Racial/ethnic differences in the prevalence of snoring and sleep disordered breathing in young children.
Racial/ethnic differences in the prevalence of snoring and sleep disordered breathing in young children.
复制标题
DOI：
10.5664/jcsm.28104
复制
发表时间：
2011-04
期刊：
影响因子：
--
通讯作者：
N. Goldstein;Tehila Abramowitz;J. Weedon;B. Koliskor;S. Turner;E. Taioli
中科院分区：
文献类型：
--
作者：
N. Goldstein;Tehila Abramowitz;J. Weedon;B. Koliskor;S. Turner;E. Taioli
研究目的了解儿童打鼾和睡眠呼吸障碍（SDB）患病率是否存在种族/民族差异。方法在这项横断面研究中，346名2至6岁儿童的父母或看护人在纽约布鲁克林的5家普通儿科诊所和诊所（3家学术诊所，2家私立诊所）接受了儿童保健就诊，完成了儿童睡眠相关呼吸障碍量表（PSQ）以及人口统计学、既往SDB治疗和父母对儿童SDB知识的调查。孩子的身高和体重在办公室访问时被记录下来。结果鼾症患病率为13.9% (95% CI 10.2, 17.5)， SDB患病率为9.4% （95% CI 6.3, 12.6）。黑人儿童打鼾的几率是白人儿童的2.5倍，西班牙裔儿童是白人儿童的2.3倍（p = 0.031）。与白人儿童相比，黑人和西班牙裔儿童PSQ得分异常的患病率更高，但无统计学意义。在多变量分析中，只有黑人（OR 3.1 95% CI 1.1, 8.9）和早产（OR 4.4 95% CI 1.6, 12.4）与打鼾有关；男性（OR 2.9, 95% CI 1.1, 8.5）与SDB相关。家长和监护人对SDB的了解程度较低。目前的知识程度与父母对打鼾的关注和与儿童儿科医生的打鼾讨论无关。结论：黑人和早产是打鼾的独立预测因素。父母对SDB的了解程度与就医无关。
STUDY OBJECTIVE To determine whether there are racial/ethnic differences in the prevalence of pediatric snoring and sleep disordered breathing (SDB). METHODS In this cross-sectional study, parents or caretakers of 346 children, aged 2 through 6 years, attending well-child care visits at 5 general pediatric offices and clinics (3 academic, 2 private) in Brooklyn, NY completed the Sleep-Related Breathing Disorders Scale of the Pediatric Sleep Questionnaire (PSQ) along with a survey on demographics, prior treatment for SDB, and parental knowledge of pediatric SDB. The child's height and weight were recorded from the office visit. RESULTS The prevalence of snoring was 13.9% (95% CI 10.2, 17.5) and of SDB was 9.4% (95% CI 6.3, 12.6). The odds of snoring for black children was 2.5 as great as for white children, and for Hispanic children was 2.3 as great as for white children (p = 0.031). There was a higher, non-statistically significant prevalence of abnormal PSQ scores in black and Hispanic children than white children. On multivariate analysis, only black race (OR 3.1 95% CI 1.1, 8.9) and prematurity (OR 4.4 95% CI 1.6, 12.4) were associated with snoring; male gender (OR 2.9 95% CI 1.1, 8.5) was associated with SDB. Knowledge regarding SDB was low among parents and caretakers. The degree of knowledge present was not associated with parental concern about snoring and discussion of the snoring with the child's pediatrician. CONCLUSIONS Black race and prematurity are independent predictors of snoring. The degree of parental knowledge regarding SDB was not associated with seeking medical treatment.