Correlates of a caregiver-reported child sleep problem and variation by community disadvantage.
Correlates of a caregiver-reported child sleep problem and variation by community disadvantage.
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DOI：
10.1016/j.sleep.2022.01.009
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发表时间：
2022-03
期刊：
影响因子：
4.8
通讯作者：
Williamson, Ariel A.
中科院分区：
文献类型：
--
作者：
Lupini, Francesca;Leichman, Erin S.;Gould, Russell A.;Walters, Russel M.;Mindell, Jodi A.;Williamson, Ariel A.
先前对儿童早期睡眠模式和感知问题的研究表明，家庭社会经济地位存在差异。本研究的目的是在美国大样本中检查护理人员感知到的儿童睡眠问题在社区劣势水平之间和内部的相关性变化。美国 14,980 名幼儿（0-35.9 个月）的护理人员在免费公开的 Johnson’s® Bedtime® 婴儿睡眠应用程序上完成了婴儿睡眠简短调查问卷 - 修订版 (BISQ-R)。邮政编码用于确定贫困社区指数 (DCI) 分数，该分数代表基于邻里指标的社区劣势。在社区劣势的各个层面上，如果护理人员报告儿童睡眠对自己的睡眠影响较大、入睡困难、夜间醒来频率更高且时间更长以及夜间总睡眠时间增加，则更有可能认可儿童睡眠问题。这些协会因社区劣势程度而异。对于生活在较弱势社区的护理人员来说，儿童睡眠对其自身睡眠和夜间醒来的影响是认可儿童睡眠问题的最强相关因素，而对于生活在较弱势社区的护理人员来说，儿童睡眠对其自身睡眠和夜间觉醒的影响以及睡眠健康的其他方面（例如睡眠持续时间短）与认可儿童睡眠问题相关。研究结果表明，生活在较贫困社区的家庭在报告儿童睡眠问题时最有可能确定儿童睡眠对自己睡眠和夜间醒来的影响，而来自较富裕社区的家庭则考虑这些因素以及其他睡眠参数，包括睡眠持续时间。临床医生应考虑扩大儿童睡眠问题的筛查问题，以包括对看护者睡眠的感知影响。
Previous studies of sleep patterns and perceived problems in early childhood indicate variation by family socioeconomic status. The purpose of this study was to examine variation in correlates of a caregiver-perceived child sleep problem across and within levels of community disadvantage in a large US sample. Caregivers of 14,980 young children (ages 0–35.9 months) in the US completed the Brief Infant Sleep Questionnaired—Revised (BISQ-R) on the freely and publicly available Johnson’s® Bedtime® Baby Sleep App. Zip code was used to identify a Distressed Communities Index (DCI) score, which represents community disadvantage based on neighborhood indicators. Across all levels of community disadvantage, caregivers who reported greater impact of child sleep on their own sleep, bedtime difficulty, more frequent and longer night wakings, and increased total nighttime sleep were more likely to endorse a child sleep problem. These associations varied by level of community disadvantage. For caregivers living in more disadvantaged communities, impact of child sleep on their own sleep and night wakings were the strongest correlates of endorsing a child sleep problem, whereas for those in more advantaged communities the impact of child sleep on their own sleep and night wakings as well as additional aspects of sleep health, such as short sleep duration, were associated with endorsement of a child sleep problem. Findings suggest that families living in more distressed communities are most likely to identify the impact of child sleep on their own sleep and night wakings in reporting a child sleep problem, whereas those from more prosperous communities consider these factors as well as other sleep parameters, including sleep duration. Clinicians should consider expanding screening questions for child sleep problems to include the perceived impact on caregiver sleep.
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影响因子：
10.5
作者：
Mayne SL;Mitchell JA;Virudachalam S;Fiks AG;Williamson AA
通讯作者：
Williamson AA
影响因子：
8
作者：
Meltzer LJ;Johnson C;Crosette J;Ramos M;Mindell JA
通讯作者：
Mindell JA
影响因子：
4.1
作者：
Graham, Carlyn;Reither, Eric N.;Fargo, Jamison
通讯作者：
Fargo, Jamison
影响因子：
3.1
作者：
Patrick, Kristina E.;Millet, Genevieve;Mindell, Jodi A.
通讯作者：
Mindell, Jodi A.
影响因子：
4.8
作者：
Mindell, Jodi A.;Leichman, Erin S.;Walters, Russel M.
通讯作者：
Walters, Russel M.