Association between psychological discomforts and sleep quality among people living with HIV/AIDS

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Abstract

Background

Psychological discomfort and sleep problems are considered separate disorders. Due to the high prevalence of both disorders among people living with HIV (PLWH), this study was designed to evaluate how those challenges are present among PLWH.

Method

A cross-sectional study was conducted using data from a national survey of 1185 confirmed PLWH from 15 provinces in Iran from April to August 2019. Psychological discomfort and sleep quality were assessed using standardized versions of related Persian questionnaires. Logistic regression was used to assess the association between psychological discomfort and sleep quality in PLWH.

Results

The overall prevalence of poor sleep quality, depression, anxiety, and stress was 47.71%, 50.95%, 44.26%, and 41.77%, respectively. The results of multivariate-adjusted logistic regression showed that each psychological discomfort covariate increased the odds of poor sleep quality. Depression by adjusting for anxiety and stress, anxiety by adjusting for depression and stress, and stress by adjusting for depression and anxiety all increased the odds of poor sleep quality.

Conclusion

A high prevalence of psychological discomfort was observed in PLWH. Depression, anxiety, and stress were strongly associated with sleep quality. PLWH needed more attention and social support in order to reduce sleep and psychological issues.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12981-023-00579-z.

Related collections

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Author and article information

Contributors

Samaneh Akbarpour: s-akbarpour@sina.tums.ac.ir , akbarpour691@gmail.com

Fatemeh Hadavandsiri: Fatemeh.hadavand70@gmail.com

Journal

Journal ID (nlm-ta): AIDS Res Ther

Journal ID (iso-abbrev): AIDS Res Ther

Title: AIDS Research and Therapy

Publisher: BioMed Central (London )

ISSN (Electronic): 1742-6405

Publication date (Electronic): 11 November 2023

Publication date PMC-release: 11 November 2023

Publication date Collection: 2023

Volume: 20

Electronic Location Identifier: 78

Affiliations

[1 ]Department of Human Development and Family Sciences, University of Delaware, ( https://ror.org/01sbq1a82) Newark, DE USA

[2 ]Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, ( https://ror.org/01c4pz451) Tehran, Iran

[3 ]GRID grid.414574.7, ISNI 0000 0004 0369 3463, Research Center for Antibiotic Stewardship and Antimicrobial Resistance, , Imam Khomeini Hospital complex, Tehran University of Medical Science, ; Tehran, Iran

[4 ]Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, ( https://ror.org/01c4pz451) Tehran, Iran

[5 ]Sleep Breathing Disorders Research Center (SBDRC), Tehran University of Medical Sciences, ( https://ror.org/01c4pz451) Tehran, Iran

[6 ]Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, ( https://ror.org/034m2b326) Tehran, Iran

Article

Publisher ID: 579

DOI: 10.1186/s12981-023-00579-z

PMC ID: 10638710

PubMed ID: 37951932

SO-VID: 89dae59c-eb20-4ca1-934a-777e0267c576

License:

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