ObjectiveTo investigate sleep qualities and their social determinants among pregnant women of the first or second trimester in Shanghai and to provide evidence for improvement on strategy for maternal, child and adolescent health in Shanghai.
MethodsSleep quality of pregnant women in their first or second trimester recruited from two hospitals from April 2016 to June 2017 in Shanghai, was evaluated by Pittsburgh Sleep Quality Index.Self-administered questionnaires were also used to obtain social structural factors such as pregnant women's educational levels, working status, family economy status, household register, and dwelling time in shanghai, with potential confounding factors of sleep included.
ResultsThe proportion of participated pregnant women who were found to have sleep disturbance was 58.3%.Main sleep problems were poor subjective sleep quality and daytime function disturbance.Compared with those who lived in Shanghai less than 5 years, subjects who lived more than 26 years had likelihood of sleep disturbance significantly increased by 36.1%.In comparison with those having annual household income over 200, 000 yuan, the likelihood of sleep disturbance for subjects with annual household income of 100, 000 to 200, 000 yuan was statistically increased by 29.5%.In comparison with pregnant women who had stable work, subjects who did not have stable work would have the likelihood of sleep disturbance increased by 18.1%.
ConclusionIn the context of current social and economic development, the sleep quality of pregnant women in Shanghai is not optimistic.Sleep health of pregnant women should be promoted, especially for those who have no stable work, moderate household income, long-term residence in Shanghai.
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