All ETDs from UAB

Advisory Committee Chair

Mary G Umlauf

Advisory Committee Members

Eileen Chasens

Patricia Drentea

Erica V Pryor

David E Vance

Document Type


Date of Award


Degree Name by School

Doctor of Philosophy (PhD) School of Nursing


Introduction: The purpose of this study was to examine behavioral outcomes and sleep disruption in aging adults using data from the 2004 wave of the longitudinal Health and Retirement Study (HRS). It was hypothesized that sleep disruption is associated with behavioral outcomes and sociodemographic variables in a population-based sample. Methods: The 2004 HRS data (N=20,129) represents a cross-sectional analysis of community dwelling aging adults born in the US at or before 1923 through 1953. Data are stratified by date of birth to provide five cohorts of aging elderly. The HRS Psychosocial Leave-Behind Participant Lifestyle Questionnaire (PLBQ) was given to a random sample of participants (N=1,439; 52.5% male; 47.5% female; 91.5% White; 5.2% Black; Response Rate 76.8%) who completed the 2004 HRS wave. Portions of the HRS including age, gender, race, marital status, education, income, comorbidities, and sleep measures were matched to the subjects who completed the PLBQ. An index of sleep disruption items was computed and sleep sensitive behaviors (cynical hostility, optimism, pessimism and social participation) were computed according to instrument directions. Results: After controlling for sociodemographic variables, sleep disruption independently predicted social integration (t=2.135, p

Included in

Nursing Commons



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