Psychosocial and socioeconomic factors related to insomnia and menopause: Pró-Saúde Study

This study evaluated the association between insomnia and menopausal status and the influence of socioeconomic and psychosocial variables on this association in a cross-sectional analysis of 2,190 university employees (the Pró-Saúde Study). A self-administered questionnaire was used, covering menopa...

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Bibliographic Details
Published in:Cadernos de saúde pública 2015-03, Vol.31 (3), p.597-606
Main Authors: Robaina, Jaqueline Rodrigues, Lopes, Claudia S, Rotenberg, Lúcia, Faerstein, Eduardo
Format: Article
Language:Portuguese
Subjects:
Adult
Brazil - epidemiology
Cross-Sectional Studies
Female
Humans
Life Change Events
Menopause - physiology
Menopause - psychology
Mental Disorders - complications
Mental Disorders - epidemiology
Middle Aged
Odds Ratio
Prevalence
Sleep Initiation and Maintenance Disorders - complications
Sleep Initiation and Maintenance Disorders - epidemiology
Social Support
Socioeconomic Factors
Stress, Psychological - complications
Surveys and Questionnaires
Time Factors
Universities - statistics & numerical data
Women's Health - statistics & numerical data
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Summary:This study evaluated the association between insomnia and menopausal status and the influence of socioeconomic and psychosocial variables on this association in a cross-sectional analysis of 2,190 university employees (the Pró-Saúde Study). A self-administered questionnaire was used, covering menopausal status, complaints of insomnia, common mental disorders, stressful life events, social support, and socioeconomic variables. Odds ratios were calculated using logistic regression with a polytomous outcome. After adjusting for potential socio-demographic confounders, women who had entered menopause more than 60 months previously were more likely to report complaints with sleep (OR 1.53-1.86) as compared to women in menopause for less than 60 months. After adjusting for psychosocial variables, in the first group the ORs decreased to 1.53 (95%CI: 0.92-2.52) for difficulty initiating sleep, 1.81 (95%CI: 1.09-2.98) for difficulty maintaining sleep, and 1.71 (95%CI: 1.08-2.73) for general complaints of insomnia. Psychosocial factors can mediate the manifestation of insomnia among menopausal women.
ISSN:1678-4464
DOI:10.1590/0102-311X00045014