Prevalence and associated factors of poor sleep quality among postpartum women in North West Ethiopia: a community-based study.

Journal: BMC psychiatry

Volume: 22

Issue: 1

Year of Publication: 2022

Affiliated Institutions:  Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. dnibret@gmail.com. Department of Women's and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. School of Nursing and Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.

Abstract summary 

Although sleep disturbance is a community problem, there is limited study in Ethiopia. Therefore, this study aimed to identify the prevalence and factors affecting postpartum poor sleep quality in women.A community-based cross-sectional study was conducted from July 1st to August 30th, 2021 in Gondar city. The cluster sampling method was used to address 858 study participants. The Pittsburgh Sleep Quality Index (PSQI) 19-item self-report measure of sleep quality over the past month was used to measure maternal sleep quality during the postpartum period and a global PSQI score of 5 or more was used to indicate poor sleep quality. Binary logistic regression was used to identify variable association and 95% confidence level and adjusted Odds Ratio were used to declare association.Poor sleep quality prevalence during postpartum period was 24.0% (95%CI: 21.3-26.9). factors significantly associated with poor sleep quality were family size [AOR = 1.76; 95% CI: (1.14-2.73)], unplanned pregnancy [AOR = 2.11; 95%CI: (1.17-3.80)], had a family history of mental illness [AOR = 3.70; 95%CI: (2.15-6.37)], had known medical disorders [AOR = 2.59; 95%CI: (1.51-4.43)], having intimate partner violence [AOR = 2.58; 95%CI: (1.78-3.75)], and women who can read and write and who complete secondary school [AOR = 2.60; 95% CI: (1.20-5.66)] and [AOR = 2.02; 95%CI: (1.16-3.53)] respectively. On the other hand, being housewife, merchant, and government-employed [AOR = 0.32; 95%CI: (0.14-0.73)], [AOR = 0.13; 95%CI: (0.05-0.34)], and [AOR = 0.38; 95%CI: (0.14-0.98)] respectively were identified to be factors significantly associated with poor sleep quality.Poor sleep quality prevalence is high in the community of Gondar city. Thus, setting strategies to increase women's educational level, providing health education programs to create awareness on the consequence of intimate partner violence which could reduce the violence; increasing screening for medical disorders before or during maternity period, preventing unplanned pregnancy with effective family planning method, and employing women in a certain organization will have a great role in reducing poor sleep quality.

Authors & Co-authors:  Gessesse Dereje Nibret DN Tsega Nuhamin Tesfa NT Aklil Mastewal Belayneh MB Temesgan Wubedle Zelalem WZ Abegaz Marta Yimam MY Anteneh Tazeb Alemu TA Tibebu Nebiyu Solomon NS Alemu Haymanot Nigatu HN Haile Tsion Tadesse TT Seyoum Asmra Tesfahun AT Tiguh Agumas Eskezia AE Yismaw Ayenew Engida AE Mihret Muhabaw Shumye MS Nenko Goshu G Wondie Kindu Yinges KY Taye Birhan Tsegaw BT Kebede Azmeraw Ambachew AA

Study Outcome 

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Statistics
Citations :  Seidi PA, Mohammadi H, Khazaie H, Abas NQ, Jaff D. Psychometric properties of the Kurdish version of Pittsburgh sleep quality index. Sleep Med. 2019;63:75–81. doi: 10.1016/j.sleep.2019.04.022.
Authors :  17
Identifiers
Doi : 538
SSN : 1471-244X
Study Population
Women
Mesh Terms
Cross-Sectional Studies
Other Terms
Ethiopia;Poor sleep quality;Postpartum women
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England