CI: 0.53-0.81; p < .001) or transitioned to living alone (HR = 0.71, 95% CI: 0.57-0.89; p = .003) had significantly lower risks of experiencing a decline in sleep quality compared to those who transitioned to institutional care. Although similar patterns were observed for sleep duration, these associations were not statistically significant.ConclusionsOlder adults transitioning to institutional care may warrant additional monitoring and supportive care regarding sleep health during residential transitions.
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