Prevalence and risk factors of sleep disturbances in a large HIV‐infected adult population
Introduction Sleep disturbances are frequently reported in HIV‐infected patients but there is a lack of large studies on prevalence and risk factors, particularly in the context of current improved immuno‐clinical status and use of the newest antiretrovirals (ARV). Method Cross‐sectional study to ev...
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| Veröffentlicht in: | Journal of the International AIDS Society 2014-11, Vol.17 (4 Suppl 3), p.19576-n/a |
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| creator | Allavena, Clotilde Guimard, Thomas Billaud, Eric Tullaye, Sylvie Reliquet, Véronique Pineau, Solène Hüe, Hervé Supiot, Christelle Marie Chennebault, Jean Michau, Christophe Hitoto, Hikombo Vatan, Rémi Raffi, François |
| description | Introduction
Sleep disturbances are frequently reported in HIV‐infected patients but there is a lack of large studies on prevalence and risk factors, particularly in the context of current improved immuno‐clinical status and use of the newest antiretrovirals (ARV).
Method
Cross‐sectional study to evaluate the prevalence and factors associated with sleep disturbance in adult HIV‐infected patients in six French centres of the region “Pays de la Loire”. Patients filled a self‐administered questionnaire on their health behaviour, sleep attitudes (Pittsburgh Sleep Quality Index PSQI), quality of life (WHO QOL HIV BREF questionnaire) and depression (Beck depression Inventory (BDI)‐II questionnaire). Socio‐demographic and immunovirologic data, medical history, ARVs were collected.
Results
From November 2012 to May 2013, 1354 consecutive non‐selected patients were enrolled. Patients’ characteristics were: 73.5% male, median age 47 years, active employment 56.7%, France‐native 83% and Africa‐native 14.7%, CDC stage C 21%, hepatitis co‐infection 13%, lipodystrophy 11.8%, dyslipidemia 20%, high BP 15.1%, diabetes 3%, tobacco smokers 39%, marijuana and cocaine users, 11.7% and 1.7% respectively, and excessive alcohol drinkers 9%. Median (med) duration of HIV infection was 12.4 years, med CD4 count was 604/mm3; 94% of Patients were on ARVs, 87% had undetectable viral load. Median sleeping time was 7 hours. Sleep disturbances (defined as PSQI score >5) were observed in 47% of the patients, more frequently in female (56.4%) than in male (43.9%) (p19) in 19.7% of the patients. In multivariate analysis, factors associated with sleep disturbances (p10 vs. |
| doi_str_mv | 10.7448/IAS.17.4.19576 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4224925</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2289729443</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4476-bea9db31b9b9cef84a4a54985aec155d6dd927ab38c3c2cc8914135f7afb46313</originalsourceid><addsrcrecordid>eNqFkc9u1DAQxi0EomXhyhFZ4sJl09gex_EFaVUB3aoSlQqckKyJ4xQXb5zaSVFvPALP2Cdp2i1V4QCnGWl-882fj5CXrCwUQL23Xp0UTBVQMC1V9YjsMiXrJa8kf_wg3yHPcj4ry4rXoJ-SHS6FhrIWu-TrcXIXGFxvHcW-pcnn77RDO8aUaexoDs4NtPV5nFKDM5Wp7ynSgOnU0YP1l6ufv3zfOTu6lmI7hZEOcZgCjj72z8mTDkN2L-7ignx-_-7T_sHy6OOH9f7qaGkBVLVsHOq2EazRjbauqwEBJehaorNMyrZqW80VNqK2wnJra82ACdkp7BqoBBML8narO0zNxrXW9WPCYIbkN5guTURv_qz0_ps5jRcGOAc9P2NB3twJpHg-uTyajc_WhYC9i1M2rJohmCfdzHr9F3oWp9TP5xlRVqoSpWTwL4rzWiuuAcRMFVvKpphzct39yqw0N_aa2V7DlAFza-_c8Orhoff4bz9nALbADx_c5X_kzOF6xW91rwGuMrFz</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2289729443</pqid></control><display><type>article</type><title>Prevalence and risk factors of sleep disturbances in a large HIV‐infected adult population</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Access via Wiley Online Library</source><source>Wiley Online Library (Open Access Collection)</source><source>PubMed Central</source><creator>Allavena, Clotilde ; Guimard, Thomas ; Billaud, Eric ; Tullaye, Sylvie ; Reliquet, Véronique ; Pineau, Solène ; Hüe, Hervé ; Supiot, Christelle ; Marie Chennebault, Jean ; Michau, Christophe ; Hitoto, Hikombo ; Vatan, Rémi ; Raffi, François</creator><creatorcontrib>Allavena, Clotilde ; Guimard, Thomas ; Billaud, Eric ; Tullaye, Sylvie ; Reliquet, Véronique ; Pineau, Solène ; Hüe, Hervé ; Supiot, Christelle ; Marie Chennebault, Jean ; Michau, Christophe ; Hitoto, Hikombo ; Vatan, Rémi ; Raffi, François</creatorcontrib><description>Introduction
Sleep disturbances are frequently reported in HIV‐infected patients but there is a lack of large studies on prevalence and risk factors, particularly in the context of current improved immuno‐clinical status and use of the newest antiretrovirals (ARV).
Method
Cross‐sectional study to evaluate the prevalence and factors associated with sleep disturbance in adult HIV‐infected patients in six French centres of the region “Pays de la Loire”. Patients filled a self‐administered questionnaire on their health behaviour, sleep attitudes (Pittsburgh Sleep Quality Index PSQI), quality of life (WHO QOL HIV BREF questionnaire) and depression (Beck depression Inventory (BDI)‐II questionnaire). Socio‐demographic and immunovirologic data, medical history, ARVs were collected.
Results
From November 2012 to May 2013, 1354 consecutive non‐selected patients were enrolled. Patients’ characteristics were: 73.5% male, median age 47 years, active employment 56.7%, France‐native 83% and Africa‐native 14.7%, CDC stage C 21%, hepatitis co‐infection 13%, lipodystrophy 11.8%, dyslipidemia 20%, high BP 15.1%, diabetes 3%, tobacco smokers 39%, marijuana and cocaine users, 11.7% and 1.7% respectively, and excessive alcohol drinkers 9%. Median (med) duration of HIV infection was 12.4 years, med CD4 count was 604/mm3; 94% of Patients were on ARVs, 87% had undetectable viral load. Median sleeping time was 7 hours. Sleep disturbances (defined as PSQI score >5) were observed in 47% of the patients, more frequently in female (56.4%) than in male (43.9%) (p<0.05) and moderate to serious depressive symptoms (BDI score>19) in 19.7% of the patients. In multivariate analysis, factors associated with sleep disturbances (p<0.05) were depression (odds ratio [OR] 4.6; 95% confidence interval [CI] 3.2–6.8), male gender (OR 0.7; CI 0.5–0.9), active employment (OR 0.7; CI 0.5–0.9), living single (OR 1.5; CI 1.2–2.0), tobacco‐smoking (OR 1.3; CI 1.0–1.8), duration of HIV infection (>10 vs. <10 y.) (OR 1.5; CI 1.1–2.0), ARV regimen containing nevirapine (OR 0.7; CI 0.5–0.9) or efavirenz (OR 0.5; CI 0.3–0.7).
Conclusions
Prevalence of sleep disturbances is high in this HIV population and roughly similar to the French population. Associated factors are rather related to social and psychological status than HIV infection. Depression is frequent and should be taken in care to improve sleep quality.</description><identifier>ISSN: 1758-2652</identifier><identifier>EISSN: 1758-2652</identifier><identifier>DOI: 10.7448/IAS.17.4.19576</identifier><identifier>PMID: 25394083</identifier><language>eng</language><publisher>Switzerland: International AIDS Society</publisher><subject>Acquired immune deficiency syndrome ; AIDS ; Cocaine ; HIV ; Human immunodeficiency virus ; Infections ; Mental depression ; Multivariate analysis ; Quality of life ; Questionnaires ; Risk factors ; Sleep</subject><ispartof>Journal of the International AIDS Society, 2014-11, Vol.17 (4 Suppl 3), p.19576-n/a</ispartof><rights>2014 Allavena C et al; licensee International AIDS Society</rights><rights>2014. This work is published under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Allavena C et al; licensee International AIDS Society 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4476-bea9db31b9b9cef84a4a54985aec155d6dd927ab38c3c2cc8914135f7afb46313</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4224925/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4224925/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1417,11562,27924,27925,45574,45575,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25394083$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allavena, Clotilde</creatorcontrib><creatorcontrib>Guimard, Thomas</creatorcontrib><creatorcontrib>Billaud, Eric</creatorcontrib><creatorcontrib>Tullaye, Sylvie</creatorcontrib><creatorcontrib>Reliquet, Véronique</creatorcontrib><creatorcontrib>Pineau, Solène</creatorcontrib><creatorcontrib>Hüe, Hervé</creatorcontrib><creatorcontrib>Supiot, Christelle</creatorcontrib><creatorcontrib>Marie Chennebault, Jean</creatorcontrib><creatorcontrib>Michau, Christophe</creatorcontrib><creatorcontrib>Hitoto, Hikombo</creatorcontrib><creatorcontrib>Vatan, Rémi</creatorcontrib><creatorcontrib>Raffi, François</creatorcontrib><title>Prevalence and risk factors of sleep disturbances in a large HIV‐infected adult population</title><title>Journal of the International AIDS Society</title><addtitle>J Int AIDS Soc</addtitle><description>Introduction
Sleep disturbances are frequently reported in HIV‐infected patients but there is a lack of large studies on prevalence and risk factors, particularly in the context of current improved immuno‐clinical status and use of the newest antiretrovirals (ARV).
Method
Cross‐sectional study to evaluate the prevalence and factors associated with sleep disturbance in adult HIV‐infected patients in six French centres of the region “Pays de la Loire”. Patients filled a self‐administered questionnaire on their health behaviour, sleep attitudes (Pittsburgh Sleep Quality Index PSQI), quality of life (WHO QOL HIV BREF questionnaire) and depression (Beck depression Inventory (BDI)‐II questionnaire). Socio‐demographic and immunovirologic data, medical history, ARVs were collected.
Results
From November 2012 to May 2013, 1354 consecutive non‐selected patients were enrolled. Patients’ characteristics were: 73.5% male, median age 47 years, active employment 56.7%, France‐native 83% and Africa‐native 14.7%, CDC stage C 21%, hepatitis co‐infection 13%, lipodystrophy 11.8%, dyslipidemia 20%, high BP 15.1%, diabetes 3%, tobacco smokers 39%, marijuana and cocaine users, 11.7% and 1.7% respectively, and excessive alcohol drinkers 9%. Median (med) duration of HIV infection was 12.4 years, med CD4 count was 604/mm3; 94% of Patients were on ARVs, 87% had undetectable viral load. Median sleeping time was 7 hours. Sleep disturbances (defined as PSQI score >5) were observed in 47% of the patients, more frequently in female (56.4%) than in male (43.9%) (p<0.05) and moderate to serious depressive symptoms (BDI score>19) in 19.7% of the patients. In multivariate analysis, factors associated with sleep disturbances (p<0.05) were depression (odds ratio [OR] 4.6; 95% confidence interval [CI] 3.2–6.8), male gender (OR 0.7; CI 0.5–0.9), active employment (OR 0.7; CI 0.5–0.9), living single (OR 1.5; CI 1.2–2.0), tobacco‐smoking (OR 1.3; CI 1.0–1.8), duration of HIV infection (>10 vs. <10 y.) (OR 1.5; CI 1.1–2.0), ARV regimen containing nevirapine (OR 0.7; CI 0.5–0.9) or efavirenz (OR 0.5; CI 0.3–0.7).
Conclusions
Prevalence of sleep disturbances is high in this HIV population and roughly similar to the French population. Associated factors are rather related to social and psychological status than HIV infection. Depression is frequent and should be taken in care to improve sleep quality.</description><subject>Acquired immune deficiency syndrome</subject><subject>AIDS</subject><subject>Cocaine</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Infections</subject><subject>Mental depression</subject><subject>Multivariate analysis</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Risk factors</subject><subject>Sleep</subject><issn>1758-2652</issn><issn>1758-2652</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqFkc9u1DAQxi0EomXhyhFZ4sJl09gex_EFaVUB3aoSlQqckKyJ4xQXb5zaSVFvPALP2Cdp2i1V4QCnGWl-882fj5CXrCwUQL23Xp0UTBVQMC1V9YjsMiXrJa8kf_wg3yHPcj4ry4rXoJ-SHS6FhrIWu-TrcXIXGFxvHcW-pcnn77RDO8aUaexoDs4NtPV5nFKDM5Wp7ynSgOnU0YP1l6ufv3zfOTu6lmI7hZEOcZgCjj72z8mTDkN2L-7ignx-_-7T_sHy6OOH9f7qaGkBVLVsHOq2EazRjbauqwEBJehaorNMyrZqW80VNqK2wnJra82ACdkp7BqoBBML8narO0zNxrXW9WPCYIbkN5guTURv_qz0_ps5jRcGOAc9P2NB3twJpHg-uTyajc_WhYC9i1M2rJohmCfdzHr9F3oWp9TP5xlRVqoSpWTwL4rzWiuuAcRMFVvKpphzct39yqw0N_aa2V7DlAFza-_c8Orhoff4bz9nALbADx_c5X_kzOF6xW91rwGuMrFz</recordid><startdate>201411</startdate><enddate>201411</enddate><creator>Allavena, Clotilde</creator><creator>Guimard, Thomas</creator><creator>Billaud, Eric</creator><creator>Tullaye, Sylvie</creator><creator>Reliquet, Véronique</creator><creator>Pineau, Solène</creator><creator>Hüe, Hervé</creator><creator>Supiot, Christelle</creator><creator>Marie Chennebault, Jean</creator><creator>Michau, Christophe</creator><creator>Hitoto, Hikombo</creator><creator>Vatan, Rémi</creator><creator>Raffi, François</creator><general>International AIDS Society</general><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201411</creationdate><title>Prevalence and risk factors of sleep disturbances in a large HIV‐infected adult population</title><author>Allavena, Clotilde ; Guimard, Thomas ; Billaud, Eric ; Tullaye, Sylvie ; Reliquet, Véronique ; Pineau, Solène ; Hüe, Hervé ; Supiot, Christelle ; Marie Chennebault, Jean ; Michau, Christophe ; Hitoto, Hikombo ; Vatan, Rémi ; Raffi, François</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4476-bea9db31b9b9cef84a4a54985aec155d6dd927ab38c3c2cc8914135f7afb46313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>Cocaine</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Infections</topic><topic>Mental depression</topic><topic>Multivariate analysis</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Risk factors</topic><topic>Sleep</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allavena, Clotilde</creatorcontrib><creatorcontrib>Guimard, Thomas</creatorcontrib><creatorcontrib>Billaud, Eric</creatorcontrib><creatorcontrib>Tullaye, Sylvie</creatorcontrib><creatorcontrib>Reliquet, Véronique</creatorcontrib><creatorcontrib>Pineau, Solène</creatorcontrib><creatorcontrib>Hüe, Hervé</creatorcontrib><creatorcontrib>Supiot, Christelle</creatorcontrib><creatorcontrib>Marie Chennebault, Jean</creatorcontrib><creatorcontrib>Michau, Christophe</creatorcontrib><creatorcontrib>Hitoto, Hikombo</creatorcontrib><creatorcontrib>Vatan, Rémi</creatorcontrib><creatorcontrib>Raffi, François</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the International AIDS Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allavena, Clotilde</au><au>Guimard, Thomas</au><au>Billaud, Eric</au><au>Tullaye, Sylvie</au><au>Reliquet, Véronique</au><au>Pineau, Solène</au><au>Hüe, Hervé</au><au>Supiot, Christelle</au><au>Marie Chennebault, Jean</au><au>Michau, Christophe</au><au>Hitoto, Hikombo</au><au>Vatan, Rémi</au><au>Raffi, François</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and risk factors of sleep disturbances in a large HIV‐infected adult population</atitle><jtitle>Journal of the International AIDS Society</jtitle><addtitle>J Int AIDS Soc</addtitle><date>2014-11</date><risdate>2014</risdate><volume>17</volume><issue>4 Suppl 3</issue><spage>19576</spage><epage>n/a</epage><pages>19576-n/a</pages><issn>1758-2652</issn><eissn>1758-2652</eissn><abstract>Introduction
Sleep disturbances are frequently reported in HIV‐infected patients but there is a lack of large studies on prevalence and risk factors, particularly in the context of current improved immuno‐clinical status and use of the newest antiretrovirals (ARV).
Method
Cross‐sectional study to evaluate the prevalence and factors associated with sleep disturbance in adult HIV‐infected patients in six French centres of the region “Pays de la Loire”. Patients filled a self‐administered questionnaire on their health behaviour, sleep attitudes (Pittsburgh Sleep Quality Index PSQI), quality of life (WHO QOL HIV BREF questionnaire) and depression (Beck depression Inventory (BDI)‐II questionnaire). Socio‐demographic and immunovirologic data, medical history, ARVs were collected.
Results
From November 2012 to May 2013, 1354 consecutive non‐selected patients were enrolled. Patients’ characteristics were: 73.5% male, median age 47 years, active employment 56.7%, France‐native 83% and Africa‐native 14.7%, CDC stage C 21%, hepatitis co‐infection 13%, lipodystrophy 11.8%, dyslipidemia 20%, high BP 15.1%, diabetes 3%, tobacco smokers 39%, marijuana and cocaine users, 11.7% and 1.7% respectively, and excessive alcohol drinkers 9%. Median (med) duration of HIV infection was 12.4 years, med CD4 count was 604/mm3; 94% of Patients were on ARVs, 87% had undetectable viral load. Median sleeping time was 7 hours. Sleep disturbances (defined as PSQI score >5) were observed in 47% of the patients, more frequently in female (56.4%) than in male (43.9%) (p<0.05) and moderate to serious depressive symptoms (BDI score>19) in 19.7% of the patients. In multivariate analysis, factors associated with sleep disturbances (p<0.05) were depression (odds ratio [OR] 4.6; 95% confidence interval [CI] 3.2–6.8), male gender (OR 0.7; CI 0.5–0.9), active employment (OR 0.7; CI 0.5–0.9), living single (OR 1.5; CI 1.2–2.0), tobacco‐smoking (OR 1.3; CI 1.0–1.8), duration of HIV infection (>10 vs. <10 y.) (OR 1.5; CI 1.1–2.0), ARV regimen containing nevirapine (OR 0.7; CI 0.5–0.9) or efavirenz (OR 0.5; CI 0.3–0.7).
Conclusions
Prevalence of sleep disturbances is high in this HIV population and roughly similar to the French population. Associated factors are rather related to social and psychological status than HIV infection. Depression is frequent and should be taken in care to improve sleep quality.</abstract><cop>Switzerland</cop><pub>International AIDS Society</pub><pmid>25394083</pmid><doi>10.7448/IAS.17.4.19576</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acquired immune deficiency syndrome AIDS Cocaine HIV Human immunodeficiency virus Infections Mental depression Multivariate analysis Quality of life Questionnaires Risk factors Sleep |
| title | Prevalence and risk factors of sleep disturbances in a large HIV‐infected adult population |
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