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Sleep Disturbance and Associated Factors among Adult People Living with HIV/AIDS at Dessie Referral Hospital Antiretroviral Therapy Clinic, Northeast, Ethiopia.

Article scientifique 2020 Anglais

Résumé

Abstract Background Sleep disturbance is the leading health problem in the era of HIV/AIDS. The exact cause of sleep disturbance was not well known, but it is related to HIV itself, antiretroviral drugs side effects, and other HIV related disorders. This study aimed to assess the prevalence of sleep disturbance and associated factors among adult people living with HIV/AIDS (PLWHA).Methods: A cross-sectional study was conducted among adult PLWHA at Dessie Referal hospital Antiretroviral therapy (ART) clinic from April 1/2019 to May 30/2019. A total of 419 study participants participated in the study. A systematic random sampling method was employed. An interviewer-administered a method of data collection with a chart review was used. Pittsburg Sleep Quality of Index (PSQI) for assessing sleep disturbance was used. A binary logistic regression was conducted. The variables having a p-value < 0.05 with 95% CI were used to declare an association. Results: The proportion of sleep disturbance was 36% (95% CI: 31- 41%). The study revealed that being female (AOR=3.45, 95% CI: 1.52-7.79), viral loads ≥1000 copies /ml (AOR=6.88, 95% CI: 2.79-16.9), CD4 cell count < 200 cells/mm3 (AOR=6.85, 95% CI: 2.42-19.39), WHO stage II and III(AOR=4.29, 95%CI: 1.05-17.53), having anxiety (AOR=10,95% CI: 4.21-23.9), having depression (AOR=4.4, 95% CI: 1.95-10.1), having not a separated bedroom (AOR=3.94, 95% CI: 1.86-8.36), and living alone (AOR=6, 95% CI: 2.81-13.12) were found to be factors associated with sleep disturbance. Conclusion: In this study, more than one - thirds of the study participants were developed sleep disturbance. Being female, low CD4 cell counts, viral load ≥1000copies/ml, WHO stage II and III, having depression and anxiety, living alone, and have not a separate bedroom have increased the experience of sleep disturbance.

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Degu, F., Birhanu, Y., Azagew, A. (2020). Sleep Disturbance and Associated Factors among Adult People Living with HIV/AIDS at Dessie Referral Hospital Antiretroviral Therapy Clinic, Northeast, Ethiopia.. https://doi.org/10.21203/rs.3.rs-34151/v1

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Fatuma Seid Degu Yeneabat Birhanu Abere Woretaw Azagew

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