기초 생활 수급여부에 따른 중년 여성 수면의 질 영향요인: 2018년 지역사회건강조사 자료 활용

Abstract

Purpose: The purpose of this study was to identify and compare the factors affecting sleep quality in middle-aged women who received social assistance with those who did not receive such assistance. Methods: This study was conducted to determine the effect of social assistance on sleep quality measured using the Pittsburgh Sleep Quality Index (PSQI) tool. The subjects were 55,776 middle-aged women between 40 to 64 years enrolled in the Korea Community Health Survey (KCHS), 2018. Data were analyzed using descriptive statistics, the Chi-square test, and logistic regression on the SPSS/WIN 27.0 software. Results: The overall prevalence of poor sleep quality was 48.1%. Among social assistance recipients, poor sleep quality was 66.3%, and among non-recipients, it was 47.6%, showing a statistically significant difference(χ2=128.43, p<.001). A multivariable logistic regression analysis indicated that the factor affecting sleep quality the most among social assistance recipients was depression (95% CI=3.03-4.79, p<.001). On the other hand, the factor affecting sleep quality the most in non-recipients was pain or discomfort (95% CI=2.65-4.79, p<.001). Conclusion: Based on these results, there is an urgent need to formulate strategies to improve sleep quality of middle-aged women. Furthermore, when developing interventions to improve the sleep quality of these women, it will be necessary to consider strategies that focus on psychological interventions to alleviate depression in those with a low economic status.