Postpartum sleep health in a multiethnic cohort of women during the COVID-19 pandemic in New York City

Maristella Lucchini, Margaret H. Kyle, Ayesha Sania, Nicolò Pini, Vanessa Babineau, Morgan R. Firestein, Cristina R. Fernández, Lauren C. Shuffrey, Jennifer R. Barbosa, Cynthia Rodriguez, William P. Fifer, Carmela Alcántara, Catherine Monk, Dani Dumitriu

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

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.

Original languageEnglish
Pages (from-to)175-182
Number of pages8
JournalSleep Health
Volume8
Issue number2
DOIs
StatePublished - Apr 2022
Externally publishedYes

Keywords

  • COVID-19
  • disparities
  • ethnicity
  • mother
  • postpartum
  • race

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