Correlates of Sleep Health among Older-Age People with and without HIV in Uganda.

Journal: AIDS and behavior

Volume: 28

Issue: 12

Year of Publication: 2024

Affiliated Institutions:  School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, USA, MA. m.yoo-jeong@northeastern.edu. The Roux Institute, Northeastern University, Portland, USA, ME. Medical Practice Evaluation Center, Mongan Institute, Massachusetts General Hospital, Boston, USA, MA. Harvard Medical School, Boston, USA, MA. Department of Psychological Sciences, University of Missouri - St Louis, St Louis, USA, MO. Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK. Mbarara University of Science and Technology, Mbarara, Uganda. Department of Psychiatry, College of Health Sciences, Makerere University, Kampala, Uganda. Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, USA, MD. Department of Medicine, Indiana University School of Medicine, Bloomington, USA, IN. Center for Global Health, Massachusetts General Hospital, Boston, USA, MA. Kabwohe Clinical Research Centre, Kabwohe, Uganda. Biggs Institute for Alzheimer's and Neurodegenerative Diseases, University of Texas Health Science Center, San Antonio, USA, TX.

Abstract summary 

There is a growing population of older people with HIV (PWH) in Uganda. Sleep problems disproportionately affect older people and PWH. This study aimed to estimate correlates of sleep health among older Ugandans (aged ≥ 50 years) with and without HIV, using data from the Quality of Life and Aging with HIV in Rural Uganda Study. We used the Pittsburgh Sleep Quality Index to assess sleep quality, duration, and efficiency. We fitted multivariable linear and logistic regression models to estimate the associations between sleep outcomes and variables selected based on the Senescent Sleep Model: age, HIV serostatus, loneliness, urbanicity, symptoms of depression and anxiety, and perceived stress. Of 556 participants, 271 were PWH and 285 were people without HIV (PWoH). There were no statistically significant differences in sleep outcomes by HIV serostatus. Of the total sample, most reported very good (32.79%) or fairly good sleep quality (49.37%). The mean sleep duration was 6.46 h (SD = 1.74). The mean sleep efficiency was 73.98% (SD = 19.52%) with 36.69% having optimal (≥ 85%) sleep efficiency. A positive depression screen was associated with worse sleep quality (adjusted odds ratio [aOR] = 0.21; 95% CI [0.12, 0.36]), shorter sleep duration (b=-0.44; 95% CI [-0.60, -0.28]), and worse sleep efficiency (aOR = 0.51; 95% CI[0.31, 0.83]). Interventions targeting depression may improve sleep among older Ugandans, independent of HIV serostatus. Longitudinal studies are needed to determine the potential bidirectionality of this relationship and elucidate pathways to support sleep health among older Ugandans.

Authors & Co-authors:  Yoo-Jeong Moka M Ratnayake Aneeka A Tong Yao Y Tsai Alexander C AC Paul Robert R Reynolds Zahra Z Ritchie Christine S CS Seeley Janet J Hoeppner Susanne S SS Atwiine Flavia F Okello Samson S Nakasujja Noeline N Saylor Deanna D Greene Meredith M Asiimwe Stephen S Tindimwebwa Edna E Tanner Jeremy J Olivieri-Mui Brianne B Siedner Mark J MJ

Study Outcome 

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Statistics
Citations :  Population Division World Population Prospects 2019, Data Query [cited 2023 March 6]; https://population.un.org/wpp/DataQuery
Authors :  19
Identifiers
Doi : 10.1007/s10461-024-04512-x
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Depression;HIV;Older Adults;Sleep;Uganda
Study Design
Longitudinal Study
Study Approach
Country of Study
Uganda
Publication Country
United States