蚌埠市3~16岁儿童青少年睡眠障碍及影响因素调查

doi:10.12183/j.scjpm.2023.0951

摘要/Abstract

摘要： 目的调查3~16岁儿童青少年睡眠障碍及其相关影响因素,为干预儿童睡眠障碍的发生发展提供科学依据。方法采用多阶段随机抽样方法抽取蚌埠市幼儿园、小学及中学的在校学龄儿童青少年作为调查对象进行睡眠障碍情况及相关因素调查。采用描述性分析方法对儿童青少年睡眠障碍发生情况进行分析,采用二分类非条件logistic回归分析模型对睡眠障碍的影响因素进行分析。结果共调查6 095名蚌埠市3~16岁儿童青少年,其中1 798例（29.50%）诊断为睡眠障碍。二分类非条件logistic回归分析显示独自睡眠（OR=0.517）、父亲和/或母亲打鼾（OR=1.402）、手机成瘾程度高（OR=2.006）、学习压力较大（OR=11.257）是儿童青少年睡眠障碍的独立影响因素。结论蚌埠市3~16岁儿童青少年夜间睡眠障碍的发生率较高,独自睡眠、父亲和/或母亲打鼾、手机成瘾程度高、学习压力较大是影响儿童青少年睡眠障碍的独立危险因素。针对独立危险因素实施干预可减少和避免儿童青少年发生睡眠障碍。

关键词: 儿童青少年, 睡眠障碍, 症状, 影响因素

Abstract: Objective To investigate the sleep disorder and its influencing factors among children and adolescents aged 3-16 years, and to provide the scientific basis for intervening the occurrence and development of children’s sleep disorder. Methods A multi-stage random sampling method was utilized to select school-aged children and adolescents from kindergartens, primary schools, and middle schools in Bengbu City to investigate the sleep disorder and its related factors. The descriptive analysis method was used to analyze the incidence of sleep disorder among children and adolescents, and binary logistic regression analysis model was used to analyze the influencing factors of sleep disorder. Results A total of 6 095 children and adolescents aged 3-16 years in Bengbu City were investigated, among them 1 798 cases （29.50%） were diagnosed with sleep disorder. Binary logistic regression analysis indicated that children and adolescents who slept alone （OR=0.517）, were exposed to snoring from their father and/or mother （OR=1.402）, had a high degree of mobile phone use （OR=2.006）, and suffer from high study pressure （OR=11.257） were more likely to experience sleep disorder. Conclusions The incidence of sleep disorder among children and adolescents aged 3-16 years is high in Bengbu City. Sleeping alone, snoring of father and/or mother, high degree of mobile phone use, and high study pressure are independent risk factors affecting children and adolescents’ sleep disorder. Aiming at the independent risk factors, conscious intervention or alleviation or can reduce and avoid the health risks caused by sleep disorder.

Key words: Children and adolescents, Sleep disorder, Symptom, Influencing factor

中图分类号:

R179

葛鹏, 穆守杰, 李东海, 黄方名, 柳伟, 唐旋, 郭艳. 蚌埠市3~16岁儿童青少年睡眠障碍及影响因素调查[J]. 华南预防医学, 2023, 49(8): 951-955.

GE Peng, MU Shoujie, LI Donghai, HUANG Fangming, LIU Wei, TANG Xuan, GUO Yan. Investigation of sleep disorder and its influencing factors among children and adolescents aged 3-16 years in Bengbu City[J]. South China Journal of Preventive Medicine, 2023, 49(8): 951-955.

参考文献

[1] Smith JP, Hardy ST, Hale LE, et al.Racial disparities and sleep among preschool aged children: A systematic review[J]. Sleep Health,2019,5(1):49-57.
[2] 程进,魏锁,潘淳,等.安徽省池州市学龄前儿童睡眠质量不良情况及其影响因素分析[J].中国公共卫生,2022,38(11):1417-1422.
[3] Trosman I, Ivanenko A.Classification and epidemiology of sleep disorders in children and adolescents[J]. Child Adolesc Psychiatr Clin N Am,2021 ,30(1):47-64.
[4] Baddam SKR, Canapari CA, Van de Grift J, et al. Screening and evaluation of sleep disturbances and sleep disorders in children and adolescents[J]. Child Adolesc Psychiatr Clin N Am,2021,30(1):65-84.
[5] 刘颖,林尧,黄丽红,等.海口市学龄前儿童睡眠障碍影响因素分析[J].中国学校卫生,2020,41(7):1029-1031,1035.
[6] 严双琴,高国朋,顾春丽,等.学龄前儿童哮喘与睡眠障碍对注意缺陷多动障碍症状发生的协同效应[J].中国公共卫生,2021,37(5):824-828.
[7] 慕超,李进,邢亮,等.铜川市3~6岁儿童睡眠障碍发生情况及影响因素调查分析[J].陕西医学杂志,2021,50(6):759-762.
[8] 盛宇杰. 新常态背景下蚌埠市经济增长潜力及发展路径研究[J].商场现代化,2017,46(7):139-140.
[9] Serdar CC, Cihan M, Yücel D, et al.Sample size, power and effect size revisited: Simplified and practical approaches in pre-clinical, clinical and laboratory studies[J]. Biochem Med (Zagreb),2021,31(1):010502.
[10] 李生慧. 全国城市学龄儿童睡眠状况研究[J].中华儿科杂志,2008,46(3):12-13.
[11] 李生慧,金星明,沈晓明,等.儿童睡眠习惯问卷中文版制定及测量性能考核[J].中华儿科杂志,2007,45(3):176-180.
[12] Paruthi S, Brooks LJ, D'Ambrosio C, et al. Recommended amount of sleep for pediatric populations: A consensus statement of the American academy of sleep medicine[J]. J Clin Sleep Med,2016,12(6):785-786.
[13] 谭建新,刘国胜.儿科学[M].北京:科学出版社,2016:157-180.
[14] 卫生部. 学生健康检查技术规范:GB/T 26343—2010[S].北京:中国标准出版社,2011.
[15] 张斌,熊思成,姜永志,等.手机依赖测验中文版在青少年中的信效度检验[J].中国临床心理学杂志,2019,27(4):726-730.
[16] 龙安邦,范蔚,金心红.中小学生学习压力的测度及归因模型构建[J].教育学报,2013,9(1):121-128.
[17] Howarth TP, Gentin N, Chicuellar N,et al.Sleep quality and obstructive sleep Apnoea in indigenous and non-indigenous Australian children[J].Sleep Med ,2022,98:68-78.
[18] 徐小丽,郑淑红,金丽云.温岭市儿童睡眠障碍调查及影响因素分析[J].中国妇幼健康研究,2018,29(7):841-844.
[19] 慕超,李进,邢亮,等.铜川市3~6岁儿童睡眠障碍发生情况及影响因素调查分析[J].陕西医学杂志,2021,50(6):759-762.
[20] Kansagra S.Sleep disorders in adolescents[J]. Pediatrics,2020,145(Suppl 2):S204-S209.
[21] Liu Z, Wang G, Geng L, et al.Sleep patterns, sleep disturbances, and associated factors among Chinese urban kindergarten children[J]. Behav Sleep Med,2016,14(1):100-117.
[22] Asarnow LD, Gasperetti CE, Gumport NB, et al.Internet use and its impact on internalizing disorder symptoms and sleep in adolescents with an evening circadian preference[J]. J Clin Sleep Med,2021,17(10):2019-2027.
[23] Zhang J, Zhang X, Zhang K, et al.An updated of meta-analysis on the relationship between mobile phone addiction and sleep disorder[J]. J Affect Disord,2022,305(5):94-101.
[24] 黄玉婵,李青春,吴峰.12岁以下近视眼儿童的生活习惯及家属双眼保健知识掌握程度调查[J].中国妇幼保健,2018,33(12):2783-2786.
[25] 黄思艳,秦岭,刘海润,等.睡眠与儿童青少年语言发展[J].中华行为医学与脑科学杂志,2021,30(5):476-480.
[26] 李生慧. 将睡眠纳入儿童青少年发育与健康评价体系[J].中国学校卫生, 2021, 42(6):805-809.
[27] Horenstein A, Morrison AS, Goldin P, et al.Sleep quality and treatment of social anxiety disorder[J]. Anxiety Stress Coping,2019,32(4):387-398
[28] 李颖,石虹.初中生睡眠质量对其心理健康状况的影响研究[J].心理月刊,2022,17(7):33-35.