AUTHOR=Liao Gengze , Huang Bixia , Lee Priscilla Ming , Zhao Shi , Chan Chi Kuen , Tai Lai-Bun , Tsang Chun Yuk Jason , Leung Chi Chiu , Kwan Mei-Po , Tse Lap Ah 

TITLE=Differences in Sleep Patterns and Mental Health Problems During Different Periods of COVID-19 Outbreak Among Community-Dwelling Older Men in Hong Kong

JOURNAL=International Journal of Public Health

VOLUME=Volume 67 - 2022

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1604363

DOI=10.3389/ijph.2022.1604363

ISSN=1661-8564

ABSTRACT=Objectives To determine the associations of poor sleep with depression and anxiety among Hong Kong community-dwelling older men in the context of the COVID-19 pandemic.
Methods The data was derived from a sample of community-dwelling men aged>60 who were recruited during three periods of COVID-19 outbreak (i.e., pre-outbreak, between the 2nd and 3rd wave, and during the 3rd wave) from July 2019 to September 2020 for a different purpose. Sleep and mental health were measured by standard questionnaires. Multivariate logistic regression models were performed for the associations between sleep and mental health.
Results Subjects enrolled between the 2nd and 3rd wave tended to have better sleep but worse mental health. A positive association between poor sleep quality and depression (AOR=3.27, 95%CI: 1.60-7.03) or anxiety (AOR=2.40, 95%CI: 1.07-5.76) was observed. The outbreak period “between 2nd and 3rd wave” was positively associated with depression (AOR=2.65, 95%CI: 1.22-5.83), showing an additive interaction with poor sleep.
Conclusion The positive association between poor sleep and depression was aggravated by the period “between the 2nd and 3rd outbreak” of COVID-19 among community-dwelling older males.