The total prevalence of sleep disturbance among stroke survivors in Indonesia was 28.4%, with females exhibiting a higher prevalence than males (34.4% versus 26.1%), and sex-specific correlates differing substantially between groups.
The overall prevalence of sleep disturbance among Indonesian stroke survivors was 28.4%.
Female stroke survivors had a higher prevalence of sleep disturbance than male stroke survivors.
Both male and female stroke survivors showed a trend of rising sleep disturbance prevalence with increasing age.
Daily smoking, low educational attainment, rural residency, and insufficient physical activity were correlated with sleep disturbance in male stroke survivors.
Cardiovascular disease and asthma comorbidities were associated with sleep disturbance in female stroke survivors.
The study identified sex-specific differences in the correlates of sleep disturbance among stroke survivors, with distinct factor profiles for males and females.
This research suggests that sleep problems are very common among people in Indonesia who have had a stroke, affecting more than one in four survivors overall (28.4%). Women who have had strokes appear to be particularly affected, with about 34% experiencing sleep disturbances compared to about 26% of men. Both men and women showed increasing rates of sleep problems as they got older. The study used data from Indonesia's 2018 national health survey, covering over 7,000 stroke survivors, making it one of the larger population-based examinations of this issue in an Asian setting. This research suggests that the factors linked to sleep problems differ meaningfully between men and women stroke survivors. Among men, sleep disturbances were associated with lifestyle and social factors such as daily smoking, lower levels of education, living in rural areas, and not getting enough physical activity. Among women, sleep disturbances were more strongly tied to having other health conditions alongside stroke, specifically cardiovascular (heart-related) disease and asthma. These differences suggest that addressing sleep problems in stroke survivors may require tailored approaches depending on a patient's sex. The findings highlight that sleep disturbance is a significant and often overlooked consequence of stroke that deserves routine screening and attention in both clinical settings (like hospitals and clinics) and community health programs. Because the factors driving sleep problems appear to differ between men and women, healthcare providers and public health programs may benefit from considering sex-specific risk profiles when assessing and supporting stroke survivors' sleep health.
Susanty S, Apriliyasari R, Chiu H, Rashid R, Prasetya E, Phanphairoj K, et al.. (2026). Sex Differences in the Prevalence and Correlates of Sleep Disturbance Among Indonesian Stroke Survivors: A Population-Based Study of 7,147 Individuals.. F1000Research. https://doi.org/10.12688/f1000research.182846.4