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This study aimed to evaluate sleep health in these adults using the previously validated Ru-SATED questionnaire during home sleep apnea testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted with adults who completed the multidimensional Ru-SATED questionnaire, which evaluates six main dimensions of sleep health. Participants were divided into two groups based on their Ru-SATED scores: good sleep health (\u2265\u20098 points) and poor sleep health (&lt;\u20098 points). Correlation was assessed using Spearman's coefficient (r). Logistic regression tests were performed to identify predictors of poor sleep quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 415 patients were evaluated: 220 patients (53.0%) reported good sleep quality, while 195 patients (47.0%) experienced poor sleep quality. Ru-SATED scores were correlated with the severity of insomnia, as measured by the Insomnia Severity Index [ISI] (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009-0.625;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), but not with the respiratory event index [REI] (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009-0.076;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.123). In the univariate analysis, four parameters emerged as significant predictors of poor sleep health: excessive daytime sleepiness (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008), insomnia (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), ISI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and REI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.020). In the multivariate analysis, only ISI values emerged as an independent predictor of poor sleep quality (adjusted odds ratio: 1.219; 95% confidence interval: 1.154\u20131.287;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among individuals with clinically suspected OSA, a high prevalence of poor sleep health was detected and strongly associated with the severity of insomnia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11325-026-03621-2","type":"journal-article","created":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T11:49:50Z","timestamp":1772538590000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with poor sleep health in adults at risk for obstructive sleep apnea"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5960-7344","authenticated-orcid":false,"given":"Jaqueline M.","family":"Pereira","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2611-4001","authenticated-orcid":false,"given":"Ricardo L. 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