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615 (1.208, 2.16 for maintaining intermediate quality and 1.608 (1.043, 2.48 for maintaining poor quality. The exclusion of participants with family history of cancer or abnormal sleep duration yielded consistent results. Poor sleep quality is positively associated with the long-term risk of developing cancer in an elderly cohort. Both medical staffs and the general public should pay more attention to improving sleep hygiene. Poor sleep quality is positively associated with the long-term risk of developing cancer in an elderly coho