Pre-hospital, in-hospital and post-hospital factors associated with sleep quality among COVID-19 survivors 6 months after hospital discharge: cross-sectional survey in five cities in China

Background Understanding factors associated with post-discharge sleep quality among COVID-19 survivors is important for intervention development. Aims This study investigated sleep quality and its correlates among COVID-19 patients 6 months after their most recent hospital discharge. Method Healthcare providers at hospitals located in five different Chinese cities contacted adult COVID-19 patients discharged between 1 February and 30 March 2020. A total of 199 eligible patients provided verbal informed consent and completed the interview. Using score on the single-item Sleep Quality Scale as the dependent variable, multiple linear regression models were fitted. Results Among all participants, 10.1% reported terrible or poor sleep quality, and 26.6% reported fair sleep quality, 26.1% reported worse sleep quality when comparing their current status with the time before COVID-19, and 33.7% were bothered by a sleeping disorder in the past 2 weeks. After adjusting for significant background characteristics, factors associated with sleep quality included witnessing the suffering (adjusted B = −1.15, 95% CI = −1.70, −0.33) or death (adjusted B = −1.55, 95% CI = −2.62, −0.49) of other COVID-19 patients during hospital stay, depressive symptoms (adjusted B = −0.26, 95% CI = −0.31, −0.20), anxiety symptoms (adjusted B = −0.25, 95% CI = −0.33, −0.17), post-traumatic stress disorders (adjusted B = −0.16, 95% CI = −0.22, −0.10) and social support (adjusted B = 0.07, 95% CI = 0.04, 0.10). Conclusions COVID-19 survivors reported poor sleep quality. Interventions and support services to improve sleep quality should be provided to COVID-19 survivors during their hospital stay and after hospital discharge.

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Sleep Quality in Normal Weight and Overweight Individuals: A Cross-Sectional Survey

Archives of Clinical and Biomedical Research ◽

10.26502/acbr.50170113 ◽

2020 ◽

Vol 04 (04) ◽

Author(s):

Muhammad Sohaib Asghar ◽

Maira Hassan ◽

Sarah Kamran Akbani ◽

Nimra Shaikh ◽

Uzma Rasheed ◽

...

Keyword(s):

Sleep Quality ◽

Normal Weight ◽

Cross Sectional Survey ◽

Cross Sectional

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Stressful life events and poor sleep quality: a cross-sectional survey in the Chinese governmental employees

Sleep Medicine ◽

10.1016/j.sleep.2021.06.030 ◽

2021 ◽

Author(s):

Yi-Lu Li ◽

Dan Qiu ◽

Cheng Hu ◽

Fei-Yun Ouyang ◽

Jun He ◽

...

Keyword(s):

Sleep Quality ◽

Life Events ◽

Stressful Life Events ◽

Stressful Life ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional Survey ◽

Cross Sectional

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POS0733 REAL-LIFE PHYSICAL ACTIVITY IN SLE PATIENTS: ASSOCIATIONS WITH FATIGUE AND QUALITY OF SLEEP

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.1775 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 617.1-617

Author(s):

H. Wohland ◽

N. Leuchten ◽

M. Aringer

Keyword(s):

Physical Activity ◽

Sleep Quality ◽

Disease Activity ◽

Lupus Erythematosus ◽

Real Life ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Fatigue Score ◽

The Mean

Background:Fatigue is among the top complaints of patients with systemic lupus erythematosus (SLE), but only in part associated with SLE disease activity. Physical activity can help to reduce fatigue and should therefore be recommended to SLE patients. Vice versa, fatigue may arguably lead to reduced physical activity.Objectives:To investigate the extent of physical activity and the perception of fatigue and sleep quality in patients with SLE.Methods:Starting in February 2019, SLE patients were invited to participate in a cross-sectional survey study of fatigue and physical exercise during their routine outpatient clinic visits. Participants filled out a ten-page paper questionnaire focused on physical activity. To evaluate fatigue, we primarily used a 10 cm visual analogue scale (0-100 mm, with 100 meaning most fatigued), but also the FACIT fatigue score (range 0-52). Sleep quality was estimated using grades from 1 (excellent) to 6 (extremely poor).Results:93 SLE patients took part in the study. All patients fulfilled the European League Against Rheumatism/ American College of Rheumatology (EULAR/ACR) 2019 classification criteria for SLE. 91% of the patients were female. Their mean (SD) age was 45.5 (14.3) years and their mean disease duration 12.1 (9.4) years. The mean BMI was 25.2 (5.6). Of all patients, 7.5% had a diagnosis of (secondary) fibromyalgia. The mean fatigue VAS was 32 (27) mm and the mean FACIT fatigue score 35.7 (10.3). As expected, fatigue by VAS and FACIT was correlated (Spearman r=-0.61, p<0.0001). The mean SLEDAI was 1 (1) with a range of 0 to 6. Median glucocorticoid doses were 2 mg prednisolone equivalent, with a range from 0 to 10 mg.Out of 66 patients in payed jobs, 64 (97%) reported details on their working space. One person (2%) worked in a predominanty standing position, 37 (58%) worked in essentially sedentary jobs and 26 (40%) were in positions where they were mildly physically active in part. The mean fatigue VAS was 31 (24) mm for patients with partly active jobs and 27 (30) mm for those in sedentary jobs. Sleep was graded 2.9 (0.9) by those with active and 3.1 (1.3) by those with sedentary jobs.Half of the patients (51%) reported more than one physical recreational activity. 44 (47%) were walking and for five persons (5%) this was the only form of activity. Cycling was reported by 19 patients (20%), 18 of whom also practiced other activities. For transport, 52 (56%) in part chose active modes, such as walking and cycling. Patients who reported any of the above activities showed a mean fatigue VAS of 28 (25) mm, compared to 36 (28) mm in the patient group without a reported activity. Sleep quality was very similar: 3.1 (1.2) and 3.2 (1.1) for more active and more passive patients, respectively.65 (70%) patients regularly practiced sports. Of these, 39 (60%) practiced one kind of sport, 15 (23%) two, 7 (11%) three, and 2 (3%) each four and five kinds of sports. Fatigue VAS of patients practicing sports was 27 (25) mm versus 43 (28) in those who did not (p=0.0075). Sleep quality was 2.9 (1.1) in the sports cohort and 3.5 (1.1) in the no-sports cohort (p=0.0244).Conclusion:A majority of SLE patients in remission or low to moderate disease activity regularly practiced sports, and those doing so reported lesser fatigue and better sleep quality. The absolute values on the fatigue VAS were in a moderate range that made fatigue as the main cause of not performing sports rather unlikely for most patients.Disclosure of Interests:Helena Wohland: None declared, Nicolai Leuchten Speakers bureau: AbbVie, Janssen, Novartis, Roche, UCB, Consultant of: AbbVie, Janssen, Novartis, Roche, Martin Aringer Speakers bureau: AbbVie, Astra Zeneca, BMS, Boehringer Ingelheim, Chugai, Gilead, GSK, HEXAL, Lilly, MSD, Novartis, Pfizer, Roche, Sanofi, UCB, Consultant of: AbbVie, Astra Zeneca, BMS, Boehringer Ingelheim, GSK, Lilly, MSD, Roche, Sanofi, UCB

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Prevalence and determinant factors of exclusive breastfeeding practices among mothers in Marrakesh province, Morocco: A cross- sectional survey

Mediterranean Journal of Nutrition and Metabolism ◽

10.3233/mnm-200517 ◽

2021 ◽

pp. 1-11

Author(s):

Soufiane El Moussaoui ◽

Kamal Kaoutar ◽

Ahmed Chetoui ◽

Abdeslam El Kardoudi ◽

Fatiha Chigr ◽

...

Keyword(s):

Exclusive Breastfeeding ◽

Multivariate Logistic Regression ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated ◽

Breastfeeding Practices ◽

Survey Report ◽

Duration Of Breastfeeding ◽

Breastfeeding Practice

BACKGROUND: Exclusive breastfeeding is the best form of nutrition for infants during the first 6 months of life. Nevertheless, the practice of breastfeeding is currently declining throughout the world. OBJECTIVE: The objective of this study was to assess the prevalence of exclusive breastfeeding (EBF) practice and its associated factors among mothers living in Marrakesh province, Morocco. METHODS: The data were collected using an interviewer administered questionnaire. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with exclusive breastfeeding practice. RESULTS: Prevalence of exclusive breastfeeding was 50.2%. Mothers with age more than 30 years, residing in rural area, receiving counseling related breastfeeding during antenatal follow up and having knowledge about duration of breastfeeding were more likely to practice exclusive breastfeeding than their counterparts. CONCLUSION: Although the prevalence of breastfeeding in Marrakesh was higher than the last national survey report but it is still insufficient. These findings have to stress authorities and deciders to sensitize mothers and future mothers to increase exclusive breastfeeding practice notably through the involvement of health professionals.

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Assessing Factors Associated with TB Awareness in Nepal: A National and Subnational Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105124 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5124

Author(s):

Yoko Iwaki ◽

Santosh Kumar Rauniyar ◽

Shuhei Nomura ◽

Michael C. Huang

Keyword(s):

Socioeconomic Factors ◽

Influential Factors ◽

Regional Level ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Middle Income ◽

Factors Associated ◽

Middle Income Countries ◽

Information And Communication ◽

High Level

Tuberculosis (TB) has still remained a serious global health threat in low- and middle-income countries in recent years. As of 2021, Nepal is one of the high TB burden countries, with an increasing prevalence of cases. This study evaluates factors associated with TB awareness in Nepal. This study uses data from the Nepal Demographic and Health Survey, a cross-sectional survey carried out from June 2016 to January 2017. Multilevel logistic regression is performed to examine the association of demographic and socioeconomic factors with TB awareness. Our findings show a high level of TB awareness in all seven provinces of Nepal. Province 5 has the highest level of awareness (98.1%) among all provinces, followed by provinces 3 and 4, while province 6 has the lowest awareness level (93.2%) compared to others. Socioeconomic factors such as wealth, education and owning a mobile phone are significantly associated with TB awareness. Socioeconomic determinants are influential factors associated with TB awareness in Nepal. The wide variation in the proportion of awareness at a regional level emphasizes the importance of formulating tailored strategies to increase TB awareness. For instance, the use of mobile phones could be an effective strategy to promote TB awareness at a regional level. This study provides valuable evidence to support further research on the contribution of information and communication technology (ICT) usage to improving TB awareness in Nepal.

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Utilization of denture adhesives and the factors associated with its use: a cross-sectional survey

BMC Oral Health ◽

10.1186/s12903-020-01177-5 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Tun Min Bo ◽

Yohei Hama ◽

Norihisa Akiba ◽

Shunsuke Minakuchi

Keyword(s):

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated ◽

Denture Adhesives

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Factors associated with postpartum women's knowledge, attitude and practice regarding human milk banks and milk donation: A cross-sectional survey

Midwifery ◽

10.1016/j.midw.2020.102837 ◽

2020 ◽

Vol 91 ◽

pp. 102837

Author(s):

Na Zhang ◽

Jun-Yan Li ◽

Xin-Wen Liu ◽

Yu-Lei Jiang ◽

Sharon R. Redding ◽

...

Keyword(s):

Human Milk ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated ◽

Attitude And Practice ◽

Milk Banks ◽

Women's Knowledge ◽

Women’S Knowledge ◽

Knowledge Attitude And Practice

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Willingness to receive future COVID-19 vaccines following the COVID-19 epidemic in Shanghai, China

BMC Public Health ◽

10.1186/s12889-021-11174-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yehong Zhou ◽

Junjie Zhang ◽

Wenwen Wu ◽

Man Liang ◽

Qiang-Song Wu

Keyword(s):

Vaccine Safety ◽

Older Individuals ◽

Regression Analyses ◽

Pharmacological Interventions ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated ◽

History Of ◽

Potential Factors ◽

To Receive

Abstract Background There are no pharmacological interventions currently available to prevent the transmission of SARS-CoV-2 or to treat COVID-19. The development of vaccines against COVID-19 is essential to contain the pandemic. we conducted a cross-sectional survey of Shanghai residents to understand residents’ willingness to be vaccinated with any future COVID-19 vaccines and take measures to further improve vaccination coverage. Methods We conducted a cross-sectional survey using self-administered anonymous questionnaires from 1 July to 8 September 2020. The main outcome was willingness of participants, and any children or older individuals living with them, to receive future COVID-19 vaccines. Logistic regression analyses were used to explore potential factors associated with vaccination willingness. Results A total of 1071 participants were asked about their willingness to receive future COVID-19 vaccines, for themselves and at least 747 children and 375 older individuals (≥60 years old) living with them. The highest proportion of expected willingness to vaccinate was among participants (88.6%), followed by children (85.3%) and older individuals (84.0%). The main reasons for reluctance to vaccinate among 119 participants were doubts regarding vaccine safety (60.0%) and efficacy (28.8%). Participants with a self-reported history of influenza vaccination were more likely to accept COVID-19 vaccines for themselves [adjusted odds ratio (OR) = 1.83; 95% confidence interval (CI): 1.19–2.82], their children (adjusted OR = 2.08; 95%CI: 1.30–3.33), and older individuals in their household (adjusted OR = 2.12; 95%CI: 1.14–3.99). Participants with older individuals in their families were less willing to vaccinate themselves (adjusted OR = 0.59; 95%CI: 0.40–0.87) and their children (adjusted OR = 0.58; 95%CI: 0.38–0.89). Conclusions Participants were more reluctant to accept COVID-19 vaccines for older individuals living with them. The presence of older individuals in the home also affected willingness of participants and their children to be vaccinated.

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