International Journal of Community Based Nursing and Midwifery
Association between Some Demographic and Fertility-related Characteristics and Sleep Quality among Women with Infertility: A Cross-sectional Study
By Zahraa Musdaq Jaafar, Sahar Mushatet Alfartosy and Sahar Abdul-Razzaq.
Abstract
Background: Infertility is associated with a considerable psychological and social burden that cannegatively impact women’s quality of life and sleep quality. The current study aimed to examine theassociation of sleep quality with some demographic and fertility-related characteristics among womenwith infertility.Methods: A cross-sectional study was carried out in the fertility clinic of AL Kadhomiya TeachingHospital from January to December 2024 in Baghdad, Iraq. In total, 273 women with infertilityaged 20–49 years were recruited. Participants’ sleep quality was assessed using the Pittsburgh SleepQuality Index. Data analysis was done using descriptive statistics, chi-square test, and a binary logisticregression model through SPSS version 25.Results: At least 193 participants (70.70%) said they slept poorly. In binary logistic regression analysis,age and sleep duration were predictors of poor sleep quality. Women aged 40–49 years had significantlyhigher odds of poor sleep quality compared with women 20–29 years old (OR=2.53, 95% CI: 1.13–5.67,P=0.024). Women who slept 6-7 hours per night had reduced risks of poor sleep quality compared tothose who slept less than 4 hours (OR=0.24, 95% CI: 0.13–0.46, P<0.001). Poor sleep quality was notassociated with body mass index and the duration of trying to conceive (P>0.05).Conclusions: Poor sleep was common among women with infertility. Older age and shorter sleepduration were found to be associated with poor sleep quality. Attention to these variables may helpidentify women with infertility at risk for sleep quality disturbances and design a program to managetheir problem.






