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CC BY-NC-ND 4.0 · Sleep Sci 2025; 18(04): e387-e396
DOI: 10.1055/s-0045-1809923
Original Article

Unraveling the Factors Shaping Sleep Quality among Postmenopausal Women in Indonesia

Authors

  • Henny Dwi Susanti 

    1   Department of Nursing, Faculty of Health Science, University of Muhammadiyah Malang, Malang, East Java, Indonesia

  • Christina Yeni Kustanti 

    2   Department of Medical-Surgical Nursing, Study Program of Nursing Science, Sekolah Tinggi Ilmu Kesehatan Bethesda Yakkum, Yogyakarta, Indonesia

  • Ninik Yunitri 

    3   Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Universitas Muhammadiyah Jakarta, Jakarta, Indonesia

  • Min-Huey Chung 

    4   Department of Nursing, School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
    5   Department of Nursing, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan

Funding Source The author(s) received no financial support for the research.
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Abstract

Introduction

Sleep quality is a subjective experience related to satisfaction and feelings after waking. Many menopausal women struggle to achieve adequate sleep, averaging less than 7 hours per night.

Objective

The purpose of this study was to identify unraveling the factors shaping sleep quality among postmenopausal women in Indonesia.

Methods

This research is a correlative descriptive study with a quantitative approach using a cross-sectional design. Determination of the sample in this study using the accidental sampling method (n = 256) in women aged ≥ 40 years in Indonesia with the Pittsburgh Sleep Quality Index (PSQI) questionnaire instrument to determine sleep quality. Depression Anxiety Stress Scale (DASS-21) to assess psychological factors, the Multidimensional Scale of Perceived Social Support (MSPSS) for social support, and the Menopause Rating Scale (MRS).

Results

The results showed that the proportion of menopausal women aged 50 to 72 years in Indonesia with poor sleep quality was 72.3%. Variables that significantly affect the sleep quality of menopausal women in bivariate analysis were age(OR = 2.898; 95%CI = 1.650–5.090; p < 0.001), level of education(OR = 2.035; 95%CI = 1.115–3.713; p = 0.019), anxiety level (OR = 2.027; 95%CI = 1.010–4.069; p = 0.044), stress level (OR = 4.640; 95%CI = 2.573–8.368; p < 0.001), social support(OR = 0.484; 95%CI = 0.273–0.860; p = 0.013) and menopausal symptoms(OR = 4.596; 95%CI = 1.069–19.766; p = 0.026). Then in multivariate analysis, stress level (OR = 6.075; 95%CI = 3.147- 11.727; p < 0.001) was the most dominant factor affecting sleep quality.

Conclusion

It can be concluded that there were factors that significantly affected menopausal women, namely age, education level, anxiety level, stress level, social support, and menopausal symptoms with stress levels being the most dominating factor in menopausal women's sleep quality.

Keywords

sleep quality - postmenopausal - Indonesia - women - deepression - menopause


Publication History

Received: 26 December 2024

Accepted: 05 June 2025

Article published online:
31 December 2025

© 2025. Brazilian Sleep Academy. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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