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

Autor: Yoo-Jeong M; School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, USA, MA. m.yoo-jeong@northeastern.edu., Ratnayake A; The Roux Institute, Northeastern University, Portland, USA, ME., Tong Y; Medical Practice Evaluation Center, Mongan Institute, Massachusetts General Hospital, Boston, USA, MA., Tsai AC; Harvard Medical School, Boston, USA, MA.; Center for Global Health, Massachusetts General Hospital, Boston, USA, MA.; Mbarara University of Science and Technology, Mbarara, Uganda., Paul R; Department of Psychological Sciences, University of Missouri - St Louis, St Louis, USA, MO., Reynolds Z; Medical Practice Evaluation Center, Mongan Institute, Massachusetts General Hospital, Boston, USA, MA., Ritchie CS; Harvard Medical School, Boston, USA, MA.; Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital, Boston, USA, MA.; Center for Aging and Serious Illness, Mongan Institute, Massachusetts General Hospital, Boston, USA, MA., Seeley J; Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK., Hoeppner SS; Medical Practice Evaluation Center, Mongan Institute, Massachusetts General Hospital, Boston, USA, MA.; Harvard Medical School, Boston, USA, MA., Atwiine F; Mbarara University of Science and Technology, Mbarara, Uganda., Okello S; Mbarara University of Science and Technology, Mbarara, Uganda.; School of Public Health, Harvard T.H.Chan, Boston, USA, MA.; Department of Epidemiology, University of North Carolina, Chapel Hill, NC, USA., Nakasujja N; Department of Psychiatry, College of Health Sciences, Makerere University, Kampala, Uganda., Saylor D; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, USA, MD., Greene M; Department of Medicine, Indiana University School of Medicine, Bloomington, USA, IN.; Indiana University Center for Aging Research at the Regenstrief Institute, Indianapolis, USA, IN., Asiimwe S; Center for Global Health, Massachusetts General Hospital, Boston, USA, MA.; Mbarara University of Science and Technology, Mbarara, Uganda.; Kabwohe Clinical Research Centre, Kabwohe, Uganda., Tindimwebwa E; Kabwohe Clinical Research Centre, Kabwohe, Uganda., Tanner J; Biggs Institute for Alzheimer's and Neurodegenerative Diseases, University of Texas Health Science Center, San Antonio, USA, TX., Olivieri-Mui B; The Roux Institute, Northeastern University, Portland, USA, ME.; Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, USA, MA.; The Marcus Institute for Aging Research, Hebrew SeniorLife, Harvard Medical School, Boston, USA, MA., Siedner MJ; Medical Practice Evaluation Center, Mongan Institute, Massachusetts General Hospital, Boston, USA, MA.; Harvard Medical School, Boston, USA, MA.; Mbarara University of Science and Technology, Mbarara, Uganda.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2024 Dec; Vol. 28 (12), pp. 4179-4187. Date of Electronic Publication: 2024 Oct 08.
DOI: 10.1007/s10461-024-04512-x
Abstrakt: 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.
Competing Interests: Declarations. Conflicting Interests: ACT reports receiving a financial honorarium from Elsevier, Inc. for his work as Co-Editor in Chief of the Elsevier-owned journal SSM-Mental Health. The other authors declare no conflicts of interest.
(© 2024. The Author(s).)
Databáze: MEDLINE
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