Sleep quality and its associated factors among women of reproductive age in Ethiopia: a systematic review and meta-analysis - Report - MDSpire

Sleep quality and its associated factors among women of reproductive age in Ethiopia: a systematic review and meta-analysis

  • By

  • Diriba Dereje Olana

  • Tesema Etefa Birhanu

  • Adisu Ewunetu Desisa

  • May 20, 2026

  • 0 min

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Clinical Report: Assessment of Sleep Quality in Reproductive-Aged Women in Ethiopia

Overview

This systematic review and meta-analysis reveals that nearly half of Ethiopian women of reproductive age experience poor sleep quality, with a prevalence rate of 49.17%. Key contributing factors include intimate partner violence, depression, and unplanned pregnancies.

Background

Quality sleep is crucial for women's health, particularly during reproductive years, as it impacts both physical and mental well-being. In Ethiopia, socio-economic and cultural factors exacerbate sleep issues, yet data on this demographic remain limited. Understanding sleep quality and its determinants is essential for developing targeted interventions to improve health outcomes for women and their families.

Data Highlights

FactorOdds Ratio (OR)
Intimate Partner Violence3.24
Depression3.37
Unplanned Pregnancy2.71
Multigravidity2.61
Substance Use2.24

Key Findings

  • Pooled prevalence of poor sleep quality among Ethiopian women of reproductive age is 49.17%.
  • Intimate partner violence is a significant predictor of poor sleep quality (OR: 3.24).
  • Depression is associated with an increased risk of poor sleep quality (OR: 3.37).
  • Unplanned pregnancies contribute to poor sleep quality (OR: 2.71).
  • Substance use history is linked to poor sleep quality (OR: 2.24).
  • Multigravidity also increases the likelihood of poor sleep quality (OR: 2.61).

Clinical Implications

Healthcare providers should prioritize screening for sleep quality in reproductive-aged women, particularly those experiencing intimate partner violence, depression, or unplanned pregnancies. Implementing targeted interventions may improve sleep health and overall well-being in this population.

Conclusion

The findings underscore the urgent need for interventions addressing sleep quality among Ethiopian women of reproductive age. Addressing the identified risk factors can significantly enhance maternal and reproductive health outcomes.

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  4. VA/DoD Clinical Practice Guideline for the Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea, 2025
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  7. VA/DoD_Clinical_Practice_Guideline_for_the_Management_of_Chronic_Insomnia_Disorder__Obstructive_Sleep_Apnea
  8. https://aasm.org/wp-content/uploads/2024/03/Treatment-of-RLS-and-PLMD-CPG.pdf
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