Koly Kamrun Nahar, Muzaffar Rasma, Monisha Umme Kulsum, Saba Jobaida, Rahman Lamisa, Billah Md Arif, Das Jyoti, Kabir Rozars Md Faisal, Alam Nishat, Chowdhury Sreshtha, Hossain Hawlader Mohammad Delwer
Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Department of Public Health, North South University, Dhaka, Bangladesh.
Heliyon. 2023 Mar;9(3):e14548. doi: 10.1016/j.heliyon.2023.e14548. Epub 2023 Mar 21.
The impact of the pandemic on sleeping problems in all age groups has been widely reported, but insomnia in post-menopausal women has been understudied worldwide. The study sought to determine the prevalence and associated factors for insomnia in post-menopausal women who were infected with COVID-19 in Bangladesh.
A cross-sectional telephonic survey was conducted from August to December 2021 among post-menopausal women with a history of COVID-19 infection in Bangladesh. Data on socio-demographic factors, lifestyle and behavioral factors, COVID-19-associated factors, and self-reported pre-existing co-morbidities were collected. A validated scale Insomnia Severity Index (ISI) was applied to assess the level of insomnia . Bivariate and multiple linear regression analyses were performed to assess the associated factors with insomnia.
Of the total 900 participants, the prevalence of insomnia was reported at 70%, with 33.67% moderately severe, 25.11% subthreshold, and 11.22% severe insomnia. Participants with increased ISI scores were significantly more likely to be retired, had 2-4 children, felt disturbed by COVID-19 related news, hospitalized for COVID-19 management, receieved the first dose of vaccine, and experienced post COVID-19 symptoms such as fatigue, lack of concentration, and memory loss. On the other hand, living in a nuclear family and taking care of COVID-19-infected family members were significantly negatively associated with insomnia.
Our findings indicate the need to safeguard the well-being considerations of post-menopausal women through a well-designed comprehensive social safety net program for the present pandemic and similar crises in the future.
疫情对所有年龄组睡眠问题的影响已有广泛报道，但绝经后女性失眠问题在全球范围内研究不足。本研究旨在确定孟加拉国感染新冠病毒的绝经后女性失眠的患病率及相关因素。
2021年8月至12月对孟加拉国曾感染新冠病毒的绝经后女性进行了一项横断面电话调查。收集了社会人口学因素、生活方式和行为因素、新冠病毒相关因素以及自我报告的既往合并症数据。应用经过验证的失眠严重程度指数（ISI）量表评估失眠程度。进行双变量和多元线性回归分析以评估失眠的相关因素。
在总共900名参与者中，失眠患病率报告为70%，其中中度严重失眠占33.67%，亚阈值失眠占25.11%，严重失眠占11.22%。ISI得分升高的参与者更有可能已退休、育有2 - 4个孩子、受到新冠病毒相关新闻困扰、因新冠病毒治疗住院、接种了第一剂疫苗以及经历过新冠病毒感染后的症状，如疲劳、注意力不集中和记忆力减退。另一方面，生活在核心家庭以及照顾感染新冠病毒的家庭成员与失眠显著负相关。
我们的研究结果表明，需要通过精心设计的全面社会安全网计划，保障绝经后女性在当前疫情及未来类似危机中的健康考量。
