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CC BY-NC-ND 4.0 · Sleep Sci 2020; 13(02): 131-137
DOI: 10.5935/1984-0063.20190142
ORIGINAL ARTICLE

Sleep quality in women who use different contraceptive methods

Helena Hachul
1   Universidade Federal de são Paulo, Psicobiologia - São Paulo - Brazil.
2   Universidade Federal de São Paulo, Ginecologia - São Paulo - Brazil.
,
Aline Rodrigues Bisse
3   Universidade Federal de São Paulo, Enfermagem - São Paulo - Brazil.
,
Zila M. Sanchez
4   Universidade Federal de São Paulo, Medicina Preventiva - São Paulo - Brazil.
,
Fábio Araujo
5   Universidade Federal de São Paulo, Obstetrícia - São Paulo - Brazil.
,
Cristina A F Guazzelli
5   Universidade Federal de São Paulo, Obstetrícia - São Paulo - Brazil.
,
Sergio Tufik
1   Universidade Federal de são Paulo, Psicobiologia - São Paulo - Brazil.
,
Márcia Barbieri
3   Universidade Federal de São Paulo, Enfermagem - São Paulo - Brazil.
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ABSTRACT

Background: Both menstrual cycle and hormone alterations influence sleep pattern. The aim of this study was to evaluate sleep quality in women who use different contraceptive methods.

Material and Methods: This study was a descriptive, cross-sectional survey. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality, and a questionnaire was used to obtain sociodemographic, clinical, lifestyle, and contraceptive use data.

Results: The study population comprised 235 women in reproductive age. Regarding lifestyle, 25.5% of the women were physically active, 12.3% were tobacco-smoking, and 70.6% drank coffee daily. Sleep quality was good in 34% of the studied population and poor in 66% of the population. The population was divided into two groups: hormonal (57.1%) and non-hormonal (42.9%) contraceptive users. Sleep quality in the users of non-hormonal contraceptive methods was similar to that in the users of hormonal methods (6.1±3.2 versus 5.9±2.9; p=0.5). Sleep efficiency was statistically higher among the users of non-hormonal contraceptive methods (94.7±17.7) than among the users of hormonal methods (90.0±15.3; p=0.03). The patients who had irregular or altered menstrual cycles reported poorer sleep quality. The absence of routine physical activity negatively influenced sleep quality (p=0.05). The women who snored reported worse sleep quality (p=0.002).

Conclusions: Nearly half of the studied population was users of hormonal contraception, and most of these women reported poor sleep quality. Sleep efficiency was higher among the users of non-hormonal contraceptives. No differences in subgroups (hormonal contraceptive users) were observed.

Keywords:

Sleep - Contraception - Women - Life Style

Funding

This study was funded by Associação Fundo de Incentivo à Pesquisa (AFIP), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). The funders had no role in study design, data collection and analysis, decision to publish, or manuscript preparation.




Publication History

Received: 05 April 2019

Accepted: 01 October 2019

Article published online:
09 November 2023

© 2023. Brazilian Sleep Association. 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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