학술논문
Sleep Bruxism in Puerperal Women: Data from a Population-Based Survey.
Document Type
Article
Author
Source
Subject
*MATERNAL health services
*RESEARCH
*CONFIDENCE intervals
*POSTPARTUM depression
*SLEEP bruxism
*SELF-evaluation
*MULTIVARIATE analysis
*NON-smokers
*CROSS-sectional method
*PSYCHOLOGY of mothers
*AGE distribution
*ORAL health
*REGRESSION analysis
*FAMILIES
*HABIT
*FACIAL pain
*PUERPERAL disorders
*RISK assessment
*COMPARATIVE studies
*SEVERITY of illness index
*PSYCHOLOGICAL tests
*INCOME
*SURVEYS
*DISEASE prevalence
*QUESTIONNAIRES
*PUERPERIUM
*CHI-squared test
*DESCRIPTIVE statistics
*DRUGS
*SMOKING
*ANXIETY
*HEADACHE
*WAKEFULNESS
*POISSON distribution
*EDUCATIONAL attainment
*EDINBURGH Postnatal Depression Scale
*DISEASE risk factors
*PREGNANCY
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Language
ISSN
1092-7875
Abstract
Objective: To evaluate the self-reported SB prevalence and explore associated risk factors in puerperal women who had given birth in Rio Grande, Southern Brazil. Methods: A single, standardized questionnaire was given within the 48 h postpartum period. Self-reported SB was the main outcome investigated. Chi-square test was used to compare proportions, and Poisson regression with robust variance adjustment was used in the multivariate analysis. Results: A total of 2225 women were included. Only 79 (3.6%) of these reported clenching or grinding their teeth during sleep. Adjusted analysis showed that the higher education level of the mothers (PR = 3.07; 95% CI 1.49–6.28; P = 0.006); living with three or more persons in the household (PR = 0.54; 95% CI 0.34–0.84; P = 0.007); medication intake during pregnancy (PR = 1.68; 95% CI 1.09–2.58; P = 0.017); smoking (PR = 1.93; 1.16–3.23; P = 0.024), or ever smoked (PR = 1.82; 95% CI 0.85–3.90; P = 0.024); severe anxiety (PR = 1.36; 95% CI 0.61–3.02; P = 0.005); and headache upon waking (PR = 4.19; 95% CI 1.95–9.00; P < 0.001) were significantly associated with self-reported SB. Conclusion for Practice: Our data pointed towards new factors in a specific group of women that may be relevant for preventing sleep-related behaviors in the pregnancy–puerperal cycle. The higher levels of education, medication intake, smoking or even smoked, severe anxiety, the higher the probability of puerperal woman to self-report SB. The nighttime tooth clenching strongly increased headache upon waking. [ABSTRACT FROM AUTHOR]