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Complex childcare experiences and sleep outcomes in young children

机译：幼儿的复杂育儿经历和睡眠结果

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Objectives: Attending center-based childcare has been linked to shorter nighttime sleep in children. However, relatively little attention has been paid to the role of complexity and transition of childcare arrangements on children's sleep. This study used prospective, nationally representative data to estimate the associations between complex childcare experiences and sleep outcomes during infancy and toddlerhood. Design: Prospective longitudinal study. Setting: This study used 9-month (n = 3921) and 2.5-year-old (n = 3412) data from the Longitudinal Study of Australian Children. The 2-wave longitudinal sample included 3046 children. Intervention: Not applicable. Measurements: Complex childcare experiences were measured by time spent in center, relative, and nonrelative childcare; use of multiple childcare arrangements; and patterns of childcare use over the 2-wave period. Sleep outcomes included maternal reports of weekday and weekend nighttime sleep duration, difficulty falling asleep, waking up during the night, and restless sleeping of the child. Results: Cross-sectional analysis showed that, in addition to center childcare, hours spent in relative and nonrelative childcare were negatively associated with weekday nighttime sleep duration but not weekend nighttime sleep duration. Multiple childcare arrangements were not associated with worse sleep outcomes. Longitudinal analysis showed that the association between child age and nighttime sleep duration was moderated by patterns of childcare use. Late attenders and children who used childcare for 2 waves but changed configuration had smailer increase of nighttime sleep duration. Conclusions: In addition to center childcare, noncenter childcare may be an influential factor for children's nighttime sleep. Longitudinal patterns of childcare use can moderate children's developmental trajectories of nighttime sleep.
机译：目标：参加中心的托儿服务与儿童的夜间睡眠较短有关。但是，对育儿安排对儿童睡眠的复杂性和过渡的角色的关注很少。这项研究使用了前瞻性，全国代表性的数据来​​估计婴儿期和幼儿期复杂的育儿经历与睡眠结果之间的关联。设计：前瞻性纵向研究。设置：这项研究使用了9个月（n = 3921）和2.5岁（n = 3412）的数据，来自澳大利亚儿童的纵向研究。 2波纵向样本包括3046名儿童。干预：不适用。测量：复杂的育儿经历是通过在中心，相对和非偏变育儿中花费的时间来衡量的;使用多个育儿安排;和在2波时期使用育儿的模式。睡眠结局包括孕产妇报告工作日和周末夜间睡眠时间，难以入睡，在夜晚醒来以及孩子不安的睡眠。结果：横截面分析表明，除了中心育儿外，相对和非关联育儿时间花费的时间与工作日夜间睡眠持续时间有负相关，而不是周末的夜间睡眠时间。多次育儿安排与睡眠结局较差无关。纵向分析表明，儿童年龄与夜间睡眠持续时间之间的关联是通过使用育儿方式的模式来调节的。晚期使用托儿服务但更改配置的孩子和儿童使夜间睡眠持续时间增加了。结论：除了中心育儿外，非中心育儿可能是儿童夜间睡眠的影响因素。育儿使用的纵向模式可以适应儿童的夜间睡眠轨迹。

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