Association between parenting behaviors and sleep problems in preschool children/
Objective To analyze the relationship between parenting behaviors and sleep problems of preschool children,so as to provide a strategic decision support for child growth and parenting behavior improvement.Methods Using the questionnaire data of 27 200 preschool children parents selected from 11 cities in Hubei,Anhui and Jiangsu provinces in October 2017,parents'par-enting behavior was assessed by Parent Behavior Inventory(PBI),and children's sleep problems were assessed by Children's Sleep Habits Questionnaire(CSHQ).Data were analyzed using descriptive statistics and Logistic regression models.Results The repor-ting rate of sleep problems among preschool children was 15.3％.After adjusting for confounding factors,maternal hostile/coercive parenting behavior scores(medium level:OR=1.38;high level:OR=1.86)and paternal hostile/coercive parenting behavior scores(medium level:OR=1.17;high level:OR=1.59)were positively correlated with sleep problems(P＜0.05).Hostile/coercive par-enting behaviors by their parents(maternal high level:the OR values were 1.75,2.97,1.86,and 2.75 respectively;paternal high level:OR values were l.79,1.91,1.69,and 1.79 respectively)were positively associated with sleep problems in preschool chil-dren aged 3,4,5,and 6.Scores of parental support/engaged(fathers of 4-year-old children medium level:OR=0.84;fathers of 5-year-old children medium and high level:OR=0.84,0.82)were negatively correlated with children aged 4 and 5(P＜0.05).High level maternal supportive/engaged and paternal hostile/coercive scores were positively associated with child sleep problems(OR=1.93);high level maternal hostile/coercive and paternal supportive/engaged scores were positively associated with child sleep problems(OR=1.93);high scores of parental hostile/coercive were positively correlated with child sleep problems(OR=2.60)(P＜0.05).Conclusion Sleep problems among children are related to parenting behaviors,especially hostile/coercive parenting behaviors that increases the risk of sleep problems among children.
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