{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T15:14:39Z","timestamp":1788275679882,"version":"build-2803163510"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,11,23]],"date-time":"2025-11-23T00:00:00Z","timestamp":1763856000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,23]],"date-time":"2025-11-23T00:00:00Z","timestamp":1763856000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Can J Public Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Poor sleep quality\u2019s risk factors remain understudied in aging populations. Chronic back problems (CBP), a leading cause of disability, may contribute to poor sleep quality.<\/jats:p>\n                    <jats:p>Firstly, we determined the prevalence of poor sleep quality. Secondly, we investigated the association between chronic back problems and poor sleep quality, controlling for covariates. Lastly, we explored the interaction between sleep apnea and chronic back problems with respect to their association with poor sleep quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed data from Ontarians\u2009\u2265\u200960\u00a0years in the 2015\u20132016 Canadian Community Health Survey. We estimated the prevalence (95% confidence interval (CI)) of poor sleep quality. We investigated the association between CBP and poor sleep quality to compute prevalence ratios (PR) and 95% CI, controlling for covariates. We explored the interaction between CBP and sleep apnea in their association with poor sleep quality using four combined exposure categories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 52% of participants reported sleeping\u2009&lt;\u20097\u00a0h or\u2009\u2265\u20099\u00a0h, 18% reported trouble going to\/staying asleep, and 13% never\/rarely felt refreshed. Controlling for covariates, CBP was associated with sleeping outside of recommended guidelines (PR\u2009=\u20091.19 (1.11\u20131.27)), trouble going to sleep or staying asleep (PR\u2009=\u20091.54 (1.32\u20131.79)), and rarely\/never having refreshing sleep (PR\u2009=\u20091.45 (1.20\u20131.79)). No interaction was found between CBP and sleep apnea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We found that CBP is associated with poor sleep quality among Ontarians\u2009\u2265\u200960\u00a0years. Future studies should investigate CBP as a potential risk factor for poor sleep quality.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>R\u00e9sum\u00e9<\/jats:bold>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>Objectifs:<\/jats:bold>\n                      Les facteurs de risque d\u2019un sommeil de mauvaise qualit\u00e9 sont encore sous-\u00e9tudi\u00e9s dans les populations vieillissantes. Les probl\u00e8mes de dos chroniques (PDC), l\u2019une des principales causes d\u2019invalidit\u00e9, pourraient contribuer \u00e0 la mauvaise qualit\u00e9 du sommeil.\n                    <\/jats:p>\n                    <jats:p>En premier lieu, nous avons d\u00e9termin\u00e9 la pr\u00e9valence de la mauvaise qualit\u00e9 du sommeil. En deuxi\u00e8me lieu, nous avons \u00e9tudi\u00e9 l\u2019association entre les probl\u00e8mes de dos chroniques et la mauvaise qualit\u00e9 du sommeil apr\u00e8s avoir apport\u00e9 des ajustements pour tenir compte des effets de covariables. Pour terminer, nous avons explor\u00e9 l\u2019interaction entre l\u2019apn\u00e9e du sommeil et les probl\u00e8mes de dos chroniques du point de vue de leur association avec la mauvaise qualit\u00e9 du sommeil.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>M\u00e9thodes:<\/jats:bold>\n                      Nous avons analys\u00e9 les donn\u00e9es d\u2019Ontariennes et d\u2019Ontariens de\u2009\u2265\u200960 ans ayant particip\u00e9 \u00e0 l\u2019Enqu\u00eate sur la sant\u00e9 dans les collectivit\u00e9s canadiennes de 2015\u20132016. Nous avons estim\u00e9 la pr\u00e9valence (intervalle de confiance [IC] de 95%) de la mauvaise qualit\u00e9 du sommeil. Nous avons \u00e9tudi\u00e9 l\u2019association entre les PDC et la mauvaise qualit\u00e9 du sommeil pour calculer des ratios de pr\u00e9valence (RP) et des IC de 95%, apr\u00e8s avoir apport\u00e9 des ajustements pour tenir compte des effets de covariables. Nous avons explor\u00e9 l\u2019interaction entre les PDC et l\u2019apn\u00e9e du sommeil du point de vue de leur association avec la mauvaise qualit\u00e9 du sommeil \u00e0 l\u2019aide de quatre cat\u00e9gories d\u2019exposition combin\u00e9es.\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>R\u00e9sultats:<\/jats:bold>\n                      Dans l\u2019ensemble, 52% des personnes participantes ont d\u00e9clar\u00e9 dormir\u2009&lt;\u20097 heures ou\u2009\u2265\u20099 heures, 18% ont dit avoir du mal \u00e0 s\u2019endormir ou \u00e0 rester endormies, et 13% ont dit ne jamais ou rarement se sentir repos\u00e9es. Apr\u00e8s avoir apport\u00e9 des ajustements pour tenir compte des effets de covariables, les PDC \u00e9taient associ\u00e9s au non-respect des directives de sommeil recommand\u00e9es (RP\u2009=\u20091,19 [1,11\u20131,27]), \u00e0 la difficult\u00e9 de s\u2019endormir ou de rester endormi (RP\u2009=\u20091,54 [1,32\u20131,79]) et au fait de ne jamais\/rarement avoir un sommeil r\u00e9parateur (RP\u2009=\u20091,45 [1,20\u20131,79]). Nous n\u2019avons observ\u00e9 aucune interaction entre les PDC et l\u2019apn\u00e9e du sommeil.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Selon nos constatations, les PDC sont associ\u00e9s \u00e0 la mauvaise qualit\u00e9 du sommeil chez les Ontariennes et les Ontariens de\u2009\u2265\u200960 ans. De futures \u00e9tudes devraient porter sur les PDC en tant que facteur de risque potentiel d\u2019un sommeil de mauvaise qualit\u00e9.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.17269\/s41997-025-01123-4","type":"journal-article","created":{"date-parts":[[2025,11,23]],"date-time":"2025-11-23T20:32:42Z","timestamp":1763929962000},"page":"658-669","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The association between chronic back problems and poor sleep quality among Ontarian adults aged 60\u00a0years and older: A cross-sectional study analyzing the Canadian Community Health Survey 2015\u20132016"],"prefix":"10.17269","volume":"117","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7061-774X","authenticated-orcid":false,"given":"Pegah","family":"Rahbar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica J.","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efrosini","family":"Papaconstantinou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheilah","family":"Hogg-Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"C\u00f4t\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,23]]},"reference":[{"issue":"9","key":"1123_CR1","doi-asserted-by":"publisher","first-page":"755","DOI":"10.1097\/AJP.0000000000000055","volume":"30","author":"SM Alsaadi","year":"2014","unstructured":"Alsaadi, S. 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