Burden of sleep disturbances and associated risk factors: A cross-sectional survey among HIV-infected persons on antiretroviral therapy across China
Abstract This study evaluated the prevalence and factors associated with sleep disturbance in a large cohort of HIV-infected patients across China. A cross-sectional study was conducted among HIV-infected patients on antiretroviral therapy at 20 AIDS clinics. The Pittsburgh Sleep Quality Index was s...
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Nature Portfolio
2017
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oai:doaj.org-article:43498bdab77c48d5bdcfb3dfd39ff38d2021-12-02T12:31:54ZBurden of sleep disturbances and associated risk factors: A cross-sectional survey among HIV-infected persons on antiretroviral therapy across China10.1038/s41598-017-03968-32045-2322https://doaj.org/article/43498bdab77c48d5bdcfb3dfd39ff38d2017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-03968-3https://doaj.org/toc/2045-2322Abstract This study evaluated the prevalence and factors associated with sleep disturbance in a large cohort of HIV-infected patients across China. A cross-sectional study was conducted among HIV-infected patients on antiretroviral therapy at 20 AIDS clinics. The Pittsburgh Sleep Quality Index was self-administered by subjects. Socio-demographic characteristics, medical history and HIV-related clinical data were collected. 4103 patients had complete data for analysis. Sleep disturbances were observed in 43.1% of patients. Associated factors in multivariable analysis included psychological factors: anxiety (odds ratio [OR], 3.13; 95% confidence interval [CI], 2.44–4.00; P < 0.001), depression (OR, 2.09; 95% CI, 1.70–2.57; P < 0.001), and both anxiety and depression (OR, 5.90; 95% CI, 4.86–7.16; P < 0.001); sociodemographic factors: MSM (OR, 1.26; 95% CI, 1.04–1.52; P = 0.018), being single (OR, 1.45; 95%CI 1.21–1.74; P < 0.001), higher education (OR, 1.25; 95% CI, 1.03–1.53; P = 0.025); and clinical factors: suboptimal adherence (OR,1.51; 95% CI,1.23–1.85; P < 0.001), regimen-switching (OR, 1.94; 95% CI, 1.12–3.35; P = 0.018), and antidepressant use (OR, 1.98; 95% CI, 1.47–2.67; P = 0.044). Prevalence of sleep disturbance is high in this large Chinese cohort. Associated factors appear related to psychological and social-demographic factors. Health workers may consider routinely assessing sleep disturbances among HIV-infected patients, especially in the first three months after HIV diagnosis, and referring for mental health services, which may positively impact adherence to treatment.Xiaojie HuangHuiqin LiKathrine MeyersWei XiaZhihao MengChongxi LiJinsong BaiShenghua HeWeiping CaiChengyu HuangShuiqing LiuHui WangXuemei LingPing MaDaling TanFuxiang WangLianguo RuanHongxin ZhaoHongxia WeiYanfen LiuJianhua YuHongzhou LuMin WangTong ZhangHui ChenHao WuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017) |
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DOAJ |
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DOAJ |
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EN |
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Medicine R Science Q |
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Medicine R Science Q Xiaojie Huang Huiqin Li Kathrine Meyers Wei Xia Zhihao Meng Chongxi Li Jinsong Bai Shenghua He Weiping Cai Chengyu Huang Shuiqing Liu Hui Wang Xuemei Ling Ping Ma Daling Tan Fuxiang Wang Lianguo Ruan Hongxin Zhao Hongxia Wei Yanfen Liu Jianhua Yu Hongzhou Lu Min Wang Tong Zhang Hui Chen Hao Wu Burden of sleep disturbances and associated risk factors: A cross-sectional survey among HIV-infected persons on antiretroviral therapy across China |
| description |
Abstract This study evaluated the prevalence and factors associated with sleep disturbance in a large cohort of HIV-infected patients across China. A cross-sectional study was conducted among HIV-infected patients on antiretroviral therapy at 20 AIDS clinics. The Pittsburgh Sleep Quality Index was self-administered by subjects. Socio-demographic characteristics, medical history and HIV-related clinical data were collected. 4103 patients had complete data for analysis. Sleep disturbances were observed in 43.1% of patients. Associated factors in multivariable analysis included psychological factors: anxiety (odds ratio [OR], 3.13; 95% confidence interval [CI], 2.44–4.00; P < 0.001), depression (OR, 2.09; 95% CI, 1.70–2.57; P < 0.001), and both anxiety and depression (OR, 5.90; 95% CI, 4.86–7.16; P < 0.001); sociodemographic factors: MSM (OR, 1.26; 95% CI, 1.04–1.52; P = 0.018), being single (OR, 1.45; 95%CI 1.21–1.74; P < 0.001), higher education (OR, 1.25; 95% CI, 1.03–1.53; P = 0.025); and clinical factors: suboptimal adherence (OR,1.51; 95% CI,1.23–1.85; P < 0.001), regimen-switching (OR, 1.94; 95% CI, 1.12–3.35; P = 0.018), and antidepressant use (OR, 1.98; 95% CI, 1.47–2.67; P = 0.044). Prevalence of sleep disturbance is high in this large Chinese cohort. Associated factors appear related to psychological and social-demographic factors. Health workers may consider routinely assessing sleep disturbances among HIV-infected patients, especially in the first three months after HIV diagnosis, and referring for mental health services, which may positively impact adherence to treatment. |
| format |
article |
| author |
Xiaojie Huang Huiqin Li Kathrine Meyers Wei Xia Zhihao Meng Chongxi Li Jinsong Bai Shenghua He Weiping Cai Chengyu Huang Shuiqing Liu Hui Wang Xuemei Ling Ping Ma Daling Tan Fuxiang Wang Lianguo Ruan Hongxin Zhao Hongxia Wei Yanfen Liu Jianhua Yu Hongzhou Lu Min Wang Tong Zhang Hui Chen Hao Wu |
| author_facet |
Xiaojie Huang Huiqin Li Kathrine Meyers Wei Xia Zhihao Meng Chongxi Li Jinsong Bai Shenghua He Weiping Cai Chengyu Huang Shuiqing Liu Hui Wang Xuemei Ling Ping Ma Daling Tan Fuxiang Wang Lianguo Ruan Hongxin Zhao Hongxia Wei Yanfen Liu Jianhua Yu Hongzhou Lu Min Wang Tong Zhang Hui Chen Hao Wu |
| author_sort |
Xiaojie Huang |
| title |
Burden of sleep disturbances and associated risk factors: A cross-sectional survey among HIV-infected persons on antiretroviral therapy across China |
| title_short |
Burden of sleep disturbances and associated risk factors: A cross-sectional survey among HIV-infected persons on antiretroviral therapy across China |
| title_full |
Burden of sleep disturbances and associated risk factors: A cross-sectional survey among HIV-infected persons on antiretroviral therapy across China |
| title_fullStr |
Burden of sleep disturbances and associated risk factors: A cross-sectional survey among HIV-infected persons on antiretroviral therapy across China |
| title_full_unstemmed |
Burden of sleep disturbances and associated risk factors: A cross-sectional survey among HIV-infected persons on antiretroviral therapy across China |
| title_sort |
burden of sleep disturbances and associated risk factors: a cross-sectional survey among hiv-infected persons on antiretroviral therapy across china |
| publisher |
Nature Portfolio |
| publishDate |
2017 |
| url |
https://doaj.org/article/43498bdab77c48d5bdcfb3dfd39ff38d |
| work_keys_str_mv |
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