Association between physical multimorbidity and sleep problems in 46 low- and middle-income countries.

BACKGROUND: Little is known about the association between multimorbidity (i.e., two or more chronic conditions) and sleep problems in the general adult populations of low- and middle-income countries (LMICs). Thus, we aimed to assess this association among adults from 46 LMICs, and to quantify the e...

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Detalhes bibliográficos
Autores: Smith L, Shin JI, Jacob L, Schuch F, Oh H, Tully MA, López Sánchez GF, Veronese N, Soysal P, Yang L, Butler L, Barnett Y, Koyanagi A
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2022
País:España
Recursos:Fundació Sant Joan de Déu
Repositório:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p21533
Acesso em linha:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21533
Access Level:Acceso aberto
Palavra-chave:Epidemiology
Low- and middle-income countries
Multimorbidity
Sleep disorders
Sleep problems
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spelling Association between physical multimorbidity and sleep problems in 46 low- and middle-income countries.Smith LShin JIJacob LSchuch FOh HTully MALópez Sánchez GFVeronese NSoysal PYang LButler LBarnett YKoyanagi AEpidemiologyLow- and middle-income countriesMultimorbiditySleep disordersSleep problemsBACKGROUND: Little is known about the association between multimorbidity (i.e., two or more chronic conditions) and sleep problems in the general adult populations of low- and middle-income countries (LMICs). Thus, we aimed to assess this association among adults from 46 LMICs, and to quantify the extent to which anxiety, depression, stress, and pain explain this association. METHODS: Cross-sectional, predominantly nationally representative, community-based data from the World Health Survey were analyzed. Nine chronic physical conditions (angina, arthritis, asthma, chronic back pain, diabetes, edentulism, hearing problems, tuberculosis, visual impairment) were assessed. To be included in the analysis, sleep problems had to have been experienced in the past 30 days and to have been severe or extreme; they included difficulties falling asleep, waking up frequently during the night or waking up too early in the morning. Multivariable logistic regression and mediation analyses were conducted to explore the associations. RESULTS: Data on 237,023 individuals aged =18 years [mean (SD) age 38.4 (16.0) years; 49.2% men] were analyzed. Compared with no chronic conditions, having 1, 2, 3, and =4 conditions was associated with 2.39 (95%CI=2.14, 2.66), 4.13 (95%CI=3.62, 4.71), 5.70 (95%CI=4.86, 6.69), and 9.99 (95%CI=8.18, 12.19) times higher odds for sleep problems. Pain (24.0%) explained the largest proportion of the association between multimorbidity and sleep problems, followed by anxiety (21.0%), depression (11.2%), and stress (10.4%). CONCLUSIONS: Multimorbidity was associated with a substantially increased odds for sleep problems in adults from 46 LMICs. Future studies should assess whether addressing factors such as pain, anxiety, depression, and stress in people with multimorbidity can lead to improvement in sleep in this population.ELSEVIER IRELAND LTD2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21533MATURITASISSN: 03785122ISSNe: 18734111reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p215332026-05-27T12:37:41Z
dc.title.none.fl_str_mv Association between physical multimorbidity and sleep problems in 46 low- and middle-income countries.
title Association between physical multimorbidity and sleep problems in 46 low- and middle-income countries.
spellingShingle Association between physical multimorbidity and sleep problems in 46 low- and middle-income countries.
Smith L
Epidemiology
Low- and middle-income countries
Multimorbidity
Sleep disorders
Sleep problems
title_short Association between physical multimorbidity and sleep problems in 46 low- and middle-income countries.
title_full Association between physical multimorbidity and sleep problems in 46 low- and middle-income countries.
title_fullStr Association between physical multimorbidity and sleep problems in 46 low- and middle-income countries.
title_full_unstemmed Association between physical multimorbidity and sleep problems in 46 low- and middle-income countries.
title_sort Association between physical multimorbidity and sleep problems in 46 low- and middle-income countries.
dc.creator.none.fl_str_mv Smith L
Shin JI
Jacob L
Schuch F
Oh H
Tully MA
López Sánchez GF
Veronese N
Soysal P
Yang L
Butler L
Barnett Y
Koyanagi A
author Smith L
author_facet Smith L
Shin JI
Jacob L
Schuch F
Oh H
Tully MA
López Sánchez GF
Veronese N
Soysal P
Yang L
Butler L
Barnett Y
Koyanagi A
author_role author
author2 Shin JI
Jacob L
Schuch F
Oh H
Tully MA
López Sánchez GF
Veronese N
Soysal P
Yang L
Butler L
Barnett Y
Koyanagi A
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Epidemiology
Low- and middle-income countries
Multimorbidity
Sleep disorders
Sleep problems
topic Epidemiology
Low- and middle-income countries
Multimorbidity
Sleep disorders
Sleep problems
description BACKGROUND: Little is known about the association between multimorbidity (i.e., two or more chronic conditions) and sleep problems in the general adult populations of low- and middle-income countries (LMICs). Thus, we aimed to assess this association among adults from 46 LMICs, and to quantify the extent to which anxiety, depression, stress, and pain explain this association. METHODS: Cross-sectional, predominantly nationally representative, community-based data from the World Health Survey were analyzed. Nine chronic physical conditions (angina, arthritis, asthma, chronic back pain, diabetes, edentulism, hearing problems, tuberculosis, visual impairment) were assessed. To be included in the analysis, sleep problems had to have been experienced in the past 30 days and to have been severe or extreme; they included difficulties falling asleep, waking up frequently during the night or waking up too early in the morning. Multivariable logistic regression and mediation analyses were conducted to explore the associations. RESULTS: Data on 237,023 individuals aged =18 years [mean (SD) age 38.4 (16.0) years; 49.2% men] were analyzed. Compared with no chronic conditions, having 1, 2, 3, and =4 conditions was associated with 2.39 (95%CI=2.14, 2.66), 4.13 (95%CI=3.62, 4.71), 5.70 (95%CI=4.86, 6.69), and 9.99 (95%CI=8.18, 12.19) times higher odds for sleep problems. Pain (24.0%) explained the largest proportion of the association between multimorbidity and sleep problems, followed by anxiety (21.0%), depression (11.2%), and stress (10.4%). CONCLUSIONS: Multimorbidity was associated with a substantially increased odds for sleep problems in adults from 46 LMICs. Future studies should assess whether addressing factors such as pain, anxiety, depression, and stress in people with multimorbidity can lead to improvement in sleep in this population.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21533
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21533
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER IRELAND LTD
publisher.none.fl_str_mv ELSEVIER IRELAND LTD
dc.source.none.fl_str_mv MATURITAS
ISSN: 03785122
ISSNe: 18734111
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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