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李存娇, 杨雪, 丁凤, 廉云, 张冲, 尚艺懿, 单延春. 山东省三城区6 ~ 8岁儿童睡眠特点及影响因素分析[J]. 中国妇幼卫生杂志, 2024, 15(3): 17-23. DOI: 10.19757/j.cnki.issn1674-7763.2024.03.004
引用本文: 李存娇, 杨雪, 丁凤, 廉云, 张冲, 尚艺懿, 单延春. 山东省三城区6 ~ 8岁儿童睡眠特点及影响因素分析[J]. 中国妇幼卫生杂志, 2024, 15(3): 17-23. DOI: 10.19757/j.cnki.issn1674-7763.2024.03.004
LI Cun Jiao, YANG Xue, DING Feng, LIAN Yun, ZHANG Chong, SHANG Yi Yi, SHAN Yan Chun. Factors associated with sleep characteristics of children aged 6 − 8 in three urban areas of Shandong Province[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2024, 15(3): 17-23. DOI: 10.19757/j.cnki.issn1674-7763.2024.03.004
Citation: LI Cun Jiao, YANG Xue, DING Feng, LIAN Yun, ZHANG Chong, SHANG Yi Yi, SHAN Yan Chun. Factors associated with sleep characteristics of children aged 6 − 8 in three urban areas of Shandong Province[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2024, 15(3): 17-23. DOI: 10.19757/j.cnki.issn1674-7763.2024.03.004

山东省三城区6 ~ 8岁儿童睡眠特点及影响因素分析

Factors associated with sleep characteristics of children aged 6 − 8 in three urban areas of Shandong Province

  • 摘要:
    目的 分析山东省三城区6 ~ 8岁儿童睡眠特点,探讨睡眠质量不良的影响因素,为进一步改善儿童睡眠质量提供参考方案。
    方法 于2022年选取山东省不同经济水平的3个地区(青岛市、济宁市、临沂市)中1 149名一、二年级儿童为研究对象,对其进行体格测量、一般情况问卷调查、儿童睡眠习惯问卷(The Children’s Sleep Health Questionnaire,CSHQ)调查和儿童饮食行为量表(The Children’s Eating Behavior Questionnaire,CEBQ)调查。资料填写完整的1 104名儿童最终被纳入本研究。采用单因素分析及二元logistic回归分析儿童睡眠质量不良的影响因素。
    结果 被调查儿童平均睡眠时间为9.41(9.07,9.79)h,睡眠时间不足者占81.51%,睡眠质量不良者占73.64%。睡眠质量不良组与正常组儿童在年龄、喂养方式、中高强度身体活动时间、家庭结构、CEBQ总分方面的比较差异均有统计学意义(均P < 0.05)。中高强度身体活动时间 < 1 h(OR = 2.301,P = 0.003)、31分 < CEBQ总分 ≤ 41.5分(OR = 2.004,P < 0.001)、41.5分 < CEBQ总分 ≤ 52分(OR = 2.541,P < 0.001)、52分 < CEBQ总分 ≤ 106分(OR = 4.050,P < 0.001)、重组家庭(OR = 0.169,P = 0.049)是睡眠质量不良的影响因素。
    结论 山东省三城区6 ~ 8岁学龄儿童睡眠问题依然严峻,应重视中高强度身体活动、饮食行为及家庭结构对儿童睡眠的影响。

     

    Abstract:
    Objective To analyze sleep characteristics of children aged 6 − 8 in three urban areas of Shandong Province and explore influencing factors associated with poor sleep quality, so as to provide evidence for further improvement of children’s sleep quality.
    Methods A total of 1 149 1st and 2nd grade children from three regions(Qingdao, Jining, and Linyi) at different economic levels in Shandong Province were recruited in 2022. Physical measurement, general information questionnaire survey, Children’s Sleep Health Questionnaire (CSHQ) survey, and Children’s Eating Behavior Questionnaire (CEBQ) survey were conducted. Finally, 1 104 children with complete information were ultimately involved in the study. Univariate analysis and binary logistic regression were used to analyze the factors associated with their poor sleep quality.
    Results The average sleep time of the research cases was 9.41 (9.07, 9.79) hours, with 81.51% having insufficient sleep time and 73.64% having poor sleep quality. There were statistically significant differences between the group with poor sleep quality and the normal group in terms of age, feeding mods, duration of moderate to high-intensity physical activity, family structure, and total CEBQ score (all P < 0.05). The duration of moderate to high-intensity physical activity < 1 hour (OR = 2.301, P = 0.003), 31 < total CEBQ score ≤ 41.5(OR = 2.004, P < 0.001), 41.5 < total CEBQ score ≤ 52 (OR = 2.541, P < 0.001), 52 < total CEBQ score ≤ 106(OR=4.050, P < 0.001), and reorganized families (OR = 0.169, P = 0.049) were factors associated with poor sleep quality.
    Conclusion The sleep problems of school children aged 6 − 8 in the three urban areas of Shandong Province are still challenging, and attention should be paid to the impact of moderate to high-intensity physical activity, dietary behavior, and family structure on children’s sleep.

     

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