Prevalence of Self Reported Sleep Problems among Patients with HIV Infection in Sokoto, Nigeria

Yunusa, Mufutau A.; Obembe, A

doi:10.9734/bjmmr/2016/24049

Cited by 2 publications

(3 citation statements)

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“…We found a high burden of undiagnosed anxiety (17.3%) and depression (14%) among PLWH, similar to earlier reports (Shittu et al, 2015;Allavena et al, 2016;Yunusa et al, 2016;Estrada et al, 2018). In these earlier reports, the prevalence of anxiety and depression ranges between 7.6 and 42%.…”

Section: Factors Associated With Sleep Disturbancesupporting

confidence: 92%

“…A score of ≥5 implied the presence of depression. GAD-7 and PHQ-9 have good psychometric properties (Kroenke et al, 2001;Rutter and Brown, 2017) and have been validated for use among PLWH (Allavena et al, 2016;Yunusa et al, 2016;Adeoti, 2018).…”

Section: Mental Health Measuresmentioning

confidence: 99%

“…Consequently, the prevalence of sleep disturbances in PLWH, reported as 29-97% (Reid and Dwyer, 2005;Taibi, 2012;Low et al, 2014;Awopeju et al, 2018) is remarkably higher than estimates of 3.9-40% found in the general population in lowincome countries (Stranges et al, 2012). Furthermore, sleep disturbance among PLWH is under-recognized by health care providers and underreported by patients (Desalu et al, 2018) just as the prevalence of poor sleep quality is between 20 and 59% (Oshinaike et al, 2014;Shittu et al, 2015;Yunusa et al, 2016;Adeoti, 2018;Awopeju et al, 2018;Desalu et al, 2018). Consequently, underreporting and inadequate recognition of sleep disturbance among PLWH may significantly worsen the quality of life.…”

Section: Introductionmentioning

confidence: 95%

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Sleep disturbance and associated factors among Nigerian adults living with HIV in the dolutegravir era

Osiyemi

Owoaje²,

Mundt³

et al. 2022

Front. Sleep

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Sleep disturbance is common among persons living with HIV (PLWH) causing significant health impacts. Nigeria recently switched from efavirenz to dolutegravir (DTG) for first-line antiretroviral therapy (ART). This study aimed to assess the prevalence of sleep disturbance and to determine factors associated with sleep disturbance among treatment-experienced PLWH. Using a cross-sectional study design and systematic random sampling, 300 participants were recruited from the Infectious Diseases Institute, Ibadan, Nigeria (IDI). Interviewer administered questionnaire was used to collect data regarding sociodemographic, sleep disturbance (Pittsburgh Sleep Quality Index; PSQI), depression (Patient Health Questionnaire; PHQ-9), anxiety (Generalized Anxiety Disorder-7; GAD-7), and psychoactive substance use. HIV-specific data were retrieved from IDI's medical records. The relationship between the PSQI score and the scores on the PHQ-9 and GAD-7 were explored with the Pearson correlation coefficient. Chi-square global tests of independence were used to assess factors associated with sleep disturbance and a multivariable binary logistic model was used to determine independent predictors of sleep disturbance. The mean age of the sample was 44.5 ± 11.4 (years), the average duration of HIV diagnosis was 8.13 ± 5.33 (years) and the majority were on DTG-based regimens (95%). Depression and anxiety were present in 14 and 17.3%, respectively. Prevalence of sleep disturbance (PSQI score of 6 or more) was 21.7%. Higher PSQI scores were associated with higher PHQ-9 scores (r = 0.526; p < 0.001) and higher GAD-7 scores (r = 0.529; p < 0.001). Sleep disturbance was associated with age (χ2 = 4.483, p = 0.038), marital status (χ2 = 7.187, p < 0.01), depression (χ2 = 46.589, p < 0.001), and anxiety (χ2 = 38.379, p < 0.001). There was no significant association between sleep disturbance and HIV clinical stage at diagnosis, virological suppression status, and ART regimen type (p > 0.05), whereas tea intake was associated with an absence of sleep disturbance (χ2 = 6.334, p < 0.014). Age (>45 years), depression and anxiety were associated with higher odds of sleep disturbance among PLWH. Sleep disturbance remains common among PLWH in the DTG era. Depression and anxiety are significant factors associated with sleep disturbance. Assessing these factors in future studies may improve the sleep health of PLWH.

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Section: Factors Associated With Sleep Disturbancesupporting

confidence: 92%