| 浙江省3~6岁儿童睡眠时间及影响因素分析 |
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| 引用本文： | 张俊飞,陈谦.浙江省3~6岁儿童睡眠时间及影响因素分析[J].中国学校卫生,2021,42(2):269-272. |
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| 作者姓名： | 张俊飞 陈谦 |
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| 作者单位： | 1.安徽省宿州市第二中学, 234000 |
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| 基金项目： | 浙江省公益技术应用研究计划项目2017C3076 |
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| 摘 要： | 目的 了解浙江省3~6岁儿童睡眠时间现状及影响因素, 为制定儿童睡眠干预措施提供依据。 方法 2019年3—4月采用分层整群抽样方法, 选取浙江省24所幼儿园的7 034名3~6岁儿童为调查对象, 通过对家长发放问卷, 调查儿童的睡眠时间, 采用Logistic回归模型分析睡眠不足的影响因素。 结果 浙江省3~6岁儿童睡眠不足率为56.1%, 男童为57.1%, 女童为55.1%; 睡眠不足率随年龄增加而增加, 3, 3.5, 4, 4.5, 5, 5.5, 6岁分别为46.7%, 49.8%, 50.2%, 55.2%, 64.0%, 65.8%, 68.1%, 差异有统计学意义(χ2=45.17, P<0.01); 每日户外活动时间＜1 h者睡眠不足报告率为59.9%、1~2 h为54.7%、＞2 h为45.6%, 差异有统计学意义(χ2=67.10, P<0.01)。多因素Logistic回归模型显示, 年龄4, 5, 5.5, 6岁, 看护人为其他, 每日户外活动时间＜1 h, 1~2 h, 母亲文化程度为初中及以下、高中/中专与儿童睡眠不足呈正相关。 结论 年龄增加、户外活动不足、屏幕时间过多、非父母看护、母亲文化程度低等是导致幼儿睡眠不足的主要因素。建议增加幼儿户外活动, 尤其关注非父母看护下幼儿的户外活动时间。
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| 关 键 词： | 睡眠 时间 回归分析 儿童 |
| 收稿时间： | 2020-09-21 |
Sleep duration and associated factors among 3-6-year-old children in Zhejiang Province |
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| Affiliation: | 1.Second Middle School, Suzhou(234000), Anhui Province, China |
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| Abstract: | Objective To explore sleep duration and associated factors among children aged 3-6 years old in Zhejiang Province. Methods A total of 7 034 children aged 3-6 years from 24 kindergartens in Zhejiang province were selected through clustered sampling method. Through parental questionnaire, child sleep duration and associated factors were colleted. Possible influencing factors of sleep insufficiency were analyzed by logistic regression model. Results The rate of insufficient sleep was 56.1%, with 57.1% for boys and 55.1% for girls in Zhejiang Province. The rate of insufficient sleep increased with the increase of age, which was 46.7%, 49.8%, 50.2%, 55.2%, 64.0%, 65.8% and 68.1% for 3.0, 3.5, 4.0, 4.5, 5.0, 5.5 and 6.0 years old group (χ2=45.71, P<0.01), respectively. The rate of insufficient sleep was 59.9%, 54.7% and 45.6% for children with <1 h/d, 1-2 h/d and ≥2 h/d outdoor physical activity (χ2=67.10, P<0.01). Multivariate Logistic regression model showed that children older than 4.5 years old, whose caregiver was other than parents, outdoor activity time< 1 h/d and 1-2 h/d, maternal education below junior middle school and senior high school were positiviely associated with sleep insufficiency. Conclusion Sleep insufficiency among preschool children is associated with multiple factors, increase of age, insufficient outdoor activity and overdose screen time in particular. The finding calls for outdoor physical activity promotion among preschool children, especially for those whose caregivers are those other than parents. |
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