Cardiovascular Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Sci Rep. 2022 Oct 29;12(1):18221. doi: 10.1038/s41598-022-22618-x.
The number of single-child families has been increasing across developing countries during the last decades. We aimed to examine the association between being a single child (SC) and subjective health complaints (SHCs) in Iranian children and adolescents. This study was conducted as a part of the fifth survey of a national surveillance program entitled Childhood and Adolescence Surveillance and Prevention of Adult Non-communicable disease (CASPIAN-V). This national survey included a total of 14,400 students 7-18 years and their parents from rural and urban areas in 30 provinces of Iran. Data on demographic characteristics, lifestyle variables, and SHCs were measured using the questionnaire of the World Health Organization on Global School-based Health Survey (WHO-GSHS). Multivariate logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (95%CI) for the association of being an SC with SHCs. Data on 14,151 participants were available for this study, of whom 7.7% (1092) were SCs. The most frequent SHCs were irritability (37.1%, 95%CI: 36.3-37.9%), feeling nervous 32.5%, 95% CI: (31.7-33.3%), and headache 24.3%, 95%CI: (23.6-25.0% ). In the multivariate model, being an SC significantly increased the odds of dizziness [adjusted OR (95% CI): 1.37(1.08-1.72)] and backache complaint [1.22(1.01-1.47)]. The association of being an SC with other SHCs (feeling low, irritability, feeling nervous, difficulty in getting to sleep, headache, stomachache) was not statistically significant (p value > 0.05). Our results suggest that being an SC may be associated with higher odds of dizziness and backache complaints.
在过去几十年中，发展中国家的独生子女家庭数量一直在增加。我们旨在研究伊朗儿童和青少年中作为独生子女（SC）与主观健康抱怨（SHCs）之间的关联。这项研究是作为一项名为儿童和青少年监测和预防成人非传染性疾病（CASPIAN-V）的国家监测计划的第五次调查的一部分进行的。这项全国性调查共包括来自伊朗 30 个省份的农村和城市地区的 14400 名 7-18 岁的学生及其父母。使用世界卫生组织全球学校健康调查（WHO-GSHS）问卷测量人口统计学特征、生活方式变量和 SHCs 数据。使用多变量逻辑回归模型估计与作为 SC 相关的 SHCs 的比值比（OR）和 95%置信区间（95%CI）。这项研究共纳入了 14151 名参与者的数据，其中 7.7%（1092 人）为 SC。最常见的 SHCs 是易怒（37.1%，95%CI：36.3-37.9%），紧张感 32.5%，95%CI：（31.7-33.3%）和头痛 24.3%，95%CI：（23.6-25.0%）。在多变量模型中，作为 SC 会显著增加头晕的几率[调整后的 OR（95%CI）：1.37（1.08-1.72）]和背痛投诉[1.22（1.01-1.47）]。作为 SC 与其他 SHCs（感觉低落、易怒、紧张、入睡困难、头痛、胃痛）之间的关联没有统计学意义（p 值>0.05）。我们的结果表明，作为 SC 可能与头晕和背痛投诉的几率增加有关。
