ABSTRACT
Objective To explore the relationship and internal path between activities of daily living(ADL),sleep quality and mental health of community elderly people in Shanghai.Methods A questionnaire survey was conducted among community residents aged 60 years and older seeing doctors in community health care center of five streets in Shanghai during Sept to Dec,2021 using convenience sampling.Activities of Daily Living(ADL),Pittsburgh Sleep Quality Index(PSQI)and 10-item Kessler Psychological Distress Scale(K10)were adopted in the survey.Single factor analysis,correlation analysis and multiple linear regression were used to analyze the data.The effect relationship between the variables was tested using Bootstrap's mediated effects test.Results A total of 1 864 participants were included in the study.The average score was 15.53±4.47 for ADL,5.60±3.71 for PSQI and 15.50±6.28 for K10.The rate of ADL impairment,poor sleep quality,poor and very poor mental health of the elderly were 23.6%,27.3%,11.9%and 4.9%,respectively.ADL and sleep quality were all positively correlated with mental health(r=0.321,P＜0.001;r=0.466,P＜0.001);ADL was positively correlated with sleep quality(r=0.294,P＜0.001).Multiple linear results of factors influencing mental health showed that ADL(β= 0.457,95%CI:0.341-0.573),sleep quality(β =0.667,95%CI:0.598-0.737)and mental health were positively correlated(P＜0.001).Sleep quality partially mediated the relationship between ADL and mental health(95%CI:0.078-0.124)with an effect size of 33.0%.Conclusion Sleep quality is a mediator between ADL and mental health among community elderly people.Improving ADL and sleep quality may improve mental health in the population.
ABSTRACT
Objective To explore the relationship between adult tobacco use and health literacy, and to provide evidence for tobacco control intervention and health promotion. Methods By combining PPS method and KISH table method, the 2018 National Residents′ Health Literacy Monitoring Questionnaire was used to investigate the health literacy level and tobacco use, and the correlation between current smoking behavior and health literacy among residents aged 15-69 was analyzed by logistic regression. Results A total of 3 200 people were surveyed, and 3 185 valid questionnaires were recovered, with an effective rate of 99.53%.The current smoking rate of people with scientific health literacy, infectious disease prevention literacy, safety and first aid literacy, basic medical literacy and health information literacy was lower than those without (P < 0.05).The results of multivariate logistic regression analysis showed that the current smoking rate of males was higher than that of females (OR=25.900, 95%CI:17.018-39.416).The current smoking rates in groups aged 25-69 were higher than those in groups aged 15-24 (OR=4.956-9.178, 95%CI:1.179-37.940).The current smoking rates of workers, employees of other enterprises and other professionals were higher than those of employees of government institutions (OR=1.488-1.913, 95%CI:1.082-3.055).People without basic medical literacy had a higher smoking rate than those with basic medical and health literacy (OR=1.366, 95%CI:1.057-1.765). Conclusion From now on, we should carry out health literacy promotion and tobacco control propaganda for key groups, improve the level of basic medical and health literacy and reduce the smoking rate.