DOI: 10.12688/f1000research.182846.2 ISSN: 2046-1402

Sex Differences in the Prevalence and Correlates of Sleep Disturbance Among Indonesian Stroke Survivors: A Population-Based Study of 7,147 Individuals

Sri Susanty, Renny Wulan Apriliyasari, Hsiao-Yean Chiu, Rusdi Bin ABD Rashid, Era Catur Prasetya, Kanjanee Phanphairoj, Mokh. Sujarwadi, Faizul Hasan
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Objectives Sleep disturbance is a prevalent issue among those who have experienced a stroke. The impact of gender on the prevalence of sleep disturbance within Asian stroke populations remains ambiguous. This research seeks to examine the prevalence of sleep disturbance among stroke survivors in Indonesia. Methods This quantitative prevalence analysis was based on the 2018 Indonesian Basic Health Research. A total of 7,147 stroke survivors who answered the sleep disturbance questions were included. The estimated prevalence and regression models were examined utilizing SPSS software. Results The total prevalence of sleep disturbance among stroke survivors in Indonesia was 28.4% (95% CI: 27.4%–29.4%). Females exhibited a greater frequency of sleep disturbance than males (34.4% versus 26.1%, respectively). When categorized by age group, both females and males exhibited a trend of rising sleep disturbance prevalence with time. Moreover, daily smoking, low educational attainment, rural residency, and insufficient physical activity were correlated with sleep disturbance symptoms in the male cohort. In females, the presence of comorbidities such as cardiovascular disease and asthma was associated with sleep disturbance. Conclusions This study’s findings revealed a significant prevalence of sleep disturbance among stroke survivors in Indonesia. Our findings indicate a gender influence on sleep disturbance prevalence, with females exhibiting a higher prevalence than males. These findings underscore the significance of sleep assessment and treatment in clinical or community environments.

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