Social determinants of inadequate sleep in US children and adolescents
Social determinants of inadequate sleep in US children and adolescents
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DOI：
10.1016/j.puhe.2016.03.036
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发表时间：
2016-09-01
期刊：
影响因子：
5.2
通讯作者：
Takeuchi, D. T.
中科院分区：
文献类型：
--
作者：
Hawkins, S. S.;Takeuchi, D. T.
背景和目的：尽管人们认识到儿童健康结果与睡眠相关的差异，但大多数研究都是基于小的、均匀的样本。使用具有全国代表性的美国儿童和青少年样本，我们研究了各年龄组睡眠不足的趋势和社会决定因素。研究设计：横断面研究的比较。方法：我们的研究使用了2003年（n = 68,418）、2007年（n = 63,442）和2011/2012年（n = 65,130）的全国儿童健康调查，这是一项具有全国代表性的6-17岁儿童调查。家长报告孩子是否睡眠不足（0-6天睡眠不足vs 7天睡眠不足）。结果：从2003年到2011/12年，6-9岁儿童中睡眠不足的比例从23%增加到36%，10-13岁的比例从30%增加到41%，14-17岁的比例从41%增加到49%。在10到17岁的孩子中，来自高中以上学历家庭的孩子更有可能睡眠不足（调整后的or值为1.2）。虽然对于10-13岁的孩子来说，睡眠不足的情况在收入水平上存在梯度（aor为1.2-1.3），但对于14-17岁的孩子来说，只有来自两个最高收入水平的孩子更有可能出现睡眠不足（aor为1.3-1.4）。父母报告说，邻居不照顾其他孩子与各年龄段睡眠不足的风险增加有关（平均睡眠风险系数1.1-1.3）。结论：睡眠不足早在6岁时就会发生，并随着年龄的增长而增加，变得更加普遍，并且具有社会模式。为了防止整个生命过程中的睡眠不足，需要对所有年龄组进行监测和监测，以确定干预的关键时期。(C) 2016年皇家公共卫生学会。Elsevier Ltd.出版。版权所有。
Background and objectives: Despite recognised disparities in child health outcomes associated with sleep, the majority of research has been based on small, homogeneous samples. Using a nationally-representative sample of US children and adolescents, we examined trends and social determinants of inadequate sleep across age groups.Study design: Comparison of cross-sectional studies.Methods: Our study used the 2003 (n = 68,418), 2007 (n = 63,442), and 2011/2012 (n = 65,130) waves of the National Survey of Children's Health, a nationally-representative survey of 6-17-year-olds. Parents reported whether the child had inadequate sleep (0-6 days of not getting enough sleep vs 7 days).Results: From 2003 through 2011/12, inadequate sleep increased from 23 to 36% among 6-9-year-olds, 30 to 41% among 10-13-year-olds, and 41 to 49% among 14-17-year-olds. Among 10-17-year-olds, those from households with more than a high school degree were more likely to have inadequate sleep (adjusted ORs 1.2). Although for 10-13-year-olds there was a gradient in inadequate sleep across income (aORs 1.2-1.3), for 14-17-year-olds, only those from the two highest income levels were more likely to have inadequate sleep (aORs 1.3-1.4). Parents' reports that neighbours did not watch out for other's children was associated with an increased risk for inadequate sleep across all ages (aORs 1.1-1.3).Conclusions: Inadequate sleep occurred as young as age six years and increased with age, became more prevalent, and was socially patterned. In order to prevent inadequate sleep across the life course, surveillance and monitoring are needed across all age groups to identify critical periods for intervention. (C) 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.