{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:22:39Z","timestamp":1791400959563,"version":"4.3.3"},"reference-count":54,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Aging Hum Dev"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study examined how transitions in living arrangements are associated with changes in sleep quality and sleep duration among Chinese older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Major findings<\/jats:title>\n                    <jats:p>\n                      Using four waves of the Chinese Longitudinal Healthy Longevity Survey data (2008\u20132018), we examined how living arrangement transitions affect sleep among 10,473 observations from older adults (65+). Cox models showed that older adults who remained living with household members (hazard ratio [HR]\u2009=\u20090.66, 95% CI: 0.53\u20130.81;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001) or transitioned to living alone (HR\u2009=\u20090.71, 95% CI: 0.57\u20130.89;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.003) had significantly lower risks of experiencing a decline in sleep quality compared to those who transitioned to institutional care. Although similar patterns were observed for sleep duration, these associations were not statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Older adults transitioning to institutional care may warrant additional monitoring and supportive care regarding sleep health during residential transitions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00914150261458268","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T13:44:04Z","timestamp":1781703844000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["How Changes in Living Arrangements Are Associated With Changes in Sleep Quality and Duration Among Chinese Older Adults: Results From a Longitudinal Study (2008\u20132018)"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1412-4229","authenticated-orcid":false,"given":"Cai","family":"Xu","sequence":"first","affiliation":[{"name":"Ohio University Heritage College of Osteopathic Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1580101"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-025-06019-z"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2023.10.004"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-018-1685-8"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.9278"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1265902"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2702.1999.00267.x"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20071001-07"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2016.11.009"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014920"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03340151"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-018-1114-6"},{"key":"e_1_3_2_14_1","doi-asserted-by":"crossref","first-page":"3893","DOI":"10.3390\/ijerph19073893","article-title":"The relationship between living arrangements and sleep quality in older adults: Gender differences","volume":"19","author":"Griffin S. 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