title: Factors contributing to poor satisfaction with sleep and healthcare seeking behavior in older adults.
abstract: To identify factors influencing older adults' poor satisfaction with sleep and their current healthcare seeking behaviors.
  
  
  
  Cross-sectional study.
  
  
  
  Pittsburgh Claude D. Pepper Older Americans Independence Center Community Registry.
  
  
  
  Individuals aged 60 or older enrolled in the registry that completed a cross-sectional mailed survey (N = 1026).
  
  
  
  Participant demographics (age, gender, marital status, race, education), overall health (self-rated health, pain, and comorbidities), and health behaviors (physical activity, smoking, drinking behaviors) were collected from the registry database. A mail survey was used to collect self-report on sleep problems and their current healthcare seeking behaviors. Simple and multiple logistic regression models were used to evaluate associations between variables.
  
  
  
  A total of 19.3% of participants reported being "dissatisfied" or "very dissatisfied" with their overall sleep quality. Participants who reported poor sleep satisfaction were more likely to be single and report poorer overall health compared to participants who were satisfied with their sleep quality. They were also more likely to report using over-the-counter (OTC) and prescription sleep medications, discuss sleep problems with a healthcare provider, and use strategies to improve their sleep (P < .05). A higher proportion of participants with trouble sleeping throughout the night reported they had discussions with a healthcare provider (47.2%), and used OTC (38.6%) or prescription (20.1%) sleep aids.
  
  
  
  These results underscore the possible linkage between poor satisfaction with sleep and older adults' current healthcare seeking behaviors and self-treatment methods, particularly using OTC medications to cope with sleep problems without consulting a healthcare provider.
authors.affiliation: Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, 3501 Terrace Street, Pittsburgh, PA, 15261, USA. Electronic address: olufunmilola.abraham@pitt.edu.
authors.forename: Olufunmilola
authors.initials: O
authors.lastname: Abraham
authors.affiliation: Mathematica Policy Research, 505 14(th) Street, Suite 800, Oakland, CA, 94612, USA.
authors.forename: Jia
authors.initials: J
authors.lastname: Pu
authors.affiliation: Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, 3501 Terrace Street, Pittsburgh, PA, 15261, USA.
authors.forename: Loren J
authors.initials: LJ
authors.lastname: Schleiden
authors.affiliation: Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, 130 De Soto Street, Pittsburgh, PA, 15261, USA.
authors.forename: Steven M
authors.initials: SM
authors.lastname: Albert
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D004366:Nonprescription Drugs / Q000627:therapeutic use; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010549:Personal Satisfaction; D012648:Self Care / Q000379:methods; D012847:Single Person / Q000523:psychology / Q000706:statistics & numerical data; D012890:Sleep; D000068776:Sleep Aids, Pharmaceutical / Q000627:therapeutic use; D012893:Sleep Wake Disorders / Q000188:drug therapy / Q000523:psychology
chemical_list: D004366:Nonprescription Drugs; D000068776:Sleep Aids, Pharmaceutical
keywords: Healthcare seeking behaviors; Older adults; Poor sleep satisfaction; Sleep complaints; Sleep disturbance; Sleep health