Determinants of poor sleep quality in adults during the coronavirus disease pandemic: COVID-Inconfidentes, a population-based study
ABSTRACT BACKGROUND: The coronavirus disease (COVID-19) pandemic has adversely affected the health of the global population, with sleep quality being one of the affected parameters. OBJECTIVES: To evaluate sleep quality and its associated factors in adults during the COVID-19 pandemic in Brazil....
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Format: | Article |
Language: | English |
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Associação Paulista de Medicina
2022-10-01
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Series: | São Paulo Medical Journal |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005027202&tlng=en |
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author | Luiz Antônio Alves de Menezes Júnior Luciano Garcia Lourenção Amanda Cristina de Souza Andrade Júlia Cristina Cardoso Carraro George Luiz Lins Machado-Coelho Adriana Lúcia Meireles |
author_facet | Luiz Antônio Alves de Menezes Júnior Luciano Garcia Lourenção Amanda Cristina de Souza Andrade Júlia Cristina Cardoso Carraro George Luiz Lins Machado-Coelho Adriana Lúcia Meireles |
author_sort | Luiz Antônio Alves de Menezes Júnior |
collection | DOAJ |
description | ABSTRACT BACKGROUND: The coronavirus disease (COVID-19) pandemic has adversely affected the health of the global population, with sleep quality being one of the affected parameters. OBJECTIVES: To evaluate sleep quality and its associated factors in adults during the COVID-19 pandemic in Brazil. DESIGN AND SETTING: A population-based cross-sectional serological survey of 1,762 adults in the Iron Quadrangle region of Brazil. METHODS: The Pittsburgh Sleep Quality Index was used to assess sleep quality. Sociodemographic variables, health conditions, health-related behaviors, anxiety, vitamin D levels, weight gain/loss, and pandemic characteristics were assessed using a structured questionnaire. Univariate and multivariate analyses using Poisson regression with robust variance were performed to identify factors associated with sleep quality. RESULTS: More than half of the participants reported poor sleep quality (52.5%). Multivariate analysis revealed that the factors associated with poor sleep quality included living alone (prevalence ratio [PR] = 1.34; 95% confidence interval [CI]: 1.04–1.73), anxiety disorder (PR = 1.32; 95% CI: 1.08–1.62), 5.0% weight loss (PR = 1.21; 95% CI: 1.02–1.44), 5.0% weight gain (PR = 1.27; 95% CI: 1.03–1.55), vitamin D deficiency (PR = 1.16; 95% CI: 1.01–1.35), and COVID-19 symptoms (PR = 1.29; 95% CI: 1.10–1.52). CONCLUSIONS: Our study revealed that more than half of the participants experienced poor sleep quality during the COVID-19 pandemic. Factors associated with poor sleep quality included vitamin D deficiency and weight changes related to the pandemic. |
first_indexed | 2024-04-13T14:56:55Z |
format | Article |
id | doaj.art-360b4d992a6b44d5910ed52d17660383 |
institution | Directory Open Access Journal |
issn | 1806-9460 |
language | English |
last_indexed | 2024-04-13T14:56:55Z |
publishDate | 2022-10-01 |
publisher | Associação Paulista de Medicina |
record_format | Article |
series | São Paulo Medical Journal |
spelling | doaj.art-360b4d992a6b44d5910ed52d176603832022-12-22T02:42:24ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602022-10-0110.1590/1516-3180.2022.0139.r1.19082022Determinants of poor sleep quality in adults during the coronavirus disease pandemic: COVID-Inconfidentes, a population-based studyLuiz Antônio Alves de Menezes Júniorhttps://orcid.org/0000-0002-4497-5358Luciano Garcia Lourençãohttps://orcid.org/0000-0002-1240-4702Amanda Cristina de Souza Andradehttps://orcid.org/0000-0002-3366-4423Júlia Cristina Cardoso Carrarohttps://orcid.org/0000-0003-0027-2690George Luiz Lins Machado-Coelhohttps://orcid.org/0000-0002-9806-9721Adriana Lúcia Meireleshttps://orcid.org/0000-0002-1447-953XABSTRACT BACKGROUND: The coronavirus disease (COVID-19) pandemic has adversely affected the health of the global population, with sleep quality being one of the affected parameters. OBJECTIVES: To evaluate sleep quality and its associated factors in adults during the COVID-19 pandemic in Brazil. DESIGN AND SETTING: A population-based cross-sectional serological survey of 1,762 adults in the Iron Quadrangle region of Brazil. METHODS: The Pittsburgh Sleep Quality Index was used to assess sleep quality. Sociodemographic variables, health conditions, health-related behaviors, anxiety, vitamin D levels, weight gain/loss, and pandemic characteristics were assessed using a structured questionnaire. Univariate and multivariate analyses using Poisson regression with robust variance were performed to identify factors associated with sleep quality. RESULTS: More than half of the participants reported poor sleep quality (52.5%). Multivariate analysis revealed that the factors associated with poor sleep quality included living alone (prevalence ratio [PR] = 1.34; 95% confidence interval [CI]: 1.04–1.73), anxiety disorder (PR = 1.32; 95% CI: 1.08–1.62), 5.0% weight loss (PR = 1.21; 95% CI: 1.02–1.44), 5.0% weight gain (PR = 1.27; 95% CI: 1.03–1.55), vitamin D deficiency (PR = 1.16; 95% CI: 1.01–1.35), and COVID-19 symptoms (PR = 1.29; 95% CI: 1.10–1.52). CONCLUSIONS: Our study revealed that more than half of the participants experienced poor sleep quality during the COVID-19 pandemic. Factors associated with poor sleep quality included vitamin D deficiency and weight changes related to the pandemic.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005027202&tlng=enCoronavirus infectionsSleep deprivationHealth surveysBody weight changesSunlightAnxietyCoronavirus diseaseInsufficient sleepAnxiousnessSleep latenciesVitamin D deficienciesHygiene, Sleep |
spellingShingle | Luiz Antônio Alves de Menezes Júnior Luciano Garcia Lourenção Amanda Cristina de Souza Andrade Júlia Cristina Cardoso Carraro George Luiz Lins Machado-Coelho Adriana Lúcia Meireles Determinants of poor sleep quality in adults during the coronavirus disease pandemic: COVID-Inconfidentes, a population-based study São Paulo Medical Journal Coronavirus infections Sleep deprivation Health surveys Body weight changes Sunlight Anxiety Coronavirus disease Insufficient sleep Anxiousness Sleep latencies Vitamin D deficiencies Hygiene, Sleep |
title | Determinants of poor sleep quality in adults during the coronavirus disease pandemic: COVID-Inconfidentes, a population-based study |
title_full | Determinants of poor sleep quality in adults during the coronavirus disease pandemic: COVID-Inconfidentes, a population-based study |
title_fullStr | Determinants of poor sleep quality in adults during the coronavirus disease pandemic: COVID-Inconfidentes, a population-based study |
title_full_unstemmed | Determinants of poor sleep quality in adults during the coronavirus disease pandemic: COVID-Inconfidentes, a population-based study |
title_short | Determinants of poor sleep quality in adults during the coronavirus disease pandemic: COVID-Inconfidentes, a population-based study |
title_sort | determinants of poor sleep quality in adults during the coronavirus disease pandemic covid inconfidentes a population based study |
topic | Coronavirus infections Sleep deprivation Health surveys Body weight changes Sunlight Anxiety Coronavirus disease Insufficient sleep Anxiousness Sleep latencies Vitamin D deficiencies Hygiene, Sleep |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005027202&tlng=en |
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