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

• Published in: AIDS and behavior Vol. 20; no. 2; pp. 339 - 344
• Main Authors: Allavena, C., Guimard, T., Billaud, E., De la Tullaye, S., Reliquet, V., Pineau, S., Hüe, H., Supiot, C., Chennebault, J.-M., Michau, C., Hitoto, H., Vatan, R., Raffi, F.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.02.2016; Springer Nature B.V
• Subjects: Acquired immune deficiency syndrome; Adult; AIDS; Anti-HIV Agents - administration & dosage; Attitudes; Brief Report; Cross-Sectional Studies; Depression; Depression - complications; Depression - epidemiology; Disturbances; Efavirenz; Employment; Female; France - epidemiology; Health; Health behavior; Health planning; Health Psychology; Health services; HIV; HIV Infections - complications; HIV Infections - drug therapy; Human immunodeficiency virus; Humans; Infectious Diseases; Male; Management; Medicine; Medicine & Public Health; Mental depression; Middle Aged; Nevirapine; Outpatients - statistics & numerical data; Patients; Population studies; Prevalence; Public Health; Quality of care; Quality of Life; Railroad ties; Risk; Risk analysis; Risk Factors; Sexes; Sleep; Sleep disorders; Sleep Initiation and Maintenance Disorders - complications; Sleep Initiation and Maintenance Disorders - epidemiology; Sleep Wake Disorders - diagnosis; Sleep Wake Disorders - epidemiology; Smoking; Studies; Surveys and Questionnaires; Symptoms; Tobacco; Young Adult; France; United States > US; Pittsburgh Pennsylvania; Sleep disturbance; Depression; Insomnia; HIV infection
• ISSN: 1090-7165; 1573-3254
• DOI: 10.1007/s10461-015-1160-5

This cross-sectional study evaluates the prevalence and factors associated with sleep disturbances in French adult HIV-infected outpatients. Patients fullfilled a self-administered questionnaire on their health behavior, sleep attitudes (Pittsburgh sleep quality index, PSQI), quality of life and depression; 1354 patients were enrolled. Median sleeping time was 7 h. Poor sleep quality was observed in 47 % of the patients, and moderate to serious depressive symptoms in 19.7 %. Factors significantly associated with sleep disturbances were depression, male gender, active employment, living single, tobacco-smoking, duration of HIV infection, nevirapine or efavirenz-including regimen. Prevalence of poor sleepers is high in this HIV adult outpatient population. Associated factors seem poorly specific to HIV infection and more related to social and psychological status. Taking care of these disturbances may prove to be an effective health management strategy.