Determinants of Poor Sleep Quality During the COVID-19 Pandemic Among Women Attending Antenatal Care Services at the Health Facilities of Debre Berhan Town, Ethiopia: An Institutional-Based Cross-Sectional Study

Amare, Nakachew Sewnet; Chekol, Basazinew; Aemro, Agazhe

doi:10.3389/fpsyt.2022.841097

Cited by 13 publications

(14 citation statements)

References 38 publications

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“…It is well established that household composition (i.e., family size, living with dependent children, having outdoor space) has played an important role in mental health in people during the lockdowns, affecting mood, sleep quality, and stress levels [53]. According to our results and the literature, multiparous women had a higher risk of insomnia and stress when compared with primiparous ones [54,55]. Likewise, we found that in addition to multiparity, advanced maternal age, months of puerperium, and living in the North region of Argentina were insomnia promoters, coinciding with the postpartum sleep determinants documented by Khadka et al [56].…”

Section: Discussionsupporting

confidence: 62%

Two-years mothering into the pandemic: Impact of the three COVID-19 waves in the Argentinian postpartum women’s mental health

Miranda,

Scotta,

Cortez

et al. 2023

Preprint

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The COVID-19 pandemic disproportionately affects certain vulnerable groups, including postpartum women. Thus, this work aimed to analyze the mental health evolution in Argentinian postpartum women during the first three waves of COVID-19 and its determinants. In this repeated cross-sectional study, data were collected during the three waves of COVID-19: May-July/2020 (n=319), April-August/2021 (n=340), and December/2021-March/2022 (n=341). Postpartum depression (PDSS-SF), insomnia (ISI), and perceived stress symptoms (PSS-C) were used. Statistical analyses included multivariate logistic regression, analysis of variance, and structural equation modeling to test for temporal trends in mental health indicators during the pandemic and to identify their determinants. The prevalence rates of postpartum depression and insomnia rose from 37% to 60% and 46% to 62%, respectively. In contrast, pandemic-related stress decreased. Certain factors increased maternal risk of mental symptoms: unemployment status, no medical support, reduced family size, remote working, advanced maternal age, late postpartum, multiparity, and living in the least developed region of Argentina. Structural equation modeling confirmed a process of pandemic-stress adaptation, although there is a persistent increment of postpartum depression and consequent increased insomnia. Postpartum women’s mental health was worsened during the COVID-19 pandemic. Although women have become more able to cope and perceive less pandemic-related stress, its social and economic impact still persists and puts them at higher psychological risk. Thus, health systems must ensure the women’s well-being to deal with current and future consequences of this epidemiological scenario.

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Section: Discussionsupporting

confidence: 62%

Two-years mothering into the pandemic: Impact of the three COVID-19 waves in the Argentinian postpartum women’s mental health

Miranda,

Scotta,

Cortez

et al. 2023

Preprint

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“…This study was conducted during the time the first wave of Covid-19 hit Ethiopia, so there are anxiety and fear of the pandemic, which in turn increase the magnitude of poor sleep quality. Furthermore, being locked down and inability to engage with friends and relatives due to Covid-19 restrictions could also rise the prevalence ( 41 – 44 ). In this study, more than half (51%) of the participants had depression, which is a known risk factor for poor sleep quality and could be another explanation for the observed high prevalence of poor sleep quality ( 45 , 46 ).…”

Section: Discussionmentioning

confidence: 99%

Poor Sleep Quality and Factors Among Reproductive-Age Women in Southwest Ethiopia

et al. 2022

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BackgroundAdequate sleep is vital for physical and mental wellbeing. Sleep-related problems including poor quality of sleep have been increasing throughout the world among reproductive-aged women. Poor sleep quality has been related with number of diseases and health problems However, evidences are scarce regarding poor sleep quality and its associated factors among women of the reproductive age group in Ethiopia.ObjectiveTo assess sleep quality and associated factors among women of reproductive age group in Mizan Aman town, Southwest Ethiopia.MethodCommunity-based cross-sectional study was conducted among 606 reproductive-aged women from 06 November to 20 December 2020, in Mizan Aman town. Data were collected using structured interview administered questionnaires. Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. Multivariable logistic regression was applied using an adjusted odds ratio with a corresponding 95% confidence interval to evaluate the statistical significance of associated factors.ResultThe overall prevalence of poor sleep quality was 71.3%. The late age group of 42–49 (AOR, 95% CI; 1.21 (1.08–5.76), palpable/visible thyroid gland (AOR, 95% CI; 2. 12 (1.08–3.82), current substance use (AOR, 95% CI; 1.76 (1.11–6.10) and having premenstrual syndrome (AOR, 95% CI; 1.86 (1.38–3.12) were significantly associated with poor sleep quality among reproductive age group women.ConclusionSignificant majority of reproductive age group women faced poor sleep quality. Therefore, screening of sleep patterns among this particular age group is warranted. Moreover, education about sleep hygiene needs to be given considering the identified factors to improve sleep quality.

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“…The prevalence of poor sleep quality (PSQI global score of >5) was high among pregnant patients, with an observed increase in prevalence with the advancement of gestational age and maternal age. It ranged between 59.5% in Indonesian studies and 88% in Turkish studies [ 49 ]. In a meta-analysis, these numbers were reduced to a pooled prevalence of 13% [ 50 ].…”

Section: Prevalence Of Sleep Disturbances In Covid-19 Patientsmentioning

confidence: 99%

COVID-19 and Sleep Disturbances: A Literature Review of Clinical Evidence

et al. 2023

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The need for adequate good quality sleep to optimally function is well known. Over years, various physical, psychological, biological, and social factors have been investigated to understand their impact on sleep. However, understanding the etiological processes that are involved in causing sleep disturbances (SD) as impacted by stressful phases such as pandemics has not been well studied. Many such etiological and management strategies have surfaced during the latest “coronavirus disease of 2019 (COVID-19) pandemic. The occurrence of these SD in the infected and uninfected individuals poses a need to investigate factors linked to such occurrence during this phase. Some of such factors include stressful practices such as social distancing, masking, vaccines, and medications availability, changes in routines, and lifestyles. As the status of infection improved, a collective term for all the prolonged effects of COVID-19 after the resolution of the primary infection called the post-COVID-19 syndrome (PCS) surfaced. Apart from impacting sleep during the infectious phase, the aftereffects of this virus left an even greater impact during the PCS. Various mechanisms have been hypothesized to be linked to such SD during the PCS, but the available data are inconclusive. Further, the varied patterns of incidence of these SDs differed by many factors, such as age, gender, and geographical location, making clinical management even more challenging. This review elucidates the impact of coronavirus 2 (SARS-CoV-2) (COVID) disease on sleep health during the various phases of the COVID-19 pandemic. We also investigate different causal relationships, management strategies, and knowledge gaps related to SD during the COVID-19 pandemic.

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Determinants of Poor Sleep Quality During the COVID-19 Pandemic Among Women Attending Antenatal Care Services at the Health Facilities of Debre Berhan Town, Ethiopia: An Institutional-Based Cross-Sectional Study

Cited by 13 publications

References 38 publications

Two-years mothering into the pandemic: Impact of the three COVID-19 waves in the Argentinian postpartum women’s mental health

Two-years mothering into the pandemic: Impact of the three COVID-19 waves in the Argentinian postpartum women’s mental health

Poor Sleep Quality and Factors Among Reproductive-Age Women in Southwest Ethiopia

COVID-19 and Sleep Disturbances: A Literature Review of Clinical Evidence

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