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ORIGINAL RESEARCH article

Front. Psychiatry
Sec. Sleep Disorders
Volume 15 - 2024 | doi: 10.3389/fpsyt.2024.1362384
This article is part of the Research Topic Exploring the Impact of Sleep on Women's Health View all 4 articles

Poor sleep quality and associated factors among HIV-positive and negative postpartum women in Addis Ababa, Ethiopia, 2023: A comparative cross-sectional study

Provisionally accepted
Milen Mihertabe Milen Mihertabe Alehegn Bishaw Geremew Alehegn Bishaw Geremew Elsa Awoke Elsa Awoke Gidey Rtbey Gidey Rtbey *
  • University of Gondar, Gondar, Amhara, Ethiopia

The final, formatted version of the article will be published soon.

    Background: Poor sleep quality is common during the postpartum period due tonight-time feeding and frequent nocturnal awakenings of infants. On top of that in postpartum women living with Human Immunodeficiency Virus (HIV) may worse the condition affecting the women's capacity to care for their child. Therefore, this study will be baseline information by assessing the burden of poor sleep quality and associated factors among HIV-positive and negative postpartum women in Addis Ababa, Ethiopia.Objective: To assess poor sleep quality and its associated factors among HIV-positive and negative postpartum women in Addis Ababa, Ethiopia, 2023.A comparative cross-sectional study was conducted from March 20 to May 20, 2023, and a systematic random sampling technique was employed to get a total of 535 study subjects.An interviewer-administered questionnaire and chart review were used to collect the data.Pittsburgh Sleep Quality Index was used to assess the outcome variable with a cut-off point ≥5.Binary logistic regression was employed to check the association of each independent variable with the outcome variable. Variables having a P-value of less than 0.05 in multivariable analysis were considered statistically significant and an adjusted odds ratio with a 95% CI was computed.Results: In this study, the overall prevalence of poor sleep quality among postpartum women was 56.3% with 95% CI (51.9, 60.6). Poor sleep quality among HIV-positive and negative was 80% and 50.5% respectively. Being 95% CI (1.31, 4.32)], divorced [AOR=4.5, 95% CI (1.55, 13)], family history of mental illness [AOR=1.89, 95% CI (1.16, 3.1)], depression [AOR=1. 93(1.11, 3.3)], anxiety [AOR=2. 76, 95%CI (1.8,4.2)] among postpartum women whereas poor social support [AOR=6, 95%CI (1.63, 22.4)] among HIV-positive women were significantly associated with poor sleep quality.This study revealed that the prevalence of poor sleep quality was higher among HIV-positive postpartum women compared to HIV-negative women. It would be good if professionals routinely assess postpartum women for sleep quality focusing on HIVpositive women.

    Keywords: Poor sleep quality, postpartum women, human immunodeficiency virus, Pittsburgh Sleep Quality Index, Ethiopia

    Received: 28 Dec 2023; Accepted: 24 Dec 2024.

    Copyright: © 2024 Mihertabe, Geremew, Awoke and Rtbey. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Gidey Rtbey, University of Gondar, Gondar, Amhara, Ethiopia

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