Sex Differences in the Prevalence and Correlates of Post-Stroke Insomnia: A Population-Based Study of 7,147 Indonesian Stroke Survivors

Objectives Post-stroke insomnia (PSI) is a prevalent issue among those who have experienced a stroke. The impact of gender on PSI prevalence within Asian stroke groups remains ambiguous. This research seeks to examine the prevalence of PSI among stroke survivors in Indonesia. Methods This quantitative prevalence analysis was based on the 2018 Indonesian Basic Health Research. A total of 7,147 stroke survivors who answered the insomnia questions were included. The estimated prevalence and regression models were examined utilizing SPSS software. Results The total prevalence of PSI among stroke survivors in Indonesia was 28.4%. Females exhibited a greater frequency of PSI than males (31.2% versus 25.6%, respectively). When categorized by age group, both females and males exhibited a trend of rising PSI prevalence with time. Moreover, daily smoking, low educational attainment, rural residency, and insufficient physical activity were correlated with insomnia symptoms in the male cohort. In females, the presence of comorbidities such as cardiovascular disease and asthma was associated with insomnia. Conclusions This study’s findings revealed a significant prevalence of insomnia among stroke survivors in Indonesia. Our findings indicate a gender influence on PSI prevalence, with females exhibiting a higher prevalence than males. These findings underscore the significance of sleep assessment and treatment in clinical or community environments.