Bed- and room-sharing in Chinese school-aged children: Prevalence and association with sleep behaviors

Bed- and room-sharing in Chinese school-aged children: Prevalence and association with sleep behaviors
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DOI:
10.1016/j.sleep.2007.07.008
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发表时间:
2008-07-01
期刊:
影响因子:
4.8
通讯作者:
Shen, Xiaoming
Shen, Xiaoming
中科院分区:
医学2区
文献类型:
--
作者:
Li, Shenghui;Jin, Xingming;Shen, Xiaoming

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目的:调查中国城市学龄儿童共用床位和房间的流行率,并评估与睡眠/觉醒模式、睡眠时间和睡眠问题的关系。方法:2005年11月至12月对中国八个城市的学生进行了研究。共有19 299名小学生(49.7%为男孩,50.3%为女孩,平均年龄为9岁)参加了调查。家长管理的问卷和中文版的儿童睡眠习惯问卷完成量化儿童的睡眠安排和表征sleepingbehaviors.Results:共睡是一种常见的做法,与患病率为37.6%(常规床共享:23.0%;房间共享:14%),在中国学龄儿童。同床同房的性别差异不显著,但随着年龄的增长而逐渐减少。与同床和单独睡觉相比,同床与晚睡、晚起和睡眠时间较短相关。然而,微小差异不太可能具有临床意义。与他人同床共室往往与六种类型的睡眠问题的概率增加有关:睡前阻力、睡眠焦虑、夜醒、睡眠异常、睡眠呼吸障碍和白天嗜睡。与同床共枕相比,同床共枕的优势比更低。在六个睡眠问题,睡前阻力和睡眠焦虑有最强的关联与beds.Conclusions:睡眠问题是常见的中国学龄儿童。共睡非常普遍,可能与睡眠卫生和睡眠质量的负面影响有关,尽管必须考虑共睡的背景。(C)2007 Elsevier B. V.保留所有权利。
Objective: To survey the prevalence of bed- and room-sharing and assess associations with sleep/wake patterns, duration of sleep, and sleep problems among urban school-aged children in China.Methods: Students representing eight Chinese cities were studied during November and December, 2005. A total of 19,299 elementary-school children (49.7% boys and 50.3% girls with a mean age of 9.00 years) participated in the survey. A parent-administered questionnaire and the Chinese version of the Children's Sleep Habits Questionnaire were completed to quantity children's sleep arrangements and to characterize sleep behaviors.Results: Co-sleeping was a common practice, with a prevalence of 37.6% (routine bed-sharing: 23.0%; room-sharing: 14%) in Chinese school-aged children. Bed- and room-sharing did not show significant gender difference but gradually decreased with increasing age. Compared to room-sharing and sleeping alone, bed-sharing was correlated with later bedtimes, later awakening times, and a shorter duration of sleep. However, the small difference was unlikely to have clinical significance. Bed- and room-sharing tended to be associated with the increased probability of six types of sleep problems: bedtime resistance, sleep anxiety, night waking, parasomnia, sleep-disordered breathing, and daytime sleepiness. Compared to bed-sharing, room-sharing had a lower odds ratio. Among six sleep problems, bedtime resistance and sleep anxiety had the strongest association with bed-sharing.Conclusions: Sleep problems were common in Chinese school-aged children. Co-sleeping was highly prevalent and may be potentially associated with negative effects on sleep hygiene and sleep quality, although the context of the co-sleeping must be taken into consideration. (C) 2007 Elsevier B.V. All rights reserved.