Predictors of Sleep Disorders among HIV Out-Patients in a Tertiary Hospital

Bisong, Elvis Mbu; Williams, U. E.; Okpa, Henry Ohem; Enang, Ofem; Monjok, Emmanuel

doi:10.18639/rabm.2017.03.509325

Cited by 13 publications

(16 citation statements)

References 23 publications

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“…However, the prevalence in the current study was lower than the study conducted in Nigeria which is 59.3% [17]. The finding in the current study was higher than the result reported from South Africa which showed that the prevalence of poor sleep quality was 52% [27], 46.2% in University of Calabar teaching Hospital, South Nigeria [28], Iran 47.5% [29], China 43.1% [30], Brazil 46.7% [31], France 47% [21], Southern US 40% [32], John Hopkins Medical Institution USA 56% [33], another study in USA 46.1% [16] and Taiwan 27.4% [34]. These discrepancies might be due to various factors including differences in the geographical area, socio-cultural variation, characteristics of study participants and the inclusion and exclusion criteria used.…”

Section: Discussioncontrasting

confidence: 76%

Quality of sleep and associated factors among people living with HIV/AIDS attending ART clinic at Hawassa University comprehensive specialized Hospital, Hawassa, SNNPR, Ethiopia

et al. 2020

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Background Sleep is a natural, restorative, physiological process that is characterized by perceptual disengagement from and unresponsiveness to whatever going around, which is reversible. Sleep quality refers to a sense of being rested and refreshed after waking up from sleep. People living with HIV/AIDS (PLWHA) are vulnerable to poor sleep quality as they suffer from social stigma and Anti-Retroviral drug side effects. The study aimed to examine the quality of sleep and its associated factors among people living with HIV/AIDS attending Anti-Retroviral Therapy (ART) clinic at Hawassa University comprehensive specialized hospital. Method Institutional based cross-sectional study was conducted among PLWHA attending ART clinic at Hawassa University comprehensive specialized hospital from May 1-30, 2019. A systematic random sampling technique was used to select an estimated 422 study participants and data was collected using interviewer-administered technique. Sleep Quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were entered and analyzed using SPSS 22 software. Bivariable and multivariable logistic regression model was fitted to identify factors associated with quality of sleep. An adjusted odds ratio with a 95% confidence interval was computed to determine the level of significance with P-value less than 0.05. Result Out of 422 respondents, 389 participated in the study giving a response rate of 92.1%. The prevalence of poor quality of sleep among study participants was found to be 57.6% (95% PLOS ONE

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Section: Discussioncontrasting

confidence: 76%

Quality of sleep and associated factors among people living with HIV/AIDS attending ART clinic at Hawassa University comprehensive specialized Hospital, Hawassa, SNNPR, Ethiopia

et al. 2020

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“…This network of specific physiological pathways is the primary determinant of neuropathology to have a direct impact on health including sleep. The finding of this study coincides with a study done in Nigeria [19,20] and Mexico [26].…”

Section: Discussionsupporting

confidence: 92%

Quality of sleep and associated factors among people living with HIV/AIDS on follow up at Ethiopian Zewditu Memorial Hospital,2018

Mengistu

Azale

Yimer

et al. 2020

Preprint

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Background Sleep disturbance is a common complaint in people living with HIV/AIDS. Those individuals with it are less likely to adhere to their antiretroviral therapy regimens, have decreased quality of life, have decreased work productivity as well as it may increase the risk for psychiatric disorders, cardiovascular morbidity and disease progression. However, it is not well studied in Ethiopia. Methods An institution based cross-sectional study was utilized among 408 participants selected by systematic sampling technique. The Pittsburgh Sleep Quality Index questionnaire was used to measure sleep quality. Binary and multivariable logistic regression models were fitted. Odds ratios (OR) with the corresponding 95% confidence interval (95%CI)) was computed to assess the strength of association. P-value < 0.05 was considered as statistically significant. Results The magnitude of poor sleep quality was 55.6%. Being female [AOR = 3.40, 95% CI: (1.80, 6.41)], depression [AOR = 3.52, 95% CI: (1.95, 6.32)], CD4count ≤ 200 cells/mm3 [AOR = 3.18,95%CI: (1.65,6.13)], duration of HIV/AIDS diagnosis [AOR = 3.43,95% CI: (1.61,7.29)], current use of tobacco [AOR = 5.69, 95% CI: (2.04,15.9)] and chat or caffeinated drinks [AOR = 2.65, 95% CI: (1.06,6.64)] and poor sleep hygiene [AOR = 3.55, 95% CI: (1.85, 6.78)] were significantly associated with poor sleep quality. Conclusions More than half of the study participants were found to have poor sleep quality. Routine screening of sleep condition among people living with HIV/AIDS and early intervention based on the findings is suggested.

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“…Similarly, studies conducted in Nigeria among HIVpositive outpatients reported that 46.2% in University of Calabar Teaching Hospital and 59.3% in Lagos State University Teaching Hospital had sleep disorders and poor sleep quality respectively. Elevated systolic blood pressure, shorter duration of HIV diagnosis and highly active antiretroviral therapy (HAART) type were associated with sleep disorders and poor sleep quality (Bisong 2017;Oshinaike et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Quality of sleep and associated factors among people living with HIV/AIDS on follow up at Ethiopian Zewditu memorial hospital, 2018

Mengistu

Azale

Yimer

et al. 2021

Sleep Science Practice

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Background Sleep disturbance is a common complaint in people living with HIV/AIDS. Despite the influence of sleep disturbance on treatment adherence, quality of life, work productivity, risk of chronic illness, it remains under-recognized and under-studied in Ethiopia. Therefore it is necessary to produce scientific evidence to fill the knowledge gap and areas of management. The current study aimed to assess sleep quality and its associated factors among people living with HIV/AIDS. Methods An institution-based cross-sectional study was utilized among 408 participants who were selected by a systematic random sampling technique at Zewditu memorial hospital from April to May 2018. The Pittsburgh Sleep Quality Index questionnaire was used to measure sleep quality. Ethical clearance was obtained from the joint ethics committee of the University of Gondar and Amanuel Mental Specialized Hospital. Oral informed consent was obtained from each participant. Binary and multivariable logistic regression models were fitted. Odds ratios (OR) with the corresponding 95% confidence interval (95%CI) was computed. Results The magnitude of poor sleep quality was 55.6%. Being female [AOR = 3.40, 95% CI: (1.80, 6.41)], depression [AOR =3.52, 95% CI: (1.95, 6.32)], CD4count ≤ 200 cells/mm3 [AOR = 3.18,95%CI: (1.65,6.13)], duration of HIV/AIDS diagnosis [AOR = 3.43,95% CI: (1.61,7.29)], current use of tobacco [AOR = 5.69, 95% CI: (2.04,15.9)] and chat or caffeinated drinks [AOR = 2.65, 95% CI: (1.06,6.64)] and poor sleep hygiene [AOR = 3.55, 95% CI: (1.85, 6.78)] were significantly associated with poor sleep quality. Conclusions More than half of the study participants were found to have poor sleep quality. A range factors influence quality of sleep of people with HIV/AIDS. Routine screening of sleep condition among people living with HIV/AIDS and early intervention based on the findings is suggested.

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Predictors of Sleep Disorders among HIV Out-Patients in a Tertiary Hospital

Cited by 13 publications

References 23 publications

Quality of sleep and associated factors among people living with HIV/AIDS attending ART clinic at Hawassa University comprehensive specialized Hospital, Hawassa, SNNPR, Ethiopia

Quality of sleep and associated factors among people living with HIV/AIDS attending ART clinic at Hawassa University comprehensive specialized Hospital, Hawassa, SNNPR, Ethiopia

Quality of sleep and associated factors among people living with HIV/AIDS on follow up at Ethiopian Zewditu Memorial Hospital,2018

Quality of sleep and associated factors among people living with HIV/AIDS on follow up at Ethiopian Zewditu memorial hospital, 2018

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