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。
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.
关键词
婴幼儿 /
睡床方式 /
同床睡 /
睡眠
Key words
infants /
sleep arrangement /
bed-sharing /
sleep
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基金
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)
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