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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2237-9622


LIMA, Margareth Guimarães et al. Association of self-reported sleep problems with morbidities and multimorbidities according to sex: National Health Survey 2019. Epidemiol. Serv. Saúde [online]. 2022, vol.31, n.esp1, e2021386.  Epub June 09, 2022. ISSN 1679-4974.


To evaluate the association between self-reported sleep problems and the presence of non-communicable diseases (NCDs) and multimorbidity, and whether these associations differ by sex.


This is a cross sectional study performed with data from the Brazilian National Health Survey, 2019. Prevalence ratios between morbidities, the number of NCDs, and the self-report of sleep problems were estimated by Poisson regression with robust variance, according to sex.


This study analysed data from 85,531 Brazilians age ≥ 18 years. The self-reported sleep problems were associated with all the herein studied morbidities and multimorbidities. The prevalence of sleep problems was higher in those who stated one or two (PR = 2.37; 95%CI 2.22;2.54) and three or more NCDs (PR = 4.73; 95%CI 4.37;5.11). Prevalence ratios of the association with diabetes, lung disease, mental disease, renal disease and multimorbidities were higher among males.


NCDs significantly impacted sleep quality, with a particularly stronger association in both, males and females.

Keywords : Sleep; Non-communicable Diseases; Morbidity; Health Survey; Sex Distribution.

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