Early Childhood Co-Sleeping Predicts Behavior Problems in Preadolescence: A Prospective Cohort Study.

Early Childhood Co-Sleeping Predicts Behavior Problems in Preadolescence: A Prospective Cohort Study.
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早期儿童共睡预测青春期前的行为问题:一项前瞻性队列研究。

DOI:
10.1080/15402002.2020.1818564
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发表时间:
2021-09
影响因子:
3.1
通讯作者:
Liu, Jianghong
Liu, Jianghong
中科院分区:
医学3区
文献类型:
--
作者:
Chen, Zehang;Dai, Ying;Liu, Xianchen;Liu, Jianghong

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同睡是世界各地的普遍做法。幼儿共睡与青少年行为问题之间的关系尚不确定。我们的目的是确定儿童早期共睡是否可以预测青春期前的行为问题。对1656名中国学龄前儿童进行了青春期随访。前瞻性队列研究设计包括从中国金坛队列中收集两波数据(1656名3-5岁儿童)。在第一波数据收集时,通过家长报告问卷收集3-5岁儿童的共睡史。在儿童期和青春期前分别测量了两次行为问题。采用实证评估的Achenbach系统,对青少年行为问题进行了自我报告、家长报告和教师报告的综合测量。使用一般线性模型对反向概率权重倾向匹配样本的混合效应进行预测评估。1656名儿童(55.6%为男孩,年龄为4.9±0.6岁)被纳入第一波数据收集。在第二波数据收集中,保留10-13岁儿童1274例(10.99±0.74例,占76.9%)。幼儿共睡与儿童期行为问题增加显著相关(比值比[OR] 1.22-2.06, ps<0.03),青春期前(OR: 1.40-2.27, ps<0.02)。此外,共睡史显著预测青春期内部(OR 1.63-2.61, ps<0.02)和外部行为问题的多尺度增加。据家长、老师和孩子自己报告,幼儿共睡与多种行为问题有关。在控制了基线行为问题后,幼儿共睡可预测青春期前的内化和外化行为。
Co-sleeping is common practice around the globe. The relationship between early childhood co-sleeping and adolescent behavior problems remains uncertain. We aim to identify whether early childhood co-sleeping can predict behavior problems in preadolescence. A cohort of 1,656 Chinese preschool children were followed up in adolescence. Prospective cohort study design involving two waves of data collection from the China Jintan Cohort (1,656 children aged 3–5 years). Cosleeping history was collected at 3-5-years-old via parent-reported questionnaire at wave I data collection. Behavior problems were measured twice in childhood and preadolescence, respectively. Adolescent behavior problems were measured by integrating data from self-report, parent-report and teacher-report using the Achenbach System of Empirically Based Assessment. Predictions were assessed using the general linear model with mixed effects on the inverse probability weight propensity-matched sample. 1,656 children comprising 55.6% boys aged 4.9 ± 0.6 were initially enrolled in the first wave of data collection. In the second wave of data collection, 1,274 children were 10.99 ± 0.74 (76.9%) aged 10–13 years were retained. Early childhood co-sleeping is significantly associated with increased behavior problems in childhood (Odds Ratio [OR] 1.22–2.06, ps<0.03) and preadolescence (OR 1.40–2.27, ps<0.02). Moreover, cosleeping history significantly predicted multiscale increase in internal (OR 1.63–2.61, ps<0.02) and external behavior problems in adolescence. Early childhood co-sleeping is associated with multiple behavioral problems reported by parents, teachers, and children themselves. Early childhood co-sleeping predicts preadolescent internalizing and externalizing behavior after controlling for baseline behavior problems.
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