Pilot study of Insomnia with Poor Sleep Quality in Indian subjects: Wake up call to an emerging public health issue

JOURNAL TITLE: Indian Journal of Sleep Medicine

1. Samhita Panda
2. Monika Sharma
Publishing Year
Author Affiliations
    1. Department of Sleep Medicine and Neurophysiology, Sir Ganga Ram Hospital, New Delhi, India
    1. Department of Sleep Medicine, Sir Ganga Ram Hospital, New Delhi, India
  • Article keywords
    Alcohol, Marital status, Urban, Insomnia, Poor quality of sleep, Public health, Socio- economic status.


    Background & objectives: Insomnia is a common disorder of the present times. However, insomnia in the context of poor sleep quality has not been widely explored. It has mostly been in the domain of mental health and considered as a symptom. The aim of this study was to investigate the association of sleep quality among insomniacs and to determine their socio-demographic and health correlates. Methods: A total of 134 (85 males and 49 females) subjects suffering from insomnia with chief complaint of poor sleep quality/unfreshing sleep were included. Participants were apparently healthy adults, visiting a tertiary care hospital of Delhi as attendants of patients between March-May 2012.Respondents were consecutively selected and clinically evaluatedfor study variables including socio-demographics, substance use (excessive and harmful use of alcohol, cocaine and narcotics), and sleep quality through interview and questionnaire. Results: Insomnia with poor sleep quality was reported by 76% (n=101) of respondents. Multivariate analyses showed that demographic factors, social support, socioeconomic status (SES), and substance use were positively associated with insomnia and poor quality of sleep. Logistic multivariate regression analyses revealed that it was independently associated with marital status, residence in urban area, middle SES, and alcohol use. Conclusion: Insomnia with poor quality of sleep is common in the selected sample and is associated with socio-demographic factors, as well as use of alcohol. The study revealed that the most productive population of India i.e. middle aged people from middle socioeconomic status are silently grappling with this overlooked and undiagnosed issue. We recommend screening and intervention programs to be introduced at the organizational level in order to curb this emerging public health issue at its root.

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