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Sleep problems in the first year of elementary school: The role of sleep hygiene, gender and socioeconomic status

机译：小学第一年的睡眠问题：睡眠卫生，性别和社会经济状况的作用

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Objectives: To determine (1) the relationship between sleep hygiene practices and parent-reported child sleep problems in students in the first year of elementary school, (2) whether the relationship differed by (a) gender and (b) SES and (3) in a multivariate explanatory model. Design: Cross-sectional survey of a population-based sample. Setting: Forty-five elementary schools in metropolitan Melbourne, Australia. Participants: Families of children aged 4-6 years in the first year of elementary school in Melbourne, Australia. Measurements: Exposures: Parent-reported child sleep hygiene, gender and data linkage to community-based disadvantage. Outcome: Parent-reported child sleep problems. Analyses: Logistic regression models were used to examine each aim. Results: Of 6635 approached parents, 4901 (74.30%) participated. In the final model, using audio devices at bedtime was associated with increased risk of child sleep problems (OR 2.12,95% CI 1.60,2.81) as was an inconsistent bedtime routine on school nights (OR 2.52,95% CI 1.76,3.60) and non-school nights (OR 1.66,95% CI 1.09,2.55). Boys with an inconsistent bedtime routine on non-school nights had a higher risk (OR 2.07,95% 1.49,2.88) than girls (OR 1.61,95% CI 1.15,2.28). SES was not associated with sleep problems. Conclusion: Inconsistent bedtime routines and audio device use were each associated with an increased risk of parent-reported sleep problems. Associations did not differ based on SES but did for boys and girls in terms of inconsistent bedtimes on weekends. Behavioral sleep interventions targeting sleep hygiene could have similar benefits for all children, regardless of socio-economic status.
机译：目标：确定（1）小学第一年的学生睡眠卫生实践与父母报告的儿童睡眠问题之间的关系，（2）关系是否有（a）性别和（b）SES和（3） ）在多元解释模型中。设计：基于人群样本的横断面调查。环境：澳大利亚大都会墨尔本的四十五所小学。参与者：澳大利亚墨尔本小学第一年的4-6岁儿童家庭。测量：暴露：父母报告的儿童睡眠卫生，性别和与基于社区的劣势的数据联系。结果：父母报告的儿童睡眠问题。分析：使用逻辑回归模型来检查每个目标。结果：在6635次接近父母中，有4901（74.30％）参加了会议。在最终型号中，在睡前使用音频设备与儿童睡眠问题的风险增加有关（或2.12,95％CI 1.60,2.81），而学校之夜不一致的就寝时间（或2.52,95％CI 1.76,3.60）和非学校之夜（或1.66,95％CI 1.09,2.55）。在非学校夜晚的睡前常规行为不一致的男孩的风险（或2.07,95％1.49,2.88）高于女孩（或1.61,95％CI 1.15,2.28）。 SES与睡眠问题无关。结论：不一致的就寝时间例程和音频设备的使用都与父母报告的睡眠问题的风险增加有关。基于SES的协会没有差异，而是在周末的睡眠不一致方面为男孩和女孩做的。针对睡眠卫生的行为睡眠干预措施无论社会经济地位如何，对所有儿童都可能有类似的好处。

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