Article Text

AB1166 Socio-Economic and Professional Factors' Impact on Sleep Quality in Axial Spondyloarthritis Patients
  1. R. Dhahri,
  2. I. Mahmoud,
  3. O. Saidane,
  4. I. Chrif,
  5. H. Sahli,
  6. R. Tekaya,
  7. L. Abdelmoula
  1. Rheumatology department, Charles Nicolle Hospital, TUNIS, Tunisia


Background Work and socio economic related factors have a great impact on patient's quality of life.

Objectives To explore the effect of work-related and socio-economic factors on quality of sleep in patients with Axial Spondyloarthritis (AS).

To explore the effect of work-related and socio-economic factors on quality of sleep in patients with Axial Spondyloarthritis (AS).

Methods A cross sectional case-control study was conducted between August 2012 and August 2013 in the department of Rheumatology of Charles Nicolle Hospital.

Only patients with Axial Spondyloarthritis according to the 2009 Eular criteria were included. The 100 age- and sex-matched healthy controls were included in this case-control study. The patients and controls who had malignancy, fibromyalgia, serious infections or systemic diseases, and other chronic diseases were excluded from the study.

Demographic characteristics, disease specific variables, years of education, marital status, disease duration, occupation and absenteeism during the three last months were documented for each patient. They answered a self-assessing: sleep quality the Medical outcome study sleep scale (MOS-SS).

Results One hundred patients with AS and 100 control group patients age and sex matched participated in this study. Patients were divided into 71 men and 29 women. Their average age is 41.72 years [16-74].The majority of patients belonged to an average socioeconomic class (70%). 16% had a higher education, 68% secondary education, and 16% were illiterate. One-half of patients were unemployed and 26% displayed a disability related to their disease. Absenteeism was noted in 23% cases. The duration of the disease is on average 11.7 years and the age of disease onset is 28.9 years on average.

In the group of women through, there were many more disruption sleep (p=0.016), headache/breathlessness on waking (p=0.008), and a fewer sleep hours amount (p=0.037). There was no difference between the sexes in terms of adequacy, sleepiness, snoring and sleep index I and II.

Age was significantly correlated with sleepiness and areas snoring (p=0.002, p=0.001). The age of onset of the disease was significantly correlated with the areas drowsiness (p=0.015) and snoring (p=0.01)

Comparison of sleep disorders by socio economic level showed that sleep adequacy, headache and breathlessness are more observed in disadvantaged class (p=0.022). Workplace absenteeism was related to sleep disorders in the area sleep disturbance with p=0.002.

Conclusions Socio economic and professional status affects greatly the quality of life of patients and especially their sleep quality.

Disclosure of Interest None declared

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