{"title":"中国HIV感染者自我报告的睡眠障碍：一项系统回顾和荟萃分析。","authors":"Jia-Jia Li, Lin-Shan Liu, He-Ping Zhao, Chan Yan, Shi-Yun Lv, Hai-Dan Zhong, Ling-Hua Li, Cong Liu","doi":"10.1080/15402002.2025.2498367","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>People living with HIV (PLWH) commonly face a range of health issues, among which sleep disturbances are common and are related to adverse health outcomes. This review aims to assess the pooled prevalence of sleep disturbances among PLWH in China through a comprehensive and quantitative meta-analysis.</p><p><strong>Methods: </strong>We conducted comprehensive searches of Chinese databases and international databases from their inception to December 23, 2023. The random effects model was used to calculate the pooled prevalence estimates with a 95% confidence interval.</p><p><strong>Results: </strong>This meta-analysis included 20 studies involving 12,256 Chinese PLWH, 5,542 PLWH of whom experienced sleep disturbances. The pooled prevalence was 46% (95% CI: 42-51%). Subgroup analysis revealed that the prevalence of sleep disturbances was influenced by the mental status of depression (Q = 4.21, <i>p</i> < .001) and anxiety (Q = 4.76, <i>p</i> < .001), receiving support from family and friends (Q = 6.63, <i>p</i> < .001), treatment with Efavirenz (Q = 37.53, <i>p</i> = .007), studies using different instruments (Q = 42.69, <i>p</i> < .001) and those using different cutoff values of PSQI (Q = 48.29, <i>p</i> < .001). Meta-regression analysis revealed that the covariates, including mean age, female proportion, publication year, and quality score, were not significant moderators of heterogeneity (<i>p</i> > .05).</p><p><strong>Conclusions: </strong>Chinese PLWH experience a significant burden of sleep disturbances. Early screening and comprehensive interventions targeting sleep disturbances in this population should be prioritized to improve their overall well-being and quality of life.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.2000,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Self-reported sleep disturbances among people living with HIV in China: A Systematic Review and Meta-Analysis.\",\"authors\":\"Jia-Jia Li, Lin-Shan Liu, He-Ping Zhao, Chan Yan, Shi-Yun Lv, Hai-Dan Zhong, Ling-Hua Li, Cong Liu\",\"doi\":\"10.1080/15402002.2025.2498367\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>People living with HIV (PLWH) commonly face a range of health issues, among which sleep disturbances are common and are related to adverse health outcomes. This review aims to assess the pooled prevalence of sleep disturbances among PLWH in China through a comprehensive and quantitative meta-analysis.</p><p><strong>Methods: </strong>We conducted comprehensive searches of Chinese databases and international databases from their inception to December 23, 2023. The random effects model was used to calculate the pooled prevalence estimates with a 95% confidence interval.</p><p><strong>Results: </strong>This meta-analysis included 20 studies involving 12,256 Chinese PLWH, 5,542 PLWH of whom experienced sleep disturbances. The pooled prevalence was 46% (95% CI: 42-51%). Subgroup analysis revealed that the prevalence of sleep disturbances was influenced by the mental status of depression (Q = 4.21, <i>p</i> < .001) and anxiety (Q = 4.76, <i>p</i> < .001), receiving support from family and friends (Q = 6.63, <i>p</i> < .001), treatment with Efavirenz (Q = 37.53, <i>p</i> = .007), studies using different instruments (Q = 42.69, <i>p</i> < .001) and those using different cutoff values of PSQI (Q = 48.29, <i>p</i> < .001). Meta-regression analysis revealed that the covariates, including mean age, female proportion, publication year, and quality score, were not significant moderators of heterogeneity (<i>p</i> > .05).</p><p><strong>Conclusions: </strong>Chinese PLWH experience a significant burden of sleep disturbances. Early screening and comprehensive interventions targeting sleep disturbances in this population should be prioritized to improve their overall well-being and quality of life.</p>\",\"PeriodicalId\":55393,\"journal\":{\"name\":\"Behavioral Sleep Medicine\",\"volume\":\" \",\"pages\":\"1-14\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-04-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Behavioral Sleep Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/15402002.2025.2498367\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Behavioral Sleep Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/15402002.2025.2498367","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的：艾滋病毒感染者（PLWH）通常面临一系列健康问题，其中睡眠障碍是常见的，并与不良健康结果相关。本综述旨在通过全面和定量的荟萃分析来评估中国PLWH中睡眠障碍的总体患病率。方法：对中国数据库及国际数据库从建库至2023年12月23日进行综合检索。采用随机效应模型计算合并患病率估计值，置信区间为95%。结果：本荟萃分析包括20项研究，涉及12256名中国PLWH，其中5542名PLWH经历过睡眠障碍。合并患病率为46% （95% CI: 42-51%）。亚组分析显示，睡眠障碍的发生率受抑郁症精神状态的影响（Q = 4.21, p p p = 0.007），不同研究工具的影响（Q = 42.69, p p p >.05）。结论：中国PLWH患者存在显著的睡眠障碍负担。应该优先考虑针对这一人群的睡眠障碍进行早期筛查和综合干预，以改善他们的整体健康和生活质量。
Self-reported sleep disturbances among people living with HIV in China: A Systematic Review and Meta-Analysis.
Objective: People living with HIV (PLWH) commonly face a range of health issues, among which sleep disturbances are common and are related to adverse health outcomes. This review aims to assess the pooled prevalence of sleep disturbances among PLWH in China through a comprehensive and quantitative meta-analysis.
Methods: We conducted comprehensive searches of Chinese databases and international databases from their inception to December 23, 2023. The random effects model was used to calculate the pooled prevalence estimates with a 95% confidence interval.
Results: This meta-analysis included 20 studies involving 12,256 Chinese PLWH, 5,542 PLWH of whom experienced sleep disturbances. The pooled prevalence was 46% (95% CI: 42-51%). Subgroup analysis revealed that the prevalence of sleep disturbances was influenced by the mental status of depression (Q = 4.21, p < .001) and anxiety (Q = 4.76, p < .001), receiving support from family and friends (Q = 6.63, p < .001), treatment with Efavirenz (Q = 37.53, p = .007), studies using different instruments (Q = 42.69, p < .001) and those using different cutoff values of PSQI (Q = 48.29, p < .001). Meta-regression analysis revealed that the covariates, including mean age, female proportion, publication year, and quality score, were not significant moderators of heterogeneity (p > .05).
Conclusions: Chinese PLWH experience a significant burden of sleep disturbances. Early screening and comprehensive interventions targeting sleep disturbances in this population should be prioritized to improve their overall well-being and quality of life.
期刊介绍：
Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
