Postpartum sleep health in a multiethnic cohort of women during the COVID-19 pandemic in New York City.
Sleep Health
; 8(2): 175-182, 2022 04.
Article
in English
| MEDLINE | ID: covidwho-1586497
ABSTRACT
OBJECTIVE/DESIGN:
Cross-sectional study to examine the determinants of sleep health among postpartum women during the COVID-19 pandemic in New York City (NYC). SETTING/PARTICIPANTS:
A subset of participants recruited as part of the COVID-19 Mother Baby Outcomes (COMBO) cohort at Columbia University (N = 62 non-Hispanic White, N = 17 African American, N = 107 Hispanic). MEASUREMENTS Data on maternal sleep, COVID-19 infection during pregnancy, sociodemographic, behavioral, and psychological factors were collected via questionnaire at 4 months postpartum. Self-reported subjective sleep quality, latency, duration, efficiency, disturbances, and daytime dysfunction were examined as categorical variables (Pittsburgh Sleep Quality Index [PSQI]). Associations between sleep variables and COVID-19 status, time of the pandemic, sociodemographic, behavioral, and psychological factors were estimated via independent multivariable regressions.RESULTS:
Mothers who delivered between May-December 2020, who delivered after the NYC COVID-19 peak, experienced worse sleep latency, disturbances and global sleep health compared to those who delivered March-April 2020, the peak of the pandemic. Maternal depression, stress and COVID-19-related post-traumatic stress were associated with all sleep domains except for sleep efficiency. Maternal perception of infant's sleep as a problem was associated with worse global PSQI score, subjective sleep quality, duration, and efficiency. Compared to non-Hispanic White, Hispanic mothers reported worse global PSQI scores, sleep latency, duration and efficiency, but less daytime dysfunction.CONCLUSIONS:
These findings provide crucial information about sociodemographic, behavioral, and psychological factors contributing to sleep health in the postpartum period.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Sleep
/
Sleep Wake Disorders
/
COVID-19
Type of study:
Cohort study
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Female
/
Humans
/
Infant
/
Pregnancy
Country/Region as subject:
North America
Language:
English
Journal:
Sleep Health
Year:
2022
Document Type:
Article
Affiliation country:
J.sleh.2021.10.009
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