摘要
Scientific research on the benefits of the Mahjong card game and social activity for sleep remains limited among older adults in China, although these two leisure behaviors are common among Chinese older adults. This study aims to examine this topic of interest in a single research effort. Applying panel data from the Chinese Longitudinal Healthy Longevity Survey from 4718 participants, a nationally representative sample, multivariable logistic regressions were performed to investigate the effects of the Mahjong card game and social activity on quality of sleep and recommended hours of sleep duration daily (between 7 and 8 h of sleep) among Chinese older adults. Of the study sample, approximately 62% of older adults reported good quality of sleep, but only 38% of them slept within the recommended range. Non-gamers had lower odds of reporting good quality of sleep (adjusted odds ratio [AOR] = 0.75, 95% CI 0.62, 0.90, p < 0.01), compared with daily Mahjong card gamers. Participation of social activity was not associated with sleep quality. Less frequent participation in social activity was positively associated with recommended hours of sleep duration daily, but there was no significant difference between older adults who did not participate in social activity at all and those who participated daily. The study results suggest that playing the Mahjong card game is associated with better sleep quality among older adults. However, the effect of social activity on sleep-related measurements should be investigated further. The effect of social activity and sleep quality remains inconclusive.