• People living with HIV (PLWH) reported a longer habitual sleep duration (>9 hours) compared to people without HIV (PWoH) • Based on actigraphy, PLWH were more likely to take >30 minutes to fall asleep and spend more time awake after sleep onset compared to PWoH • These differences remained statistically significant after adjusting for potential confounders Poor sleep health is a growing public health concern worldwide and may disproportionately affect people living with HIV (PLWH). This study compared subjectively and objectively quantified sleep parameters in PLWH and people without HIV (PWoH) in Tanzania. We conducted a cross-sectional analysis of the baseline assessment of participants enrolled in the Mwanza HIV adjusted odds ratio (aOR) = 1.68, 95% confidence interval (CI): 1.08–2.60). Prolonged sleep latency, as assessed by objective measures, was also more prevalent among PLWH (41% vs 34%; aOR = 1.37, 95% CI: 1.05–1.78). Similarly, extended WASO was more common among PLWH (18% vs 13%; aOR = 1.46, 95% CI: 1.02–2.08). PLWH and PWoH have important differences in sleep health parameters, with PLWH experiencing worse sleep on average, underscoring the value of incorporating sleep assessment into routine HIV care. Longitudinal research using multiple-night objective sleep measurements is needed to confirm these findings and assess the impact of poor sleep on health outcomes in PLWH and PWoH in Africa.
Kisigo et al. (Fri,) studied this question.
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