Poor sleep quality and associated factors among pregnant women in Ethiopia: A systematic review and meta-analysis

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Clinical Epidemiology and Global Health Pub Date : 2024-08-17 DOI:10.1016/j.cegh.2024.101755
Agerie Mengistie Zeleke , Worku Chekol Tassew , Gashaw Melkie Bayeh , Yeshiwas Ayale Ferede
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Abstract

Despite the associated health risks of poor sleep quality during pregnancy, recent evidence suggests that its impact persists in most countries. However, poor sleep quality during pregnancy in Ethiopia is poorly understood because of the lack of comprehensive reviews. Hence, we aimed to assess the pooled prevalence of poor sleep quality and associated factors among pregnant women in Ethiopia.

Methods

A comprehensive search using electronic databases (PubMed, Cochrane Library, Google Scholar, and African Journal Online) was performed covering articles indexed before January 20, 2023. The quality of the included studies was evaluated using the Newcastle‒Ottawa Scale. Cochrane Q and I2 test statistics were used to examine the heterogeneity of the studies. A random-effects meta-analysis was performed with Stats Direct statistical software and Open Meta [Analyst] to estimate the prevalence of the outcome variable, and the results are reported in a forest plot. Simple charts and tables were used to summarize the evidence on poor sleep quality during pregnancy and its associated factors.

Results

After 27,211 studies were reviewed, seven studies involving with 2689 study participants were included. The combined prevalence of poor sleep quality among pregnant women was 52.30 % (95 % CI: 42.39, 62.19). Depression (OR = 4.53; 95 % CI: 2.07, 9.89), perceived stress (OR = 3.42; 95 % CI: 2.46, 4.74), age greater than 35 years (OR = 3.47; 95 % CI: 1.01, 11.86), unplanned pregnancy (OR = 2.94; 95 % CI: 1.85, 4.68), anxiety (OR = 4.71; 95 % CI: 1.19, 18.65), and having poor sleep hygiene practices (OR = 4.32; 95 % CI: 1.48, 12.6) were significantly associated with poor sleep quality.

Conclusions

More than half of the pregnant women did not have adequate sleep quality at night. Being depressed, stressed, anxious, having poor hygiene practices, and being older than 35 years were influential factors for poor sleep quality. Therefore, healthcare providers’ regular early screening for poor sleep quality and its determinants is important for improving birth outcomes.

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埃塞俄比亚孕妇睡眠质量差及相关因素:系统回顾和荟萃分析
尽管孕期睡眠质量差会带来相关的健康风险,但最近的证据表明,其影响在大多数国家都持续存在。然而,由于缺乏全面的综述,人们对埃塞俄比亚孕妇孕期睡眠质量差的情况知之甚少。因此,我们旨在评估埃塞俄比亚孕妇睡眠质量差及其相关因素的总体流行率。方法使用电子数据库(PubMed、Cochrane Library、Google Scholar 和 African Journal Online)对 2023 年 1 月 20 日之前收录的文章进行了全面检索。采用纽卡斯尔-渥太华量表对纳入研究的质量进行评估。Cochrane Q 和 I2 检验统计用于检查研究的异质性。使用Stats Direct统计软件和Open Meta[分析师]进行随机效应荟萃分析,估算结果变量的流行率,结果以森林图的形式报告。结果在对27211项研究进行审查后,纳入了7项研究,涉及2689名研究参与者。孕妇睡眠质量差的综合患病率为 52.30%(95% CI:42.39, 62.19)。抑郁(OR = 4.53; 95 % CI: 2.07, 9.89)、压力感知(OR = 3.42; 95 % CI: 2.46, 4.74)、年龄大于 35 岁(OR = 3.47; 95 % CI: 1.01, 11.86)、意外怀孕(OR = 2.94; 95 % CI: 1.85, 4.68)、焦虑(OR = 4.71; 95 % CI: 1.结论一半以上的孕妇夜间睡眠质量不佳。抑郁、压力大、焦虑、卫生习惯差和年龄超过 35 岁是睡眠质量差的影响因素。因此,医护人员定期对睡眠质量差及其决定因素进行早期筛查对改善分娩结果非常重要。
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来源期刊
Clinical Epidemiology and Global Health
Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.60
自引率
7.70%
发文量
218
审稿时长
66 days
期刊介绍: Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.
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