Abstract
Rurality And Socioeconomic Status Are Associated With Sleep Parameters During Pregnancy: 365
Medicine and science in sports and exercise, Vol.57(10S), pp.117-118
10/2025
DOI: 10.1249/01.mss.0001155460.03071.a5
Abstract
In adult populations, individuals with lower socioeconomic status tend to have poorer sleep than those with higher socioeconomic status. Differences in sleep in rural vs. urban populations is unclear. Less is known about sleep differences across socioeconomic status and rurality during pregnancy.
PURPOSE: To determine if there are differences in self-reported sleep parameters by rurality and socioeconomic status during pregnancy.
METHODS: Data from 454 participants, mean age 30.8 (4.4) years, 89% White, from the Pregnancy 24/7 multi-site cohort study were used. Sleep parameters were measured in each trimester of pregnancy with the Pittsburgh Sleep Quality Index (PSQI). Parameters included duration (hr), global PSQI score (0-21 points), disturbances factor (disturbances + daytime dysfunction, 0-6), efficiency factor (duration + efficiency, 0-6), and perceived quality factor (subjective sleep quality + latency + medication use, 0-9). Higher sleep scores indicate greater sleep disturbances. Rurality was determined by Rural Urban Commuting Area Code (0-3 = Urban, 4-6 = Micropolitan, 7-10 = Rural). Socioeconomic status was measured by education level, income tertiles, and insurance status. Analyses were conducted in R using a repeated measures mixed effects model while adjusting for study site, children in the household, age, and pre-pregnancy BMI.
RESULTS: All sleep parameters, except duration, tended to be worse in rural populations and in those with lower socioeconomic status compared to those from urban areas and with higher socioeconomic status, respectively (Table 1).
CONCLUSION: Strategies to improve rural and socioeconomic disparities in sleep health during pregnancy are needed and could help to address overarching maternal health disparities in these communities.
Details
- Title: Subtitle
- Rurality And Socioeconomic Status Are Associated With Sleep Parameters During Pregnancy: 365
- Creators
- Katrina Louise Wilhite - West Virginia UniversityJacob Gallagher - Iowa State UniversityChristopher E. Kline - University of PittsburghChooza Moon - University of IowaTreah Haggerty - West Virginia UniversityKara Whitaker - University of IowaBethany Barone Gibbs - West Virginia University
- Resource Type
- Abstract
- Publication Details
- Medicine and science in sports and exercise, Vol.57(10S), pp.117-118
- DOI
- 10.1249/01.mss.0001155460.03071.a5
- ISSN
- 0195-9131
- eISSN
- 1530-0315
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Number of pages
- 2
- Grant note
- National Heart, Lung, and Blood Institute (NHLBI): R01HL153095
The Pregnancy 24/7 Cohort Study is supported by grant R01HL153095 from the National Heart, Lung, and Blood Institute (NHLBI).
- Language
- English
- Date published
- 10/2025
- Academic Unit
- Epidemiology; Iowa Neuroscience Institute; Nursing; Health, Sport, and Human Physiology
- Record Identifier
- 9984963626202771
Metrics
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