TY - JOUR
T1 - Quality of Sleep in the Cypriot Population and Its Association With Multimorbidity
T2 - A Cross-Sectional Study
AU - Kyprianidou, Maria
AU - Panagiotakos, Demosthenes
AU - Kambanaros, Maria
AU - Makris, Konstantinos C.
AU - Christophi, Costas A.
N1 - Funding Information:
The authors specially thank all the participants who voluntarily contributed to the study and provided the requested information. The authors would like to offer their special thanks to the trained researchers of the study who participated in the data collection process throughout the five municipalities of Cyprus and to the developers of the questionnaires who kindly provided us access.
Publisher Copyright:
© Copyright © 2021 Kyprianidou, Panagiotakos, Kambanaros, Makris and Christophi.
PY - 2021/10/29
Y1 - 2021/10/29
N2 - Poor sleep is a relatively common condition with possibly serious adverse health consequences. Lack of sleep affects the endocrine, immune, and nervous systems. In Cyprus, there is no information about the quality of sleep in the population. The goal of this study was to assess the quality of sleep in the Cypriot population and evaluate its association with multimorbidity. A representative sample of the adult population of Cyprus was selected in 2018–2019 among the five government-controlled municipalities of the Republic of Cyprus using stratified sampling. Data on sleep quality as well as on the presence of chronic, clinical, and mental health conditions were collected using a validated questionnaire. Diseases were classified according to the International Classification of Diseases, 10th Revision (ICD-10). A total of 1,140 Cypriot men and women over 18-years of age (range: 18–94) participated in the study. The median Pittsburgh sleep quality index score of the participants was 5 (first quartile = 3, third quartile = 7) with the maximum score being 17, which suggests that the Cypriot population has a relatively good quality of sleep overall, although, almost one-third of the study population had a poor quality of sleep. Women, residents of Paphos, and married people had a poorer quality of sleep (p < 0.05). Having a poor quality of sleep was associated with higher odds of multimorbidity (OR = 2.21, 95% CI: 1.55, 3.16), even after adjusting for demographics, socioeconomic, and lifestyle factors. Adopting good sleep habits could be beneficial and would potentially help reduce the risk of multimorbidity. Public health guidelines regarding the importance of sleep and its association with multimorbidity should be considered.
AB - Poor sleep is a relatively common condition with possibly serious adverse health consequences. Lack of sleep affects the endocrine, immune, and nervous systems. In Cyprus, there is no information about the quality of sleep in the population. The goal of this study was to assess the quality of sleep in the Cypriot population and evaluate its association with multimorbidity. A representative sample of the adult population of Cyprus was selected in 2018–2019 among the five government-controlled municipalities of the Republic of Cyprus using stratified sampling. Data on sleep quality as well as on the presence of chronic, clinical, and mental health conditions were collected using a validated questionnaire. Diseases were classified according to the International Classification of Diseases, 10th Revision (ICD-10). A total of 1,140 Cypriot men and women over 18-years of age (range: 18–94) participated in the study. The median Pittsburgh sleep quality index score of the participants was 5 (first quartile = 3, third quartile = 7) with the maximum score being 17, which suggests that the Cypriot population has a relatively good quality of sleep overall, although, almost one-third of the study population had a poor quality of sleep. Women, residents of Paphos, and married people had a poorer quality of sleep (p < 0.05). Having a poor quality of sleep was associated with higher odds of multimorbidity (OR = 2.21, 95% CI: 1.55, 3.16), even after adjusting for demographics, socioeconomic, and lifestyle factors. Adopting good sleep habits could be beneficial and would potentially help reduce the risk of multimorbidity. Public health guidelines regarding the importance of sleep and its association with multimorbidity should be considered.
KW - chronic disease
KW - Cyprus
KW - multimorbidity
KW - quality of sleep
KW - sleep
UR - http://www.scopus.com/inward/record.url?scp=85119043156&partnerID=8YFLogxK
U2 - 10.3389/fpubh.2021.693332
DO - 10.3389/fpubh.2021.693332
M3 - Article
C2 - 34778165
AN - SCOPUS:85119043156
SN - 2296-2565
VL - 9
SP - 1
EP - 11
JO - Frontiers in Public Health
JF - Frontiers in Public Health
M1 - 693332
ER -