Cargando…

Prevalence and determinants of insomnia among patients living with asthma in Northwest Ethiopian University specialised hospitals: Multicentre cross-sectional study

OBJECTIVE: The study was aimed to determine the prevalence and contributing factors of insomnia among patients with bronchial asthma. DESIGN: A multicentre cross-sectional survey was used. SETTING: This study was carried out from January to March 2022 in three university comprehensive specialised ho...

Descripción completa

Detalles Bibliográficos
Autores principales: Belachew, Eyayaw Ashete, Sendekie, Ashenafi Kibret, Ayele, Emneteab Mesfin, Netere, Adeladlew Kassie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9677040/
https://www.ncbi.nlm.nih.gov/pubmed/36400726
http://dx.doi.org/10.1136/bmjopen-2022-066215
_version_ 1784833724381134848
author Belachew, Eyayaw Ashete
Sendekie, Ashenafi Kibret
Ayele, Emneteab Mesfin
Netere, Adeladlew Kassie
author_facet Belachew, Eyayaw Ashete
Sendekie, Ashenafi Kibret
Ayele, Emneteab Mesfin
Netere, Adeladlew Kassie
author_sort Belachew, Eyayaw Ashete
collection PubMed
description OBJECTIVE: The study was aimed to determine the prevalence and contributing factors of insomnia among patients with bronchial asthma. DESIGN: A multicentre cross-sectional survey was used. SETTING: This study was carried out from January to March 2022 in three university comprehensive specialised hospitals in Northwest Ethiopia. PARTICIPANTS: 422 patients with bronchial asthma were approached of which 93.8% completed the survey. OUTCOMES: The degree of asthma control and the severity of insomnia were evaluated using the Asthma Control Test and Insomnia Severity Index (ISI), respectively. The characteristics of the participants were presented, arranged and summarised using descriptive statistical analysis, and correlations between predictors and outcome variables were examined using logistic regression. The cut-off point was a p value of 0.05. RESULTS: Participants’ ages ranged from 33.6 to 65.2 years on average. Just under three-fourths (71.4%) of the participants had at least one episode of insomnia as per the ISI measurement (score ≥10). The odds of insomnia episodes were about 5.4 and 1.93 times higher in patients with uncontrolled asthma and partially controlled asthma status, with adjusted OR (AOR)=5.4 (95% CI 4.4 to 6.79, p<0.001) and AOR=1.93 (95% CI 1.21 to 4.11, p<0.001), respectively. CONCLUSION: Insomnia episodes were substantially higher in bronchial patients with asthma. Insomnia is accompanied by asthma severity, and uncontrolled asthma and partially controlled asthma status are the two most determining factors for experiencing sleep disturbance. Furthermore, a prospective follow-up study must determine the real association found between insomnia and asthma control.
format Online
Article
Text
id pubmed-9677040
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-96770402022-11-22 Prevalence and determinants of insomnia among patients living with asthma in Northwest Ethiopian University specialised hospitals: Multicentre cross-sectional study Belachew, Eyayaw Ashete Sendekie, Ashenafi Kibret Ayele, Emneteab Mesfin Netere, Adeladlew Kassie BMJ Open Public Health OBJECTIVE: The study was aimed to determine the prevalence and contributing factors of insomnia among patients with bronchial asthma. DESIGN: A multicentre cross-sectional survey was used. SETTING: This study was carried out from January to March 2022 in three university comprehensive specialised hospitals in Northwest Ethiopia. PARTICIPANTS: 422 patients with bronchial asthma were approached of which 93.8% completed the survey. OUTCOMES: The degree of asthma control and the severity of insomnia were evaluated using the Asthma Control Test and Insomnia Severity Index (ISI), respectively. The characteristics of the participants were presented, arranged and summarised using descriptive statistical analysis, and correlations between predictors and outcome variables were examined using logistic regression. The cut-off point was a p value of 0.05. RESULTS: Participants’ ages ranged from 33.6 to 65.2 years on average. Just under three-fourths (71.4%) of the participants had at least one episode of insomnia as per the ISI measurement (score ≥10). The odds of insomnia episodes were about 5.4 and 1.93 times higher in patients with uncontrolled asthma and partially controlled asthma status, with adjusted OR (AOR)=5.4 (95% CI 4.4 to 6.79, p<0.001) and AOR=1.93 (95% CI 1.21 to 4.11, p<0.001), respectively. CONCLUSION: Insomnia episodes were substantially higher in bronchial patients with asthma. Insomnia is accompanied by asthma severity, and uncontrolled asthma and partially controlled asthma status are the two most determining factors for experiencing sleep disturbance. Furthermore, a prospective follow-up study must determine the real association found between insomnia and asthma control. BMJ Publishing Group 2022-11-17 /pmc/articles/PMC9677040/ /pubmed/36400726 http://dx.doi.org/10.1136/bmjopen-2022-066215 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Public Health
Belachew, Eyayaw Ashete
Sendekie, Ashenafi Kibret
Ayele, Emneteab Mesfin
Netere, Adeladlew Kassie
Prevalence and determinants of insomnia among patients living with asthma in Northwest Ethiopian University specialised hospitals: Multicentre cross-sectional study
title Prevalence and determinants of insomnia among patients living with asthma in Northwest Ethiopian University specialised hospitals: Multicentre cross-sectional study
title_full Prevalence and determinants of insomnia among patients living with asthma in Northwest Ethiopian University specialised hospitals: Multicentre cross-sectional study
title_fullStr Prevalence and determinants of insomnia among patients living with asthma in Northwest Ethiopian University specialised hospitals: Multicentre cross-sectional study
title_full_unstemmed Prevalence and determinants of insomnia among patients living with asthma in Northwest Ethiopian University specialised hospitals: Multicentre cross-sectional study
title_short Prevalence and determinants of insomnia among patients living with asthma in Northwest Ethiopian University specialised hospitals: Multicentre cross-sectional study
title_sort prevalence and determinants of insomnia among patients living with asthma in northwest ethiopian university specialised hospitals: multicentre cross-sectional study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9677040/
https://www.ncbi.nlm.nih.gov/pubmed/36400726
http://dx.doi.org/10.1136/bmjopen-2022-066215
work_keys_str_mv AT belacheweyayawashete prevalenceanddeterminantsofinsomniaamongpatientslivingwithasthmainnorthwestethiopianuniversityspecialisedhospitalsmulticentrecrosssectionalstudy
AT sendekieashenafikibret prevalenceanddeterminantsofinsomniaamongpatientslivingwithasthmainnorthwestethiopianuniversityspecialisedhospitalsmulticentrecrosssectionalstudy
AT ayeleemneteabmesfin prevalenceanddeterminantsofinsomniaamongpatientslivingwithasthmainnorthwestethiopianuniversityspecialisedhospitalsmulticentrecrosssectionalstudy
AT netereadeladlewkassie prevalenceanddeterminantsofinsomniaamongpatientslivingwithasthmainnorthwestethiopianuniversityspecialisedhospitalsmulticentrecrosssectionalstudy