Qualitative study of the quality of sleep in marginalized individuals living with HIV.

Publisher: Dove Press Limited Country of Publication: New Zealand NLM ID: 101475748 Publication Model: Electronic-Print Cited Medium: Print ISSN: 1177-889X (Print) Linking ISSN: 1177889X NLM ISO Abbreviation: Patient Prefer Adherence Subsets: PubMed not MEDLINE

Original Publication: [Auckland, N.Z.] : Dove Press Limited

Sleep disturbances have been reported to be higher in human immunodeficiency virus (HIV)-infected individuals compared to the general population. Despite the consequences of poor quality of sleep (QOS), research regarding sleep disturbances in HIV infection is lacking and many questions regarding correlates of poor QOS, especially in marginalized populations, remain unanswered. We conducted one-on-one qualitative interviews with 14 marginalized HIV-infected individuals who reported poor QOS to examine self-reported correlates of sleep quality and explore the relationship between QOS and antiretroviral adherence. Findings suggest a complex and multidimensional impact of mental health issues, structural factors, and physical conditions on QOS of these individuals. Those reporting poor QOS as a barrier to antiretroviral adherence reported lower adherence due to falling asleep or feeling too tired to take medications in comparison to those who did not express this adherence barrier. These interviews underscore the importance of inquiries into a patient's QOS as an opportunity to discuss topics such as adherence, depression, suicidal ideation, and substance use.

Clin Nurs Res. 2005 Aug;14(3):273-93. (PMID: 15995155)
JAMA. 2002 Jul 10;288(2):181-8. (PMID: 12095382)
J Acquir Immune Defic Syndr. 2000 Apr 15;23(5):386-95. (PMID: 10866231)
Psychiatr Clin North Am. 2006 Dec;29(4):1009-32; abstract ix. (PMID: 17118279)
Am J Drug Alcohol Abuse. 2006;32(1):111-20. (PMID: 16450646)
AIDS Patient Care STDS. 2011 Sep;25(9):517-24. (PMID: 21770763)
Sleep. 2007 Mar;30(3):274-80. (PMID: 17425223)
Am J Respir Crit Care Med. 1996 Mar;153(3):1080-6. (PMID: 8630548)
Image J Nurs Sch. 1999;31(2):139-43. (PMID: 10380389)
Sleep. 1992 Apr;15(2):150-5. (PMID: 1579789)
J Clin Sleep Med. 2012 Feb 15;8(1):67-75. (PMID: 22334812)
Acta Neurol Scand. 1991 Feb;83(2):141-2. (PMID: 2017899)
J Intern Med. 2003 Jul;254(1):6-12. (PMID: 12823638)
Issues Ment Health Nurs. 2000 Mar;21(2):171-83. (PMID: 10839059)
J Acquir Immune Defic Syndr. 2001 Dec 1;28(4):399-400. (PMID: 11707679)
Sleep Med Rev. 2008 Oct;12(5):381-9. (PMID: 18313952)
Clin Infect Dis. 2004 Feb 1;38(3):430-2. (PMID: 14727217)
HIV Med. 2006 May;7(4):243-7. (PMID: 16630036)
Psychiatry Res. 1989 May;28(2):193-213. (PMID: 2748771)
Biol Psychiatry. 1996 Mar 15;39(6):411-8. (PMID: 8679786)
Neurol Clin. 1996 Nov;14(4):739-64. (PMID: 8923493)
JAMA. 2003 Oct 8;290(14):1906-14. (PMID: 14532320)
Behav Sleep Med. 2003;1(4):227-47. (PMID: 15600216)
Sleep Med. 2010 Jan;11(1):65-8. (PMID: 19783473)
Brain Behav Immun. 2004 Jul;18(4):298-303. (PMID: 15157946)
Pharmacoeconomics. 1998 Dec;14(6):629-37. (PMID: 10346415)
J Clin Psychiatry. 1999;60 Suppl 17:28-31; discussion 46-8. (PMID: 10446739)
J Psychosom Res. 2008 Apr;64(4):443-9. (PMID: 18374745)
Psychosom Med. 2011 Apr;73(3):242-9. (PMID: 21257976)
Sleep. 1999 May 1;22 Suppl 2:S354-8. (PMID: 10394607)
N Engl J Med. 2002 Aug 8;347(6):385-94. (PMID: 12167680)
Am J Psychiatry. 1992 Apr;149(4):514-20. (PMID: 1554037)
Am J Psychiatry. 2010 Feb;167(2):143-50. (PMID: 20008942)
Nat Med. 2001 Sep;7(9):1016-20. (PMID: 11533704)
HIV Med. 2003 Jan;4(1):62-6. (PMID: 12534961)
JAMA. 1989 Sep 15;262(11):1479-84. (PMID: 2769898)
Arch Intern Med. 2006 Sep 18;166(16):1756-62. (PMID: 16983055)
Age Ageing. 1989 Mar;18(2):117-22. (PMID: 2729006)
J Acquir Immune Defic Syndr Hum Retrovirol. 1998 Nov 1;19(3):260-5. (PMID: 9803968)
JAMA. 1988 Aug 19;260(7):922. (PMID: 3398189)
Neuropsychobiology. 1989;21(3):109-10. (PMID: 2615926)
J Psychosom Res. 1994;38 Suppl 1:3-8. (PMID: 7799249)
J Assoc Nurses AIDS Care. 2001 Jan-Feb;12(1):17-22. (PMID: 11211669)
Ann N Y Acad Sci. 2001 Mar;933:211-21. (PMID: 12000022)
Ann Behav Med. 2011 Oct;42(2):245-56. (PMID: 21656087)
J Psychosom Res. 2004 Nov;57(5):459-63. (PMID: 15581649)
Am J Respir Crit Care Med. 2005 Sep 1;172(5):625-30. (PMID: 16120716)
J Affect Disord. 2003 Sep;76(1-3):255-9. (PMID: 12943956)
Ann Intern Med. 2000 Jul 4;133(1):21-30. (PMID: 10877736)
Health Serv Res. 2007 Aug;42(4):1758-72. (PMID: 17286625)
Biol Psychol. 2001 Jul-Aug;57(1-3):67-103. (PMID: 11454435)
Psychosom Med. 2005 Mar-Apr;67(2):187-94. (PMID: 15784782)
AIDS. 2002 Jul 26;16(11):1511-9. (PMID: 12131189)
Sleep. 1991 Oct;14(5):386-91. (PMID: 1759090)
J Clin Endocrinol Metab. 1999 Aug;84(8):2603-7. (PMID: 10443646)
J Acquir Immune Defic Syndr. 2002 Mar 1;29(3):244-53. (PMID: 11873073)

F32 MH086323 United States MH NIMH NIH HHS; UL1 RR024131 United States RR NCRR NIH HHS; K24 MH087220 United States MH NIMH NIH HHS; R01 MH079700 United States MH NIMH NIH HHS; K23 MH097649 United States MH NIMH NIH HHS; UL1 TR000004 United States TR NCATS NIH HHS

Keywords: HIV/AIDS; adherence; interviews; qualitative research; sleep

Date Created: 20130629 Date Completed: 20130701 Latest Revision: 20211021

20221213

PMC3687846

10.2147/PPA.S44595

23807839