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Sleep quality and patterns of young West Balkan adults during the third wave of COVID-19 pandemic: a cross-sectional study.
Sljivo, Armin; Juginovic, Alen; Ivanovic, Katarina; Quraishi, Iman; Mulac, Ahmed; Kovacevic, Zorana; Ivanovic, Stefan; Vukovic, Miro; Aranza, Ivan; Bilos, Valentina; Ljuhar, Kenan; Draskovic, Doris; Cetkovic, Asja; Abdulkhaliq, Arian; Dadic, Ilma; Begic, Edin; Mujicic, Ermina; Kulo Cesic, Aida.
  • Sljivo A; Medical Faculty, University of Sarajevo, Sarajevo, Bosnia and Herzegovina sljivo95@windowslive.com.
  • Juginovic A; Department of Neurobiology, Harvard Medical School, Boston, Massachusetts, USA.
  • Ivanovic K; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
  • Quraishi I; Department of Family Medicine, Dom Zdravlja Kantona Sarajevo, Sarajevo, Bosnia and Herzegovina.
  • Mulac A; Department of Family Medicine, Dom Zdravlja Kantona Sarajevo, Sarajevo, Bosnia and Herzegovina.
  • Kovacevic Z; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
  • Ivanovic S; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
  • Vukovic M; Faculty of Medicine, University of Split, Split, Croatia.
  • Aranza I; Faculty of Medicine, University of Split, Split, Croatia.
  • Bilos V; Faculty of Medicine, University of Split, Split, Croatia.
  • Ljuhar K; Emergency Medicine Department, Emergency Medicine Department of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina.
  • Draskovic D; Child Psychology, Institute of Mental Health, Belgrade, Serbia.
  • Cetkovic A; Medical Faculty, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
  • Abdulkhaliq A; Medical Faculty, Universitatea de Medicina si Farmacie Iuliu Hatieganu Cluj-Napoca, Cluj-Napoca, Romania.
  • Dadic I; Department of Family Medicine, Dom Zdravlja Kantona Sarajevo, Sarajevo, Bosnia and Herzegovina.
  • Begic E; Department of Internal Medicine, Sarajevo General Hospital, Sarajevo, Bosnia and Herzegovina.
  • Mujicic E; Department of Anestesiology, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
  • Kulo Cesic A; Department of Pharmacology, Clinical Pharmacology and Toxicology, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
BMJ Open ; 12(5): e060381, 2022 05 24.
Article in English | MEDLINE | ID: covidwho-1865183
ABSTRACT

OBJECTIVES:

To evaluate the sleep patterns among young West Balkan adults during the third wave of the COVID-19 pandemic. DESIGN AND

SETTING:

Cross-sectional study conducted using an anonymous online questionnaire based on established sleep questionnaires Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) (February-August 2021).

PARTICIPANTS:

Young adults of Bosnia and Herzegovina, Croatia and Serbia.

RESULTS:

Of 1058 subjects, mean age was 28.19±9.29 years; majority were women (81.4%) and students (61.9%). Compared with before the pandemic, 528 subjects (49.9%) reported a change in sleeping patterns during the pandemic, with 47.3% subjects reporting sleeping less. Mean sleeping duration during the COVID-19 pandemic was 7.71±2.14 hours with median sleep latency of 20 (10.0-30.0) min. Only 91 (8.6%) subjects reported consuming sleeping medications. Of all, 574 (54.2%) subjects had ISI score >7, with majority (71.2%) having subthreshold insomnia, and 618 (58.4%) PSQI score ≥5, thus indicating poor sleep quality. Of 656 (62.0%) tested subjects, 464 (43.9%) were COVID-19 positive (both symptomatic and asymptomatic) who were 48.8%, next to women (70%), more likely to have insomnia symptoms; and 66.9% were more likely to have poor sleep quality. Subjects using sleep medication were 44 times, and subjects being positive to ISI 15.36 times more likely to have poor sleep quality. In contrast, being a student was a negative independent predictor for both insomnia symptoms and poor sleep quality, and mental labour and not working were negative independent predictors for insomnia symptoms.

CONCLUSIONS:

During the third wave of the pandemic, sleep patterns were impaired in about half of young West Balkan adults, with COVID-19-positive subjects and being women as positive independent predictors and being a student as negative independent predictor of impaired sleep pattern. Due to its importance in long-term health outcomes, sleep quality in young adults, especially COVID-19-positive ones, should be thoroughly assessed.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adolescent / Adult / Female / Humans / Male / Young adult Country/Region as subject: Europa Language: English Journal: BMJ Open Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adolescent / Adult / Female / Humans / Male / Young adult Country/Region as subject: Europa Language: English Journal: BMJ Open Year: 2022 Document Type: Article