Sanchez Sixto E, Islam Suhayla, Zhong Qiu-Yue, Gelaye Bizu, Williams Michelle A
Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
Asociación Civil PROESA, Lima, Peru.
PLoS One. 2016 Mar 29;11(3):e0152199. doi: 10.1371/journal.pone.0152199. eCollection 2016.
To examine the associations of Intimate partner violence (IPV) with stress-related sleep disturbance (measured using the Ford Insomnia Response to Stress Test [FIRST]) and poor sleep quality (measured using the Pittsburgh Sleep Quality Index [PSQI]) during early pregnancy.
This cross-sectional study included 634 pregnant Peruvian women. In-person interviews were conducted in early pregnancy to collect information regarding IPV history, and sleep traits. Adjusted odds ratios (aOR) and 95% confidence intervals (95%CIs) were calculated using logistic regression procedures.
Lifetime IPV was associated with a 1.54-fold increased odds of stress-related sleep disturbance (95% CI: 1.08-2.17) and a 1.93-fold increased odds of poor sleep quality (95% CI: 1.33-2.81). Compared with women experiencing no IPV during lifetime, the aOR (95% CI) for stress-related sleep disturbance associated with each type of IPV were: physical abuse only 1.24 (95% CI: 0.84-1.83), sexual abuse only 3.44 (95%CI: 1.07-11.05), and physical and sexual abuse 2.51 (95% CI: 1.27-4.96). The corresponding aORs (95% CI) for poor sleep quality were: 1.72 (95% CI: 1.13-2.61), 2.82 (95% CI: 0.99-8.03), and 2.50 (95% CI: 1.30-4.81), respectively. Women reporting any IPV in the year prior to pregnancy had increased odds of stress-related sleep disturbance (aOR = 2.07; 95% CI: 1.17-3.67) and poor sleep quality (aOR = 2.27; 95% CI: 1.30-3.97) during pregnancy.
Lifetime and prevalent IPV exposures are associated with stress-related sleep disturbance and poor sleep quality during pregnancy. Our findings suggest that sleep disturbances may be important mechanisms that underlie the lasting adverse effects of IPV on maternal and perinatal health.
研究亲密伴侣暴力（IPV）与孕早期应激相关睡眠障碍（采用福特失眠应激反应测试[FIRST]测量）及睡眠质量差（采用匹兹堡睡眠质量指数[PSQI]测量）之间的关联。
这项横断面研究纳入了634名秘鲁孕妇。在孕早期进行面对面访谈，收集有关IPV史和睡眠特征的信息。采用逻辑回归程序计算调整后的优势比（aOR）和95%置信区间（95%CI）。
终生IPV与应激相关睡眠障碍的优势比增加1.54倍（95%CI：1.08 - 2.17）以及睡眠质量差的优势比增加1.93倍（95%CI：1.33 - 2.81）相关。与终生未经历IPV的女性相比，与每种类型IPV相关的应激相关睡眠障碍的aOR（95%CI）分别为：仅身体虐待1.24（95%CI：0.84 - 1.83），仅性虐待3.44（95%CI：1.07 - 11.05），以及身体和性虐待2.51（95%CI：1.27 - 4.96）。睡眠质量差的相应aOR（95%CI）分别为：1.72（95%CI：1.13 - 2.61），2.82（95%CI：0.99 - 8.03），以及2.50（95%CI：1.30 - 4.81）。报告在怀孕前一年有任何IPV的女性在孕期出现应激相关睡眠障碍（aOR = 2.07；95%CI：1.17 - 3.67）和睡眠质量差（aOR = 2.27；95%CI：1.30 - 3.97）的几率增加。
终生和普遍存在的IPV暴露与孕期应激相关睡眠障碍和睡眠质量差有关。我们的研究结果表明，睡眠障碍可能是IPV对孕产妇和围产期健康产生持久不利影响的重要机制。
