Advertisement
Insomnia & Healthcare Use in Older Adults

Insomnia & Healthcare Use in Older Adults

Insomnia affects approxi­mately half of all older adults. Research suggests that insomnia may be underdetected and undertreated in clinical settings. While many older adults report difficulty sleeping, only about 10% are actually treated for a sleep disorder. In addition, older adults are high consumers of health services, with a substantial proportion of spending coming from hospitalizations, home healthcare services, and nursing home use. Focusing on Older Patients Previous studies have explored the relationship between insomnia and healthcare services use, but most have used clinical samples or focused on younger individuals. My colleagues and I, led by doctoral student Christopher Kaufmann, MHS, published a study in the Journal of Gerontology: Medical Sciences that examined the association between insomnia and the subsequent use of three different health services in a representative sample of middle-aged and older people. The study involved 14,355 participants in the Health and Retirement Study who were asked about their insomnia symptoms in 2006 and responded to questions about health service use 2 years later, including whether or not they had been hospitalized, used home healthcare, or used nursing home services. Specific insomnia symptoms included trouble falling asleep, waking during the night, waking early and not falling asleep again, and not feeling rested when wakening. We found that insomnia symptoms were associated with greater odds of subsequently using costly health services. Those with two or more insomnia symptoms were more likely to be hospitalized and to use home healthcare services. Even after accounting for common medical conditions and depressive symptoms, we observed an association between insomnia symptoms and use of any of the three health services assessed in...
[ HIDE/SHOW ]