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Published on: April 18, 2018
Sleep Duration, Insomnia, and Associated Factors Among Ukrainians 1 Year After Russia's Full-Scale Invasion
Shanshan Wang1, Madelyn Hsiao-Rei Hicks, Emily Barrett
1From the Department of Population & Community Health, School of Public Health (Wang), University of North Texas Health Science Center, Fort Worth, Texas; Department of Psychiatry (Hicks), UMass Chan Medical School, Worcester, Massachusetts; Environmental and Occupational Sciences Institute (Barrett, Fiedler), Rutgers University; Department of Biostatistics and Epidemiology (Barrett, Haque), Rutgers School of Public Health, Piscataway, New Jersey; Department of Psychiatry and Narcology (Martsenkovskyi), Bogomolets National Medical University, Kyiv; Poltava State Medical University (Holovanova), Poltava; Overseas Council-United World Mission (Marchak), Rivne; Ukrainian Laboratory of Quality and Safety of Agricultural Products (Ishchenko), Kyiv, Ukraine; Department of Environmental and Occupational Health and Justice (Fiedler), Rutgers School of Public Health, Piscataway; and Rutgers Global Health Institute (Haque), New Brunswick, New Jersey.
Objective:
We aimed to investigate the prevalence of sleep disturbances and associated factors among Ukrainians 1 year after Russia's full-scale invasion.
Methods:
Quota sampling was used to collect online survey data from 2364 adults living in Ukraine aged 18 to 79 years from April 5, 2023, to May 15, 2023. Short sleep duration was defined as sleep duration ≤6 hours and long sleep duration as ≥9 hours. Insomnia was assessed by the Insomnia Symptom Questionnaire.
Results:
The prevalences of short sleep duration, long sleep duration, and insomnia were 39.4%, 6.9%, and 38.5%, respectively. Short sleep duration and insomnia were both more likely in females (short sleep duration: adjusted odds ratio [aOR] = 1.44; insomnia: aOR = 2.17), individuals with depression (short sleep duration: aOR = 1.61; insomnia: aOR = 7.76), affected by the 2014 Russian invasion (short sleep duration: aOR = 1.37; insomnia: aOR = 1.78), and with more trauma events (short sleep duration: quartile 3 [Q3] versus Q1: aOR = 1.88; Q4 versus Q1: aOR = 1.83; insomnia: Q3 versus Q1: aOR = 2.14; Q4 versus Q1: aOR = 2.32). Insomnia was more likely in Ukrainians with posttraumatic stress disorder (aOR = 2.95), anxiety (aOR = 4.57), and loneliness (aOR = 1.67). Essential public service was associated with short sleep duration (aOR = 1.64). Short sleep duration and insomnia were associated with lower quality of life in physical, psychological, and environmental domains. Insomnia was associated with the social relationships domain.
Conclusions:
Sleep health among Ukrainian adults 1 year into the war is concerning, with more than one-third reporting inadequate sleep or insomnia. More studies are needed on impacts and interventions for sleep health during and after the war.
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