Rising Prevalence and Neighborhood, Social, and Behavioral Determinants of Sleep Problems in US Children and Adolescents, 2003-2012.
Rising Prevalence and Neighborhood, Social, and Behavioral Determinants of Sleep Problems in US Children and Adolescents, 2003-2012.
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美国儿童和青少年的睡眠问题的患病率以及社区，社会和行为决定因素，2003- 2012年。
DOI：
10.1155/2013/394320
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Kenney MK
中科院分区：
文献类型：
--
作者：
Singh GK;Kenney MK
我们研究了2003年至2012年期间美国6-17岁儿童睡眠问题的趋势以及社区和社会行为决定因素。2003年，2007年和2011-2012年的全国儿童健康调查被用来使用逻辑回归估计睡眠问题的趋势和差异。随着时间的推移，睡眠问题的患病率显着增加。每周睡眠不足7天的儿童比例从2003年的31.2%上升到2011-2012年的41.9%，而每周睡眠不足5天的儿童比例从2003年的12.6%上升到2011-2012年的13.6%。睡眠问题的患病率与社区的社会经济和建筑环境特征有关（例如，安全问题、住房条件差、垃圾/垃圾、故意破坏、人行道和公园/游乐场）。在社会环境最好的社区，大约10%的儿童有严重的睡眠问题，而在社会环境最差的社区，这一比例为16.2%。在健康促进设施最少或社会地位最差的社区，儿童严重睡眠问题的调整几率比最有利社区的儿童高37%-43%。更高水平的屏幕时间，身体不活动和二手烟暴露与睡眠问题的调整几率高出20%-47%相关。邻里条件和行为因素是儿童睡眠问题的重要决定因素。
We examined trends and neighborhood and sociobehavioral determinants of sleep problems in US children aged 6–17 between 2003 and 2012. The 2003, 2007, and 2011-2012 rounds of the National Survey of Children's Health were used to estimate trends and differentials in sleep problems using logistic regression. Prevalence of sleep problems increased significantly over time. The proportion of children with <7 days/week of adequate sleep increased from 31.2% in 2003 to 41.9% in 2011-2012, whereas the prevalence of adequate sleep <5 days/week rose from 12.6% in 2003 to 13.6% in 2011-2012. Prevalence of sleep problems varied in relation to neighborhood socioeconomic and built-environmental characteristics (e.g., safety concerns, poor housing, garbage/litter, vandalism, sidewalks, and parks/playgrounds). Approximately 10% of children in neighborhoods with the most-favorable social environment had serious sleep problems, compared with 16.2% of children in neighborhoods with the least-favorable social environment. Children in neighborhoods with the fewest health-promoting amenities or the greatest social disadvantage had 37%–43% higher adjusted odds of serious sleep problems than children in the most-favorable neighborhoods. Higher levels of screen time, physical inactivity, and secondhand smoke exposure were associated with 20%–47% higher adjusted odds of sleep problems. Neighborhood conditions and behavioral factors are important determinants of sleep problems in children.