Factors Associated with Sleep Quality among Mid-Aged Women with Poor Self-Reported Sleep Quality.

[[abstract]]Background: Sleep disorders among middle-aged women are regarded as a common symptom of menopause or menopausal transition. This study was aimed to investigate factors associated with sleep quality among reproductive age (RA), peri- and post-menopausal women with poor self-reported sleep quality in Taiwan. Methods: 129 women aged 45-60 who self-reported with poor sleep quality and were screened using Chinese version Pittsburgh Sleep Quality Index ( C-PSQI ) > 5 points, were recruited from a women health outpatient in one regional teaching hospital in Taipei City. Participants were administered the C-PSQI, Greene Climacteric scale (GCS) and demographic questionnaire. Results: The results of general linear model (GLM) showed that the perimenopausal and postmenopausal women did not show significant difference from RA women for subjective sleep quality measured by C-PSQI, after adjusting for age, educational levels and employment status. However, heavier psychological symptom significantly resulted in worse sleep quality (p < 0.001) under multivariate model analysis. Besides, perimenopausal women and postmenopausal women had significantly longer sleep latency than RA women (26.61 and 27.526 mins, p < 0.05). Conclusion: The health policy authority may need to provide more medical resources for the health promotion of mid-aged women, especially for psychological care, rather than relying solely on reimbursement for episodic care. Copyright of International Medical Journal is the property of Japan International Cultural Exchange Foundation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract