Dunietz Galit Levi, Matos-Moreno Amilcar, Singer Dianne C, Davis Matthew M, O'Brien Louise M, Chervin Ronald D
Department of Neurology and Sleep Disorders Center, University of Michigan, Ann Arbor, Michigan.
Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Michigan.
J Clin Sleep Med. 2017 Jul 15;13(7):889-897. doi: 10.5664/jcsm.6660.
To investigate parental knowledge about adolescent sleep needs, and other beliefs that may inform their support for or objection to later school start times.
In 2014, we conducted a cross-sectional, Internet-based survey of a nationally representative sample of parents as part of the C.S. Mott Children's Hospital National Poll on Children's Health. Parents with teens aged 13-17 years reported their children's sleep patterns and school schedules, and whether the parents supported later school start times (8:30 am or later). Responses associated with parental support of later school start times were examined with logistic regression analysis.
Overall, 88% of parents reported school start times before 8:30 am, and served as the analysis sample (n = 554). In this group, 51% expressed support for later school start times. Support was associated with current school start times before 7:30 am (odds ratio [OR] = 3.1 [95% confidence interval (CI) 1.2, 8.4]); parental opinion that their teen's current school start time was "too early" (OR = 3.8 [1.8, 7.8]); and agreement with American Academy of Pediatrics recommendations about school start times (OR = 4.7 [2.2, 10.1]). Support also was associated with anticipation of improved school performance (OR = 3.0 [1.5, 5.9]) or increased sleep duration (OR = 4.0 [1.8, 8.9]) with later school start times. Conversely, parents who anticipated too little time for after-school activities (OR = 0.5 [0.3, 0.9]) and need for different transportation plans (OR = 0.5 [0.2, 0.9]) were often less supportive.
Parental education about healthy sleep needs and anticipated health benefits may increase their support for later school start times. Educational efforts should also publicize the positive experiences of communities that have made this transition, with regard to limited adverse effect on after-school activity schedules and transportation.
调查父母对青少年睡眠需求的了解,以及其他可能影响他们支持或反对推迟上学时间的观念。
2014年,作为C.S. 莫特儿童医院全国儿童健康民意调查的一部分,我们对全国具有代表性的父母样本进行了一项基于互联网的横断面调查。有13至17岁青少年的父母报告了他们孩子的睡眠模式和学校日程安排,以及父母是否支持推迟上学时间(上午8:30或更晚)。通过逻辑回归分析研究与父母支持推迟上学时间相关的回答。
总体而言,88%的父母报告上学时间在上午8:30之前,以此作为分析样本(n = 554)。在这个群体中,51%的人表示支持推迟上学时间。支持与当前上学时间在上午7:30之前相关(优势比[OR] = 3.1 [95%置信区间(CI) 1.2, 8.4]);父母认为他们孩子当前的上学时间“太早”(OR = 3.8 [1.8, 7.8]);以及同意美国儿科学会关于上学时间的建议(OR = 4.7 [2.2, 10.1])。支持还与预期上学表现改善(OR = 3.0 [1.5, 5.9])或推迟上学时间后睡眠时间增加(OR = 4.0 [1.8, 8.9])相关。相反,预计课后活动时间太少(OR = 0.5 [0.3, 0.9])和需要不同交通计划(OR = 0.5 [0.2, 0.9])的父母通常支持度较低。
对父母进行关于健康睡眠需求和预期健康益处的教育可能会增加他们对推迟上学时间的支持。教育工作还应宣传那些已经进行这种转变的社区的积极经验,即对课后活动日程和交通的不利影响有限。