title: Poor sleep quality and alcohol use problems among elderly Taiwanese aboriginal women.
abstract: BACKGROUND
  Little is known about sleep quality and alcohol use problems in the elderly minority population. This study aimed to identify a one-month prevalence of poor sleep quality and alcohol use problems among elderly Taiwanese aboriginal women and to examine the association between them.
  
  
  METHODS
  A cross-sectional survey with stratified random sampling was conducted in eight aboriginal communities in Taiwan. The 1261 elderly aboriginal women (response rate 84%) completed all assessments. Sleep was assessed using the Pittsburgh Sleep Quality Index (PSQI), while the CAGE questionnaire was used to evaluate alcohol use problems.
  
  
  RESULTS
  Of the study participants, 20.54% and 25.59% had poor sleep quality and alcohol use problems, respectively. Controlling for confounding factors, alcohol use problems were a risk factor for poor sleep quality (AOR = 1.44, p = 0.0433). Alcohol use problems were associated with three components of PSQI: sleep disturbances, subjective sleep quality, and daytime dysfunction.
  
  
  CONCLUSIONS
  The elderly Taiwanese aboriginal women with problematic alcohol drinking experienced poorer sleep quality. Development of a program to reduce alcohol use problems might improve sleep quality among elderly Taiwanese aboriginal women.
authors.affiliation: Department of Nursing, Yuanpei University, Hsinchu, and School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Ke-Hsin
authors.initials: KH
authors.lastname: Chueh
authors.forename: Mei-Sang
authors.initials: MS
authors.lastname: Yang
authors.forename: Cheng-Sheng
authors.initials: CS
authors.lastname: Chen
authors.forename: Shyam-Min
authors.initials: SM
authors.lastname: Chiou