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Background <p>The recognition of poor sleep quality is a significant health issue since there is a paucity of comprehensive data on sleep quality in women and the previous studies that have no providing a holistic understanding of the issue across different stages of women’s lives. Therefore, conducting a systematic review and meta-analysis of poor sleep quality and associated factors among women in Ethiopia is an essential to provide actionable insights for healthcare providers and policymakers.</p> Methods <p>A systematic review and meta-analysis of 11 studies among 6038 women of the exact heterogeneity of (I² = 99%) with a comprehensive search using electronic databases (PubMed, Cochrane Library, Google Scholar, and African Journal Online) was performed covering articles indexed through June 2000 to 1,August 2025. The quality of the included studies was evaluated using the Joanna Briggs Institute (JBI) Epidemiological Data Research Institute Critical Appraisal Checklist which studies scoring above 75% were considered for inclusion in the meta-analysis. The inter-rater reliability between the two reviewers for the JBI quality assessment was substantial (Cohen’s κ = 0.82; 95% CI: 0.73–0.91), indicating good consistency in scoring across studies. The I<sup>2</sup> test statistics were used to examine the heterogeneity of the studies. A random-effects meta-analysis was performed to estimate the prevalence of the poor sleep quality, and the results are reported in a forest plot.</p> Results <p>The pooled prevalence of poor sleep quality among 6038 women was 42.25% (95 CI: 30.80, 53.7). In this review, having depressed (AOR = 3.7, 95%CI: 2.82, 4.8), substance use (AOR = 2.00, 95%CI: 1.6, 2.6), Intimate Partners Violence (IPV) (AOR = 3.20, 95%CI: 1.95, 5.3), stress 2.50, 95%CI: 1.82, 3.43), and low social support (AOR = 4.2, 95%CI: 2.700, 6.60) were significantly associated with poor sleep quality.</p> Conclusions <p>Poor sleep quality is affecting over 40% of women in Ethiopia. Depression, substance use, intimate partner violence, stress, and low social support are statistically associated with poor sleep quality. Therefore, targeting mental health and social support, alongside public education and policy integration, are essential to improve sleep quality.</p>

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Prevalence of poor sleep quality and associated factors among women in Ethiopia: systematic review and meta –analysis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月7日

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  • Yihenew Sewale Bizu,
  • Kassahun Dires Ayenew

摘要

Background

The recognition of poor sleep quality is a significant health issue since there is a paucity of comprehensive data on sleep quality in women and the previous studies that have no providing a holistic understanding of the issue across different stages of women’s lives. Therefore, conducting a systematic review and meta-analysis of poor sleep quality and associated factors among women in Ethiopia is an essential to provide actionable insights for healthcare providers and policymakers.

Methods

A systematic review and meta-analysis of 11 studies among 6038 women of the exact heterogeneity of (I² = 99%) with a comprehensive search using electronic databases (PubMed, Cochrane Library, Google Scholar, and African Journal Online) was performed covering articles indexed through June 2000 to 1,August 2025. The quality of the included studies was evaluated using the Joanna Briggs Institute (JBI) Epidemiological Data Research Institute Critical Appraisal Checklist which studies scoring above 75% were considered for inclusion in the meta-analysis. The inter-rater reliability between the two reviewers for the JBI quality assessment was substantial (Cohen’s κ = 0.82; 95% CI: 0.73–0.91), indicating good consistency in scoring across studies. The I2 test statistics were used to examine the heterogeneity of the studies. A random-effects meta-analysis was performed to estimate the prevalence of the poor sleep quality, and the results are reported in a forest plot.

Results

The pooled prevalence of poor sleep quality among 6038 women was 42.25% (95 CI: 30.80, 53.7). In this review, having depressed (AOR = 3.7, 95%CI: 2.82, 4.8), substance use (AOR = 2.00, 95%CI: 1.6, 2.6), Intimate Partners Violence (IPV) (AOR = 3.20, 95%CI: 1.95, 5.3), stress 2.50, 95%CI: 1.82, 3.43), and low social support (AOR = 4.2, 95%CI: 2.700, 6.60) were significantly associated with poor sleep quality.

Conclusions

Poor sleep quality is affecting over 40% of women in Ethiopia. Depression, substance use, intimate partner violence, stress, and low social support are statistically associated with poor sleep quality. Therefore, targeting mental health and social support, alongside public education and policy integration, are essential to improve sleep quality.