ABSTRACT: People with HIV (PWH) have a high prevalence of obstructive sleep apnea (OSA), yet the condition receives minimal attention despite a high prevalence of OSA risk factors. PWH attending HIV care between 2008 and 2023 were eligible. Sleep studies were identified in electronic health records. We estimated associations between completion of a study and HIV factors and fatigue using adjusted relative risk regression. Among 3,977 PWH, 4% completed a sleep study. PWH who underwent sleep studies were older (50 vs. 48 years), fewer had low current CD4 cell counts (2% vs. 11% < 200 cells/mm3), and more had HIV viral suppression (97% vs. 85%) than those who did not. Bothersome fatigue was associated with 2.9 times (95% confidence interval: 1.9-4.4) greater likelihood of completing a sleep study. Sleep studies are rarely conducted among PWH. PWH who received a sleep study had better HIV control (higher CD4 count/viral suppression) and a greater burden of fatigue and OSA-related comorbidities.
Tameemi et al. (Wed,) studied this question.