Related Experiment Video
Updated: Jun 12, 2026

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
Factors Associated With Completing Sleep Studies Among People With HIV Receiving Care at a United States HIV Clinic:
Zainab Al Tameemi1,2,3,4,5,6,7, Stephanie A Ruderman1,2,3,4,5,6,7, Kristina A Crothers1,2,3,4,5,6,7
1Zainab Al Tameemi, MD, is a Resident, Department of Medicine, University of Washington, Seattle, Washington, USA.
Abstract:
People with HIV (PWH) have a high prevalence of obstructive sleep apnea (OSA), yet the condition receives minimal attention despite a high prevalence of OSA risk factors. PWH attending HIV care between 2008 and 2023 were eligible. Sleep studies were identified in electronic health records. We estimated associations between completion of a study and HIV factors and fatigue using adjusted relative risk regression. Among 3,977 PWH, 4% completed a sleep study. PWH who underwent sleep studies were older (50 vs. 48 years), fewer had low current CD4 cell counts (2% vs. 11% < 200 cells/mm3), and more had HIV viral suppression (97% vs. 85%) than those who did not. Bothersome fatigue was associated with 2.9 times (95% confidence interval: 1.9-4.4) greater likelihood of completing a sleep study. Sleep studies are rarely conducted among PWH. PWH who received a sleep study had better HIV control (higher CD4 count/viral suppression) and a greater burden of fatigue and OSA-related comorbidities.
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