我国婴幼儿睡床方式及其对睡眠结局影响的研究

doi:10.11852/zgetbjzz2018-26-06-07

中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (6): 602-605.DOI: 10.11852/zgetbjzz2018-26-06-07

我国婴幼儿睡床方式及其对睡眠结局影响的研究

杨芳^*1,2, 林青敏^*1, 王广海¹, 江帆¹

1 上海交通大学医学院附属上海儿童医学中心发育行为儿科转化医学研究所发育行为研究室教育部和上海市环境与儿童健康重点实验室,上海 200127;
2 上海市浦东新区人民医院儿科,上海 201299

收稿日期:2017-09-11 发布日期:2018-06-10 出版日期:2018-06-10
通讯作者: 江帆,E-mail:fanjiang@shsmu.edu.cn
作者简介:^*并列第一作者。杨芳(1982-),女,江西人,主治医师,在职硕士研究生,主要研究方向为儿童睡眠相关影响因素。林青敏(1988-),女,山东人,博士研究生在读,主要研究方向为婴幼儿睡眠与生长发育。
基金资助:
国家自然科学基金(81422040);教育部新世纪优秀人才(NCET-13-0362);科技部重点专项(2016YFC1305203);上海市科委项目(17XD1402800、14441904004);上海交通大学 “医工交叉研究基金”重点项目(YG2016ZD04)

Sleep arrangement and effect on sleep outcomes among Chinese infants

YANG Fang^*1,2, LIN Qing-min^*1, WANG Guang-hai¹, JIANG Fan¹

1 Department of Developmental and Behavioral Pediatrics,Shanghai Children′s Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine,Ministry of Education Shanghai Key Laboratory of Children′s Environmental Health,Shanghai 200127,China;
2 Pediatrics Department of Shanghai Pudong New Area People′s Hospital,Shanghai 201299,China

Received:2017-09-11 Online:2018-06-10 Published:2018-06-10
Contact: JIANG Fan,E-mail:fanjiang@shsmu.edu.cn

摘要/Abstract

摘要： 目的了解我国婴幼儿睡床方式现状、影响因素及其对睡眠结局的影响。方法于2012-2013年按照“省-市-县-医院”的抽样技术路线,抽取全国8省市1 304名0~35月龄足月、健康婴幼儿作为研究对象。通过家长填写《简明婴幼儿睡眠问卷》( BISQ)和自编《儿童个人及家庭社会环境问卷》了解婴幼儿睡床方式、睡眠模式及人口统计学因素。结果婴幼儿平均为(12±10)月龄,男婴占53.8%。婴幼儿与父母同床睡的比例高达84.8%,同房睡为13.2%,独立睡为2.0%。相比6月龄以下婴幼儿,≥6月龄同床睡比例显著较高,同房睡显著较低(P均<0.05),而独立睡无组间差异(P>0.05)。多因素Logistic回归分析显示,婴幼儿年龄≥6月龄、家庭人均月收入≤3 000元和居住郊区是同床睡的风险因素。一般线性回归分析显示,在矫正混杂因素后,同床睡对所有睡眠结局参数的预测作用均不显著(P均＞0.05)。结论同床睡是我国0~35月龄婴幼儿最常见的睡床方式,发生率远高于欧美国家,与婴幼儿月龄和社会经济状况相关,但未发现其对睡眠结局有直接影响。

关键词: 婴幼儿, 睡床方式, 同床睡, 睡眠

Abstract: Objective To investigate sleep arrangement,influencing factors,and effects on sleep outcomes among Chinese infants. Methods According to the Hospital of Province-Cite-County sampling technical route from 2012 to 2013,a total of 1 304 healthy full-term children at the age of 0~35 months were sampled by stratified cluster random sampling method from 8 provinces in China. Parents filled out the Brief Infant Sleep Questionnaire (BISQ) and a self-designed Children′s Personal and Family Socio-demographic Environment Questionnaire to assess sleep arrangements,sleep patterns and socio-demographic factors. Results The average age of infants was (12±10) months,with boys accounting for 53.8%.The percentage of bed-sharing was 84.8％,the room-sharing was 13.2%,and the solitary sleep was 2.0%. Compared with infants under 6 months old,the proportion of bed-sharing for infants aged 6 months or older was significantly higher,room-sharing was significantly lower(all P<0.05),and no significant difference in solitary sleep existed(P>0.05). Multivariable Logistic regression analysis showed the risk factors of bed-sharing were infants aged 6 months or older,family per capita monthly income ≤3 000 yuan and residential suburb. General linear regression analysis showed the predictive effects of bed-sharing on any sleep parameters were not statistically significant(all P＞0.05). Conclusions Bed-sharing is common in Chinese infants aged 0~35 months,with much higher incidence rate than western compartments. Although bed-sharing is associated with infants′age and socioeconomic status,it is not recognized to have direct effects on sleep outcomes.

Key words: infants, sleep arrangement, bed-sharing, sleep

中图分类号:

R179

杨芳, 林青敏, 王广海, 江帆. 我国婴幼儿睡床方式及其对睡眠结局影响的研究[J]. 中国儿童保健杂志, 2018, 26(6): 602-605.

YANG Fang, LIN Qing-min, WANG Guang-hai, JIANG Fan. Sleep arrangement and effect on sleep outcomes among Chinese infants[J]. journal1, 2018, 26(6): 602-605.

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我国婴幼儿睡床方式及其对睡眠结局影响的研究

Sleep arrangement and effect on sleep outcomes among Chinese infants

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