Association between Some Demographic and Fertility-related Characteristics and Sleep Quality among Women with Infertility: A Cross-sectional Study

Articles in Press

Document Type : Brief report

Authors

Department of Gynecology and Obstetrics, Al-Nahrain College of Medicine, Al-Nahrain University, Baghdad, Iraq

10.30476/ijcbnm.2026.108246.2878

Abstract

Background: Infertility is associated with a considerable psychological and social burden that can
negatively impact women’s quality of life and sleep quality. The current study aimed to examine the
association of sleep quality with some demographic and fertility-related characteristics among women
with infertility.
Methods: A cross-sectional study was carried out in the fertility clinic of AL Kadhomiya Teaching
Hospital from January to December 2024 in Baghdad, Iraq. In total, 273 women with infertility
aged 20–49 years were recruited. Participants’ sleep quality was assessed using the Pittsburgh Sleep
Quality Index. Data analysis was done using descriptive statistics, chi-square test, and a binary logistic
regression model through SPSS version 25.
Results: At least 193 participants (70.70%) said they slept poorly. In binary logistic regression analysis,
age and sleep duration were predictors of poor sleep quality. Women aged 40–49 years had significantly
higher odds of poor sleep quality compared with women 20–29 years old (OR=2.53, 95% CI: 1.13–5.67,
P=0.024). Women who slept 6-7 hours per night had reduced risks of poor sleep quality compared to
those who slept less than 4 hours (OR=0.24, 95% CI: 0.13–0.46, P<0.001). Poor sleep quality was not
associated with body mass index and the duration of trying to conceive (P>0.05).
Conclusions: Poor sleep was common among women with infertility. Older age and shorter sleep
duration were found to be associated with poor sleep quality. Attention to these variables may help
identify women with infertility at risk for sleep quality disturbances and design a program to manage
their problem.

Keywords

International Journal of Community Based Nursing & Midwifery

Articles in Press, Accepted Manuscript
Available Online from 08 August 2026

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