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Metrics details. Insomnia is a common sleep disturbance in older adults and is associated with many poor health outcomes. This study aimed to explore factors associated with insomnia in older adult outpatient clinics, and to further analyze the influence of gender on factors associated with insomnia.

This cross-sectional study was conducted in the outpatient clinics of a tertiary hospital in Southern Taiwan from July to September Socio-demographics, health behaviors and clinical data were collected by face-to-face interview. Multivariable logistic regression was adopted for statistical analysis of the entire sample and stratified by gender. Gender, appetite, exercise, depressive symptoms, and sleep-related conditions such as short sleep duration, sleeping pills usage, medium-high risk of obstructive sleep apnea OSA and restless leg syndrome RLS were factors associated with insomnia in older adults.

Exercise, sleeping pills usage, and RLS were independently associated with insomnia only in men, while appetite and medium-high risk of OSA were associated with insomnia in women only. In addition, after further adjusting for covariates, prevalence of the insomnia-related symptoms such as sleep induction, total sleep duration, sleep quality and sleepiness during the day was significantly higher in females than in males.

Insomnia symptoms are highly prevalent among older adults, predominantly females. Significant differences are found between genders in factors associated with insomnia and insomnia-related symptoms. Understanding gender differences may help clinicians to modify associated factors when managing older adults with insomnia. Peer Review reports. Since the world is facing an aging society, much attention has been paid to sleep problems in older adults [ 1 ]. Insomnia is a common sleep-related complaint among older adults, whether it is reported as subjective symptoms or defined as a sleep disorder according to recognized diagnostic systems.