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Objective: To explore the prevalence of sleep problems among residents in the city of Ruian during the outbreak of novel coronavirus pneumonia (COVID-19), and to investigate whether the presence of sleep prob lems was related to the infection of COVID-19. Methods: Totally 4 810 community residents (1 116 residents tested positive for COVID-19 and 3 694 residents tested negative for COVID-19) were chosen by stratified convenience sampling. All participants were assessed with the Sleep Self-Rating Scale (SRSS, total score 23 SRSS screen-pos itive), Generalized Anxiety Scale (GAD-7, total score 5 GAD-7 screen-positive) and 9-item Patient Health Ques tionnaire (PHQ-9, total score 5 PHQ-9 screen-positive). Results: The screen-positive rates of SRSS, GAD-7 and PHQ-9 were 30.5%, 33.7% and 27. 2%, respectively. Logistic regression analysis showed that the infection of CO VID-19 was significantly associated with the SRSS screen-positive (OR = 1. 73, 95% CI: 1.48-2.03), after con trolling for the confounding variables of gender, age group, GAD-7 screen-positive and PHQ-9 screen positive. Conclusion: The prevalence of sleep problems was higher in the residents tested positive for COVID-19 than in those tested negative for COVID-19. The occurrence of sleep problems may be directly associated with the infection of COVID-19. [ABSTRACT FROM AUTHOR]

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