Rona R J, Li L, Gulliford M C, Chinn S
Division of Public Health Sciences, UMDS, St Thomas' Hospital, London.
Arch Dis Child. 1998 Jan;78(1):20-5. doi: 10.1136/adc.78.1.20.
To assess the prevalence of sleep disturbance and associated risk factors, sleep patterns were analysed in 14,372 English and Scottish children. Approximately 4% of children aged 5 experienced disturbed sleep more than once a week, but this decreased to 1% from age 9. Less than 25% of the parents with an affected child consulted a doctor. Sleep disturbance was associated with persistent wheezing compared to non-wheezing children (odds ratio 4.42; 95% confidence interval (CI) 3.17 to 6.13), and more frequent in children of Indian subcontinent descent than in white children (odds ratio 2.20; 95% CI 1.34 to 3.60), and in children whose mother reached no more than primary education compared with those with higher education (odds ratio 2.41; 95% CI 1.51 to 3.84). Sociocultural factors associated with ethnicity and respiratory illness are important risk factors for sleeping disorders in childhood.
为评估睡眠障碍的患病率及相关危险因素,对14372名英格兰和苏格兰儿童的睡眠模式进行了分析。约4%的5岁儿童每周出现不止一次睡眠障碍,但9岁时这一比例降至1%。受影响儿童的家长中,不到25%咨询过医生。与无喘息儿童相比,睡眠障碍与持续性喘息相关(比值比4.42;95%置信区间(CI)3.17至6.13),印度次大陆裔儿童比白人儿童更频繁出现睡眠障碍(比值比2.20;95%CI 1.34至3.60),母亲学历不超过小学的儿童比学历较高的儿童更频繁出现睡眠障碍(比值比2.41;95%CI 1.51至3.84)。与种族和呼吸系统疾病相关的社会文化因素是儿童睡眠障碍的重要危险因素。