2025/03/17 by Workua Mekonnen Metekiya, Hailemariam Hailesilassie, Gizaw, Abraham Tamirat +1
#HIV/AIDS #JUMC #sleep quality
paper · doi:10.71624/rwr9rb52
Background: poor sleep quality is a significant problem in persons living with Human Immunodeficiency Virus (PLWHIV) and is experienced by as much as 73% of this population besides harming the patients' quality of life, it is one of the most disturbing problems. The study aimed to assess the sleep quality status and determinants among people living with human immunodeficiency virus (PLWHIV). Methods: Institution-based cross-sectional study design was conducted from June 1-30, 2018 at Jimma University Specialized Hospital antiretroviral therapy follow-up clinic among 410 participants. Data was collected by using Pittsburg sleep quality scale. Participants were selected using systematic sampling techniques. Bi-variate and multi-variable logistic regression procedures at 95% confidence interval were used. Statistical significance was declared at the p-value of <0.05. Results: The finding of this study showed that the overall prevalence of poor sleep quality (PSQI>5) among the HIV positive patients was 59% (95%CI=54.4-63.7). In addition, a multivariable logistic regression analysis indicated that being widowed [AOR= 2.85, 95% CI (1.11,7.32)], housewife [AOR=2.31,95%CI (1.01,5.28)], and other (student and retire) [AOR=3.26,95%CI(1.07,9.90)], current CD4 count category of <200CD4+ cell count, cells/mm3[AOR=2.48,95% CI(1.33,4.62)], viral load category 50>copies/mL [AOR=1.91, 95% CI (1.12, 3.25)] and depression [AOR=6.55, 95% CI (3.91, 10.97)] were identified risk factors of poor sleep quality. Conclusion: More than half of HIV-infected persons have poor sleep quality and marital status, current CD4 count, viral load, and depression were associated with quality of sleep. So improving the CD4 count with good drug adherence and having a routine screening for depression and treating it accordingly can improve sleep quality of HIV patient.