Sleep Disturbance and Total Sleep Time in Persons Living with HIV: A Cross-Sectional Study

Sleep Disturbance and Total Sleep Time in Persons Living with HIV: A Cross-Sectional Study Short and long sleep durations have been associated with inflammation and chronic diseases. To study the association between sleep duration/quality and HIV disease severity, a cross-sectional study was conducted in patients living with HIV (PLWHs) using self-administered questionnaires assessing total sleep time, insomnia (ICSD-3 criteria), and poor sleep quality (PSQI > 5). Multivariable logistic regression identified the factors associated with sleep disorders and with HIV features. 640 Parisian ambulatory PLWHs were included. The prevalence of insomnia was 50 and 68% of patients had a PSQI > 5. Patients with CD4 count < 500 cells/mm were more likely to be long sleepers (> 8 h/day) (OR 1.49; 95% CI [1.10–1.99]: p < 0.01), and less likely to be short sleepers (< 6 h/day) (OR 0.69; 95% CI[0.50–0.96]; p = 0.04) or to experience insomnia (OR 0.59; 95% CI[0.40–0.86]; p < 0.01). HIV features were not associated with a PSQI > 5. Thus, insomnia and impaired sleep quality were highly prevalent in well-controlled PLWHs and the severity of HIV infection was associated with long sleep times. Keywords HIV infection · Insomnia · Sleep disorder · Total sleep time Introduction and immune cell activation [4], which could affect sleep architecture and circadian patterns through the action of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png AIDS and Behavior Springer Journals

Sleep Disturbance and Total Sleep Time in Persons Living with HIV: A Cross-Sectional Study

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Publisher
Springer US
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Public Health; Health Psychology; Infectious Diseases
ISSN
1090-7165
eISSN
1573-3254
D.O.I.
10.1007/s10461-018-2179-1
Publisher site
See Article on Publisher Site

Abstract

Short and long sleep durations have been associated with inflammation and chronic diseases. To study the association between sleep duration/quality and HIV disease severity, a cross-sectional study was conducted in patients living with HIV (PLWHs) using self-administered questionnaires assessing total sleep time, insomnia (ICSD-3 criteria), and poor sleep quality (PSQI > 5). Multivariable logistic regression identified the factors associated with sleep disorders and with HIV features. 640 Parisian ambulatory PLWHs were included. The prevalence of insomnia was 50 and 68% of patients had a PSQI > 5. Patients with CD4 count < 500 cells/mm were more likely to be long sleepers (> 8 h/day) (OR 1.49; 95% CI [1.10–1.99]: p < 0.01), and less likely to be short sleepers (< 6 h/day) (OR 0.69; 95% CI[0.50–0.96]; p = 0.04) or to experience insomnia (OR 0.59; 95% CI[0.40–0.86]; p < 0.01). HIV features were not associated with a PSQI > 5. Thus, insomnia and impaired sleep quality were highly prevalent in well-controlled PLWHs and the severity of HIV infection was associated with long sleep times. Keywords HIV infection · Insomnia · Sleep disorder · Total sleep time Introduction and immune cell activation [4], which could affect sleep architecture and circadian patterns through the action of

Journal

AIDS and BehaviorSpringer Journals

Published: May 31, 2018

References

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