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北京市两区婴幼儿同床睡现状及其对睡眠结局的影响

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目的 分析北京市两区婴幼儿同床睡现状和影响因素及其对睡眠结局的影响.方法 采用整群抽样方法,选取2021年6月1日至8月31日北京市两区共8个社区卫生服务中心,随机抽取1 302名常住婴幼儿,通过面对面调查的方式,由婴幼儿养育人填写简明婴幼儿睡眠问卷(brief infant sleep questionnaires,BISQ)和自制的基本情况调查表,了解婴幼儿睡床方式和睡眠模式等.采用多因素非条件logistic回归方程分析婴幼儿同床睡的影响因素,应用多重线性回归分析同床睡对婴幼儿睡眠结局的影响.结果 1 302名婴儿中男646名、女656名,月龄0~35月,平均(10.1±9.6)月.婴幼儿与父母同床睡比例为61.0%、同房睡36.2%,独立睡2.8%.多因素回归分析结果显示,月龄越大(OR=1.466,95%CI:1.265~1.699)、父亲文化程度越低(OR=1.721,95%CI:1.556~1.936)和家庭月收入越低(OR=1.806,95%CI:1.664~1.979)的婴幼儿同床睡比例越高(P<0.05).多重线性回归分析结果显示,矫正混杂因素后,同床睡婴幼儿的夜间睡眠时间较短、就寝时间较晚(P<0.05).结论 同床睡是北京市两区婴幼儿常见的睡床方式,与婴幼儿月龄、父亲文化程度和家庭收入等因素有关,对婴幼儿睡眠结局有一定影响.儿童保健工作中应加强对婴幼儿睡眠养育照护的科普宣传和健康指导.
Current situation of infants'and toddlers'bed-sharing and its influence on sleep outcome in two districts of Beijing
Objective To analyze the current situation and influencing factors of infants'and toddlers'bed-sharing and its influence on sleep outcome in two districts of Beijing.Methods A total of 1 302 resident infants were randomly selected from eight community health service centers in two districts of Beijing from June 1st to August 31th 2021 by the cluster sampling method.The caregivers of respondents filled in the brief infants sleep questionaires(BISQ)and the self-made basic situation questionnaire to understand the bed arrengment and sleep mode of infants and toddlers through face-to-face investigation.Multivariate unconditional logistic regression equation was used to analyze the influencing factors of bed sharing,and multiple linear regression was used to analyze the influence of bed-sharing on sleep outcomes.Results There were 646 males and 656 females among 1 302 infants and toddlers,aged from 0 to 35 months,with an average age of(10.1±9.6)months.The proportion of infants'and toddlers'bed-sharing with their parents was 61.0%,the room-sharing was 36.2%,and the solitary sleep was 2.8%.Multivariate logistic regression analysis results showed that infants and toddlers with older age(OR=1.466,95%CI:1.265-1.699),lower fathers'educational level(OR=1.721,95%CI:1.556-1.936)and lower monthly household income(OR=1.806,95%CI:1.664-1.979)were more likely to have the higher percentage of bed-sharing(P<0.05).Multiple linear regression analysis results showed that bed-sharing infants and toddlers had shorter sleep time at night and later bedtime after correcting the confouding factors.Conclusions Bed-sharing is common for infants in two districts of Beijing,which is related to their age,father's literacy and family's income,and has a certain impact on children's sleep outcome.Popularization of science and health guidance on sleep parenting care should be strengthened in children's health care.

bed-sharingsleep timemultiple linear regressioninfant

张丽晋、王丹、王奇娟、李一辰

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100026 首都医科大学附属北京妇产医院北京妇幼保健院儿童保健科

北京市东城区妇幼保健计划生育服务中心儿童保健科

北京市大兴区妇幼保健院儿童保健科

同床睡 睡眠时间 多重线性回归 婴儿

2024

北京医学
中华医学会北京分会

北京医学

CSTPCD
影响因子:0.714
ISSN:0253-9713
年,卷(期):2024.46(11)