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Sleep disturbances in HIV-HCV coinfected patients: indications for clinical management in the HCV cure era (ANRS CO13 HEPAVIH cohort)
dc.rights.license | open | en_US |
dc.contributor.author | COSTA, M. | |
dc.contributor.author | ROJAS ROJAS, T. | |
dc.contributor.author | LACOSTE, D. | |
dc.contributor.author | VILLES, V. | |
dc.contributor.author | AUMAITRE, H. | |
dc.contributor.author | PROTOPOPESCU, C. | |
dc.contributor.author | YAYA, I. | |
hal.structure.identifier | Bordeaux population health [BPH] | |
dc.contributor.author | WITTKOP, Linda | |
dc.contributor.author | KRAUSE, J. | |
dc.contributor.author | SALMON-CERON, D. | |
dc.contributor.author | MARCELLIN, F. | |
dc.contributor.author | SOGNI, P. | |
dc.contributor.author | CARRIERI, M. P. | |
dc.date.accessioned | 2020-06-15T15:22:14Z | |
dc.date.available | 2020-06-15T15:22:14Z | |
dc.date.issued | 2019-12 | |
dc.identifier.issn | 1473-5687 (Electronic) 0954-691X (Linking) | en_US |
dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/7933 | |
dc.description.abstractEn | OBJECTIVES: Although common among patients coinfected with HIV and hepatitis C virus (HCV), sleep disturbances (SD) are still poorly documented in this population in the HCV cure era. This longitudinal study aimed at analysing SD in HIV-HCV coinfected patients and identifying their clinical and sociobehavioural correlates. METHODS: We used 5-year annual follow-up data from 1047 participants in the French National Agency for Research on Aids and Viral Hepatitis Cohort 13 'Hepatite et VIH' (ANRS CO13 HEPAVIH) cohort of HIV-HCV coinfected patients to identify clinical (medical records) and behavioural (self-administered questionnaires) correlates of SD (mixed-effects logistic regression). SD were identified using one item documenting the occurrence of insomnia or difficulty falling asleep (ANRS 'Action Coordonnee 24' self-reported symptoms checklist), and two items documenting perceived sleep quality (Center for Epidemiologic Studies Depression and WHO Quality of Life HIV-specific brief scales). RESULTS: Seven hundred and sixteen (68.4%) patients with completed self-administered questionnaires reported SD at their most recent follow-up visit. In the multivariable model, hazardous alcohol consumption (Alcohol Use Disorders Identification Test-Consumption score>/=4 for men, >/=3 for women) (adjusted odds ratio=1.61; 95% confidence interval: 1.09-2.36), depressive symptoms (6.78; 4.36-10.55) and the number of other physical and psychological self-reported symptoms (1.10; 1.07-1.13) were associated independently with SD after adjustment for sex, age and employment status. HCV cure was not associated significantly with SD. CONCLUSION: SD remain frequent in HIV-HCV coinfected patients and are associated with a series of modifiable behavioural risk factors. Independent of HCV cure, improved screening and comprehensive management of alcohol use, physical and psychological self-reported symptoms and depression are essential in this population. Closer investigation of these risk factors of SDs may both increase sleep quality and indirectly improve patients' clinical outcomes. | |
dc.language.iso | EN | en_US |
dc.subject.en | MORPH3Eus | |
dc.subject.en | ANRS CO13 HEPAVIH | |
dc.title.en | Sleep disturbances in HIV-HCV coinfected patients: indications for clinical management in the HCV cure era (ANRS CO13 HEPAVIH cohort) | |
dc.title.alternative | Eur J Gastroenterol Hepatol | en_US |
dc.type | Article de revue | en_US |
dc.identifier.doi | 10.1097/meg.0000000000001441 | en_US |
dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
dc.identifier.pubmed | 31094856 | en_US |
bordeaux.journal | Eur J Gastroenterol Hepatol | en_US |
bordeaux.page | 1508-1517 | en_US |
bordeaux.volume | 31 | en_US |
bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - U1219 | en_US |
bordeaux.issue | 12 | en_US |
bordeaux.institution | Université de Bordeaux | en_US |
bordeaux.peerReviewed | oui | en_US |
bordeaux.inpress | non | en_US |
bordeaux.identifier.funderID | Agence Nationale de Recherches sur le Sida et les Hépatites Virales | en_US |
hal.export | false | |
bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Eur%20J%20Gastroenterol%20Hepatol&rft.date=2019-12&rft.volume=31&rft.issue=12&rft.spage=1508-1517&rft.epage=1508-1517&rft.eissn=1473-5687%20(Electronic)%200954-691X%20(Linking)&rft.issn=1473-5687%20(Electronic)%200954-691X%20(Linking)&rft.au=COSTA,%20M.&ROJAS%20ROJAS,%20T.&LACOSTE,%20D.&VILLES,%20V.&AUMAITRE,%20H.&rft.genre=article |
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