Prevalence and Risk Factors of Sleep Disturbance in a Large HIV-Infected Adult Population

Allavena, Clotilde; Guimard, Thomas; Billaud, Éric; Tullaye, Sylvie de la; Reliquet, Véronique; Pineau, Solène; Hüe, H.; Supiot, Christelle; Chennebault, J.M.; Michau, Christophe; Hitoto, Hikombo; Vatan, Rémi; Raffi, François

doi:10.1007/s10461-015-1160-5

Cited by 95 publications

(107 citation statements)

References 12 publications

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“…As other researchers have observed, 3,20,24,25,26 and confirming our third hypothesis, participants with positive screens for symptoms of anxiety and depression were at increased odds of reporting poor sleep quality. Additionally, resilience predicted self-reported sleep quality and use of sleep medications, providing support for our final hypothesis.…”

Section: Discussionsupporting

confidence: 91%

“…3–5 The current study investigated factors associated with self-reported sleep quality among an ethnically diverse sample of GBMSM living with HIV. We obtained full or partial support for our hypotheses.…”

Section: Discussionmentioning

confidence: 99%

“…24,26 Regarding HIV care, limited evidence suggests that short sleep duration or wake after sleep onset (WASO) may be associated with a lower CD4 count and higher viral load. 24,27 However, other studies have not observed significant associations between insomnia and reduced immune functioning, 3,20,26 suggesting the need for additional research. Self-reported ratings of poor sleep quality have been linked with suboptimal adherence to antiretroviral therapy (ART), 24,25,28,29 which is critical for viral suppression.…”

Section: Introductionmentioning

confidence: 98%

“…2 Among those living with HIV, sleep disturbances and poor sleep quality are highly prevalent quality of life issues. 3–5 Gay, bisexual, and other men who have sex with men (GBMSM) bear a disproportionate burden of HIV in the U.S., 6 though few studies have examined sleep quality specifically among this population. 4 …”

Section: Introductionmentioning

confidence: 99%

“…Sleep disturbances or poor sleep quality in persons living with HIV have been associated with daytime sleepiness and fatigue, 20–23 depression, 3,20,24–26 and anxiety. 24,26 Regarding HIV care, limited evidence suggests that short sleep duration or wake after sleep onset (WASO) may be associated with a lower CD4 count and higher viral load.…”

Section: Introductionmentioning

confidence: 99%

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Engagement in care, psychological distress, and resilience are associated with sleep quality among HIV-positive gay, bisexual, and other men who have sex with men

et al. 2016

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Objectives We investigated risk and protective factors associated with sleep quality among a national sample of HIV-positive gay, bisexual, and other men who have sex with men (GBMSM). Design This study reports on findings from both an eligibility survey and baseline assessment for an online HIV risk reduction intervention. Participants There were 16,466 completed eligibility surveys. A total of 1,205 eligible men completed a baseline assessment after consenting to participate in the intervention. Measurements and results Among participants with a completed eligibility survey, men with an HIV-positive status had significantly worse sleep quality and more frequent use of sleep medications during the past month than HIV-negative men. Within the intervention sample (n = 1,205 HIV-positive participants), men with symptoms of anxiety (Adjusted odds ratio [AOR]=2.80; 95% confidence interval [CI]: 1.93–4.06) and depression (AOR=1.66; CI: 1.14–2.43), and who reported a detectable viral load in the past six months (AOR=1.57; CI: 1.06–2.33) had increased odds of poor sleep quality after controlling for demographic characteristics, socioeconomic status, ART use and adherence, substance use, and CD4 count. However, men with greater perceived resilience had decreased odds of reporting poor sleep quality during the past month (AOR=0.68; CI: 0.51–0.89). Conclusions Findings from this online study call for more attention to the role of sleep in immune system functioning and engagement in HIV care. Results further suggest a need to design and test culturally-appropriate sleep health interventions for GBMSM living with HIV that promote protective factors and target particular behavioral changes (i.e., stress reduction, substance use).

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Engagement in care, psychological distress, and resilience are associated with sleep quality among HIV-positive gay, bisexual, and other men who have sex with men

et al. 2016

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Comparison of diet, muscle strength, steps per day and symptoms in people with HIV and HIV‐negative peers

Davey

Trinh

Schexnayder

et al. 2021

Research in Nursing & Health

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People with HIV (PWH) experience a high frequency of symptoms that are associated with poor clinical outcomes. We conducted a secondary analysis of data from an observational study to examine whether diet, muscle strength, or physical activity were associated with symptoms among PWH and their HIV‐uninfected peers. One‐hundred ninety‐one individuals (105 PWH and 86 HIV uninfected) with similar age and race were included. Symptoms were examined using the Patient‐Reported Outcomes Measurement Information System (PROMIS‐29) questionnaire, for which lower scores indicate higher function or fewer symptoms. The total healthy eating index score and carbohydrates, sugar sweet beverages, alcohol, and fiber consumption per day were obtained through 24‐hour dietary recalls. A dynamometer was used to determine muscle strength. Steps per day were examined through 7 days of actigraphy. Linear regression analyses were used to determine the relationship between symptoms and diet, muscle strength, and steps per day. Participants were, on average, 54 years, 83% were African American, and 58% were male. In PWH, less healthy eating, fiber intake, and muscle strength were associated with poorer physical function; more steps per day were associated with fatigue; less daily carbohydrate consumption was associated with more pain. HIV‐uninfected individuals demonstrated an association between fewer steps per day and poorer physical function and more pain, and less carbohydrate intake and more sleep disturbance. The relationships between diet, muscle strength, steps per day and PROMIS‐29 health domains differed by HIV status.

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Tobacco Use in Patients with HIV

Shuter

Weinberger

2019

Cardiovascular Care in Patients With HIV

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Prevalence and Risk Factors of Sleep Disturbance in a Large HIV-Infected Adult Population

Cited by 95 publications

References 12 publications

Engagement in care, psychological distress, and resilience are associated with sleep quality among HIV-positive gay, bisexual, and other men who have sex with men

Engagement in care, psychological distress, and resilience are associated with sleep quality among HIV-positive gay, bisexual, and other men who have sex with men

Comparison of diet, muscle strength, steps per day and symptoms in people with HIV and HIV‐negative peers

Tobacco Use in Patients with HIV

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