Identifying The Impact of Socioeconomic Status on The Sleep Quality of Aging Adults With MCI: A Comparative Study

Abstract

Aging adults with mild cognitive impairment (MCI) are underrepresented in built environment research, specifically studies that mainly focus on low socioeconomic status and racial minorities. Part of this thesis is a part of a larger study conducted by the Cognitive Empowerment Program that is investigating the built environment of aging adults with MCI. The aim of this thesis is multifold: first, to provide a clearer understanding of the differences in the sleep environment related to socioeconomic status in aging adults with MCI and investigate if these differences affect their sleep health. Second, this thesis also aimed to evaluate which home environment factors, such as lighting, noise, temperature, air quality and housing insecurity affect sleep health for aging adults with MCI. Lastly, this thesis aimed to empower underprivileged aging adults with MCI and give back to this community that is not represented enough in research. Affluent and underprivileged aging adults with MCI were surveyed in Atlanta Georgia, using mental health measures, cognitive health measures, sleep quality measures and a built environment survey that asks questions about their sleeping environment. This study was able to suggest an association between socioeconomic status with sleep quality, depression, and stress. The findings of this study also suggest a relationship between sleep health and the satisfaction with the current living arrangement, homeownership, wanting to move out of current living arrangement and moving frequency. Lastly, this study was also able to identify gender differences in sleep health. This study is a preliminary investigation on the home and sleeping environments of underprivileged aging adults with MCI. Since there is a lack of literature about this presented topic, future research should investigate the indoor environmental conditions and its relationship with sleep health of racial/ethnic minorities, low socioeconomic status groups, and cognitive aging adults to allow these vulnerable populations to age-in-place in their homes peacefully and independently.