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Data from 179 adults aged 65–82 were analyzed from a cross-sectional online survey. Participants reporting difficulty paying for basic necessities showed worse multidimensional sleep health. Income adequacy predicted sleep health indirectly via cognitive arousal, but not via somatic arousal. Results suggest cognitively oriented sleep-health interventions may benefit older adults experiencing income inadequacy; prospective work is needed to confirm effects and refine intervention targets.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/income-adequacy-pre-sleep-arousal-and-multidimensional-sleep-health-among-older-adults-article-917-findings-on-mediation-via-pre-sleep-arousal/426197/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/income-adequacy-pre-sleep-arousal-and-multidimensional-sleep-health-among-older-adults-article-917-findings-on-mediation-via-pre-sleep-arousal/426197.png","ImageObject",300,407,{"name":92,"@type":93},"Stanley","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How was income adequacy measured in the study?","Question",{"text":112,"@type":113},"Income adequacy was assessed with a self-report item asking respondents about the extent of difficulty they have paying for basic necessities.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What aspects of pre-sleep arousal were considered?",{"text":117,"@type":113},"The study measured both cognitive and somatic pre-sleep arousal using the Pre-Sleep Arousal Scale.",{"name":119,"@type":110,"acceptedAnswer":120},"Does income adequacy affect sleep health directly or indirectly?",{"text":121,"@type":113},"Income adequacy related to multidimensional sleep health indirectly through cognitive arousal, and the association was not observed through somatic arousal.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},426197,1790753568,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},2336477405376,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Innovation in Aging, 2025, Vol. 9, No. S2 917  \nt-test and regression-based parallel mediation analysis. The sample included 179 adults aged 65-82 years (M = 69.66, SD= 4.20) . On average, individuals who reported difficulty paying for basic necessities had worse multidimensional sleep health (M = 12.95, SD = 4.13) than those who did not endorse difficulty (M = 14.89, SD = 3.96), t(177)=3.10, p=.001 . Income adequacy was associated with multidimensional sleep health indirectly, B=-.94, 95% CI [-1.62, -.39], through cognitive arousal, B=-.87, SE=.32, 95% CI [-1 .59, - .31], but not somatic arousal, B=- .07, 95% CI [- .46,.24]. These findings suggest that, in older adults, feeling unable to pay for basic necessities is associated with more pre-sleep cognitive arousal which is, in turn, associated with worse multidimensional sleep health. Prospective research is needed to clarify this association and determine if sleep health interventions that are cognitively-oriented and consider social determinants of health are beneficial for older adults experiencing income inadequacy.  \nAbstract citation ID: igaf122.3099  \nINCOME ADEQUACY, PRE-SLEEP AROUSAL, AND  \nMULTIDIMENSIONAL SLEEP HEALTH AMONG  \nOLDER ADULTS  \nCaitlan Tighe, Brooke Sullivan, Grace Lynch, and  \nDeclan Miles, Providence College, Providence, Rhode Island, United States  \nExisting literature indicates income adequacy is associated with general health perceptions among older adults; less is known about its association with sleep health. We investigated if older adults’ multidimensional sleep health differs by income adequacy and to evaluate if income adequacy relates to sleep health indirectly through experiences of pre-sleep arousal. We analyzed data from a cross-sectional online survey study of participants recruited from Prolific. Income adequacy was assessed with a self-report item wherein respondents indicated the extent of difficulty they have paying for basic necessities. The Pre-Sleep Arousal Scale assessed cognitive and somatic pre-sleep arousal.  \nThe RU-SATED v4.0 questionnaire assessed multidimensional sleep health. Aims were evaluated with an independent samples","cbCaii4QCnBpYUEq","https://ap.wps.com/l/cbCaii4QCnBpYUEq","pdf",47574,"English","# Study aims and background\n## Measures and data source\n## Key findings\n## Indirect pathways and interpretation\n## Implications and future research","[{\"question\":\"How was income adequacy measured in the study?\",\"answer\":\"Income adequacy was assessed with a self-report item asking respondents about the extent of difficulty they have paying for basic necessities.\"},{\"question\":\"What aspects of pre-sleep arousal were considered?\",\"answer\":\"The study measured both cognitive and somatic pre-sleep arousal using the Pre-Sleep Arousal Scale.\"},{\"question\":\"Does income adequacy affect sleep health directly or indirectly?\",\"answer\":\"Income adequacy related to multidimensional sleep health indirectly through cognitive arousal, and the association was not observed through somatic arousal.\"}]","INCOME ADEQUACY, PRE-SLEEP AROUSAL, AND MULTIDIMENSIONAL SLEEP HEALTH AMONG OLDER ADULTS - Article 917 - Findings on mediation via pre-sleep arousal | PDF",1790639701]