A multi-center cross-sectional study was conducted among 419 adult people living with HIV/AIDS from February 1/2020 to April 22/2020 in Dessie Town governmental antiretroviral therapy clinics. A systematic random sampling method was used to select the study participants. An interviewer-administered method of data collection with a chart review was used. The Pittsburgh Sleep Quality Index was used to evaluate sleep disruption. A binary logistic regression was conducted to see the relationship between a dependent variable and independent variables. Variables with a p-value of < 0.05 and a 95% confidence interval were used to declare an association between factors and a dependent variable.
A total of 419 study participants were enrolled in this study, with a response rate of 100%. The mean age of the study participants was 36 ± 6.5 SD years and 63.7% of the participants were female. The prevalence of poor sleep quality was found to be 36% (95% CI, 31-41%). 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.
The findings of this study showed that more than one-third of the study participants had poor-quality sleep at the Dessie Town Health Facility ART clinic. Being female, low CD4 cell counts, viral load ≥1000 copies/ml, WHO stage II and III, depression, anxiety, sleeping in a communal bedroom, and living alone were predictors of poor sleep quality.
方法:一项多中心横断面研究于2020年2月1日至2020年4月22日在德西镇政府抗逆转录病毒治疗诊所对419名感染艾滋病毒/艾滋病的成年人进行。采用系统随机抽样方法选择研究参与者。使用了面试官管理的数据收集方法,并进行了图表审查。匹兹堡睡眠质量指数用于评估睡眠中断。进行二元逻辑回归以查看因变量和自变量之间的关系。使用p值<0.05和95%置信区间的变量来声明因子与因变量之间的关联。
结果:本研究共纳入419名研究参与者,响应率为100%。研究参与者的平均年龄为36±6.5SD岁,63.7%的参与者为女性。睡眠质量差的患病率为36%(95%CI,31-41%)。女性(AOR=3.45,95%CI:1.52-7.79),病毒载量1000拷贝/毫升(AOR=6.88,95%CI:2.79-16.9),CD4细胞计数200个细胞/mm3(AOR=6.85,95%CI:2.42-19.39),WHOII期和III期(AOR=4.29,95%CI:1.05-17.53),有焦虑(AOR=10,95%CI:4.21-23.9。
结论:这项研究的结果表明,超过三分之一的研究参与者在DessieTownHealthFacilityART诊所的睡眠质量较差。作为女性,低CD4细胞计数,病毒载量≥1000拷贝/毫升,世卫组织第二阶段和第三阶段,抑郁症,焦虑,睡在公共卧室里,和独居是睡眠质量差的预测因素。