Factors associated with sleep quality in adolescent pregnant women.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY

Sleep and Breathing Pub Date : 2024-12-09 DOI:10.1007/s11325-024-03205-y

Mayra Ruana de Alencar Gomes, Jordânia Castro Martins Rodrigues, Leila Maria Alvares Barbosa, Anna Myrna Jaguaribe de Lima, Andrea Lemos

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引用次数: 0

Abstract

Objective: To verify the association of sociodemographic, anthropometric, obstetric, lifestyle factors, and depressive symptoms with sleep quality in pregnant adolescents.

Method: This cross-sectional study involved pregnant adolescents aged 10 to 19 who received prenatal care in Recife, Pernambuco, Brazil. Data collection included an individual evaluation form and the administration of the Pregnancy Physical Activity Questionnaire (PPAQ), the Pittsburgh Sleep Quality Index (PSQI), and the Beck Depression Inventory (BDI). Prevalence and associations were calculated using Pearson's chi-square test or Fisher's exact test, followed by logistic regression analysis.

Results: The study included 386 pregnant adolescents with a mean age of 17 ± 2 years. The prevalence of poor sleep quality was 67.5%. Poor sleep quality was associated with moderate to severe depressive symptoms (OR = 2.21; 95%CI 1.27-3.85), higher education levels (OR = 2.26; 95%CI 1.43-3.57), and the presence of gestational physical symptoms (OR = 1.18; 95%CI 1.10-1.27).

Conclusion: Pregnant adolescents exhibit a high prevalence of poor sleep quality, which is linked to depressive symptoms, higher education levels, and gestational physical symptoms. These findings highlight the importance of screening for sleep disorders in this population and emphasize the need for guidelines addressing physical symptoms and their impact on sleep, as well as the presence of depression.

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青少年孕妇睡眠质量的相关因素。

目的：验证怀孕少女的社会人口学、人体测量学、产科、生活方式因素和抑郁症状与睡眠质量的关系。方法：这项横断面研究涉及在巴西伯南布哥省累西腓接受产前护理的10至19岁怀孕少女。数据收集包括个人评估表和妊娠身体活动问卷（PPAQ）、匹兹堡睡眠质量指数（PSQI）和贝克抑郁量表（BDI）的管理。采用Pearson卡方检验或Fisher精确检验计算患病率和相关性，然后进行logistic回归分析。结果：共纳入386例怀孕少女，平均年龄17±2岁。睡眠质量差的患病率为67.5%。睡眠质量差与中度至重度抑郁症状相关(OR = 2.21；95%CI 1.27-3.85)，高等教育水平(OR = 2.26；95%CI 1.43-3.57)，妊娠期身体症状的存在(OR = 1.18；95%可信区间1.10 - -1.27)。结论：怀孕青少年普遍存在睡眠质量差，这与抑郁症状、高等教育水平和妊娠身体症状有关。这些发现强调了在这一人群中筛查睡眠障碍的重要性，并强调了制定针对身体症状及其对睡眠影响以及抑郁症存在的指导方针的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.