AUTHOR=Kantor Jonathan , Kantor Bella Nichole , Fortgang Rebecca G. , Pace-Schott Edward F. 

TITLE=Sleep Quality Impairment Is Associated With Pandemic Attitudes During the Coronavirus Disease 2019 (COVID-19) Circuit Breaker Lockdown in England: A Cross-Sectional Study

JOURNAL=Frontiers in Public Health

VOLUME=Volume 10 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.819231

DOI=10.3389/fpubh.2022.819231

ISSN=2296-2565

ABSTRACT=Objectives: The COVID-19 pandemic has been associated with sleep quality impairment and psychological distress, and the general public has responded to the pandemic and quarantine requirements in a variety of ways. We aimed to investigate whether sleep quality is low during even a circuit break restriction of finite duration, and whether sleep quality is associated with respondents’ overall attitudes to the pandemic using a validated scale.
Measurements: Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and pandemic attitudes were assessed using the Oxford Pandemic Attitudes Scale – COVID-19 (OPAS-C), a validated 20-item, 7-domain scale. Unadjusted and multivariable logistic regression odds ratios of association were assessed between the dependent variable of poor sleep quality (PSQI>5) and risk factors, including OPAS-C score, age, sex, educational status, and income. 
Results: In 502 respondents, the mean (SD) PSQI score was 7.62 (3.49). Overall, 68.9% of respondents met criteria for poor sleep quality using the PSQI cutoff of >5. The mean (SD) OPAS-C score was 60.3 (9.1),
There was a significantly increased odds of poor sleep quality in the highest versus lowest OPAS-C quartiles (OR 4.94, 95% CI [2.67, 9.13], p<0.0001). Age, sex, income, political leaning, employment status, and education attainment were not associated with poor sleep quality.
Conclusions: More than two-thirds of respondents met criteria for poor sleep quality. The odds of poor sleep quality increased in a dose-response relationship with pandemic attitudes and suggests opportunities for public health and sleep medicine interventions.