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Nigerian Journal of Family Practice

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Comparison of somnipathy among people living with HIV/AIDS (PLWHA) and HIV sero negative patients in a Nigerian family practice setting

O.R. Shittu, K.M. Alabi, L.O. Odeigah, A.G. Sule, Y. Musah, M.F. Adeyemi

Abstract


Background: It is a common axiom that HIV sero-positive patients experience more sleep disorders than the HIV sero-negative patients, but there is paucity of research to support this claim.
Objective: The aim of this study was to compare sleep disorders among PLWHA on HAART with a matched HIV sero negative control group.
Method: Using the Leslie Kish's Formula, 400 PLWHA attending HIV clinic and 400 sero-negative patients attending the Well Adult Clinic of Kwara state specialist Hospital were recruited for the study. The Pittsburg Sleep Quality Index (PSQI) was used to measure sleep disorder. Body Mass Index (BMI) was calculated using the international classification. Classification of hypertension was according to the JNC 8.
Results: The prevalence of sleeping disorder was 46.2% among PLWHA and 44.0% among the HIV sero-negative patients. 14.0% of PLWHA were underweight  compared with 6.0% of HIV sero-negative patients. 16.5% of PLWHA had very bad subjective sleep quality, compared with 14.8% of sero negative patients. The sleep latency was more than 60 minutes in 15.8% of PLWHA as compared with 15.0% of HIV sero negative patients. 14.5% of PLWHA slept less than 5 hours duration compared with 13.8% of HIV sero negative patients. The use of sleep medication was more among PLWHA 4.0% compared with 2.0% of HIV sero negative patients. Daytime sleep dysfunction was also more in PLWHA 77.0% compared with 68.8 of HIV sero negative patients.
Conclusion: PLWHA had very bad subjective sleep quality, short sleep duration and higher sleep medication compared with HIV sero negative patients. Age, gender, educational qualification and marital status are significantly associated with sleep disorder.



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