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

TY - JOUR

T1 - Postpartum sleep health in a multiethnic cohort of women during the COVID-19 pandemic in New York City

AU - Lucchini, Maristella

AU - Kyle, Margaret H.

AU - Sania, Ayesha

AU - Pini, Nicolò

AU - Babineau, Vanessa

AU - Firestein, Morgan R.

AU - Fernández, Cristina R.

AU - Shuffrey, Lauren C.

AU - Barbosa, Jennifer R.

AU - Rodriguez, Cynthia

AU - Fifer, William P.

AU - Alcántara, Carmela

AU - Monk, Catherine

AU - Dumitriu, Dani

N1 - Publisher Copyright: © 2021 National Sleep Foundation

PY - 2022/4

Y1 - 2022/4

N2 - 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.

AB - 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.

KW - COVID-19

KW - disparities

KW - ethnicity

KW - mother

KW - postpartum

KW - race

UR - https://www.scopus.com/pages/publications/85127475514

UR - https://www.scopus.com/pages/publications/85127475514#tab=citedBy

U2 - 10.1016/j.sleh.2021.10.009

DO - 10.1016/j.sleh.2021.10.009

M3 - Article

C2 - 34991997

SN - 2352-7218

VL - 8

SP - 175

EP - 182

JO - Sleep Health

JF - Sleep Health

IS - 2

ER -