Prevalence of insomnia and associated factors among postpartum mothers in Southern Ethiopia, a community-based cross-sectional study

Insomnia has become a global public health concern, particularly among postpartum women. Minimal sleep interruption related to newborn care is normally expected, insomnia, however has negative impact during the postpartum period. Although its causes and contributing factors are poorly understood, it...

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Published in:	PloS one Vol. 19; no. 7; p. e0307104
Main Authors:	Tetema, Mesfin Difer, Fikadu, Kassahun, Ayele, Gistane, Jima, Gudeta Beriso, Kebede, Berhanu Negesse, Yimer, Awol Arega, Abza, Legese Fekede, Demissie, Mebratu, Mossa, Kenzudin Assfa, Mohammed, Seid Jemal, Abdo, Ayele Sahile, Abera, Mangistu
Format:	Journal Article
Language:	English
Published:	United States Public Library of Science 23-07-2024
Subjects:	Adolescent Adult Analysis Biology and Life Sciences Cross-Sectional Studies Data analysis Data collection Ethiopia - epidemiology Female Humans Insomnia Medicine and Health Sciences Mental depression Mothers People and Places Population Postpartum Postpartum depression Postpartum Period Pregnancy Prevalence Public health Quality of life Questionnaires Random sampling Regression analysis Response rates Risk Factors Sample size Sampling techniques Sleep disorders Sleep Initiation and Maintenance Disorders - epidemiology Social aspects Social interactions Social sciences Social support Sociodemographics Statistical analysis Statistical sampling Surveys and Questionnaires Variables Young Adult Ethiopia
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Summary:	Insomnia has become a global public health concern, particularly among postpartum women. Minimal sleep interruption related to newborn care is normally expected, insomnia, however has negative impact during the postpartum period. Although its causes and contributing factors are poorly understood, it has a wide-ranging impact on the mother and her infant. So far, studies in Ethiopia have focused on the general community, neglecting mothers in the postpartum period. Thus, this study aimed to assess the prevalence of insomnia and the factors associated with it. A community-based cross-sectional study included 451 study participants who were chosen using a simple random sampling technique. A structured, pretested, and interviewer-administered questionnaire was used to collect data. After entering the data into EpiData version 3.1, it was exported to the Statistical Package for Social Sciences version 26 for analysis. Bivariable and multivariable binary logistic regression analyses were carried out. Variables with a P-value of 0.2 in the bivariable analysis were included in the multivariable analyses. Those with a P-value of 0.05 were declared statistically significant in the final model. The current study included 444 mothers in total. Insomnia was prevalent among 23.2% (95% CI: 19.3%, 27.4%) of mothers who had given birth within the previous 12 months. Insomnia was associated with unplanned index pregnancy [AOR = 4.4, 95% CI (2.2, 8.7)], alcohol consumption [AOR = 3.0, 95% CI (1.4, 6.5), low social support [AOR = 9.7, 95% CI (4.4, 21.1)], medium social support [AOR = 2.2, 95% CI (1.1, 4.3)] and depression [AOR = 10.7, 95% CI (5.7, 20.0). A planned index pregnancy, abstaining from alcohol, and recognizing and treating postpartum depression were all advised.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Competing Interests: The authors have declared that no competing interests exist.
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0307104