京津冀地区3～6岁学龄前儿童睡眠与情绪行为的关联分析

目的 了解京津冀地区3～6岁学龄前儿童睡眠状况及其与情绪行为之间存在的关联。方法 2019年4—6月,在京津冀地区以班级为单位,采用分层整群抽样的方法,对本区域3 623名学前儿童进行睡眠状况及情绪行为的问卷调查。结果 京津冀地区3～6岁学龄前儿童情绪行为困难检出率为10.93%,情绪行为困难异常男生比例(12.84%)显著高于女生(8.73%),差异有统计学意义(=15.57,P<0.001)。存在1种及以上睡眠障碍的比例为45.27%。回归分析显示,男生异态睡眠(OR=1.92,95%CI:1.07～3.21)对情绪行为问题的发生呈现正相关关系,睡眠情况的自己睡觉(OR=0.61,95%CI:0.35～0.96)与情绪行为问题的发生存在负相关关联; 女生异态睡眠(OR=2.52,95%CI:1.24～4.36)和睡眠不安(OR=4.96,95%CI:1.26～19.03)对情绪行为问题的发生呈现正相关关系,睡眠充足(OR=0.51,95%CI:0.26～0.79)与情绪行为问题的发生存在负相关关联。结论 京津冀地区学龄前儿童情绪行为问题和睡眠障碍检出率较高,且睡眠与情绪行为问题存在密切关联并具有性别差异。

Correlation analysis of sleep and emotional behavior among preschoolers aged 3-6 years in Beijing-Tianjin-Hebei region

Objective To investigate the sleep status and its relationship with emotional behavior of preschoolers aged 3-6 years in Beijing-Tianjin-Hebei region. Methods From April to June 2019, 3 623 pre-school children in Beijing, Tianjin and Hebei region were surveyed by stratified cluster sampling. Results The detection rate of emotional behavior difficulties in preschool children aged 3-6 years in Beijing-Tianjin-Hebei region was 10.93%, and the proportion of abnormal emotional behavior difficulties in boys(12.84%)was significantly higher than that in girls(8.73%), with statistical significance(=15.57, P<0.001). The proportion of having one or more kinds of sleep disorder was 45.27%. Regression analysis showed that abnormal sleep(OR=1.92, 95%CI: 1.07-3.21)had a positive correlation with the occurrence of emotional behavior problems in boys, and sleep by oneself(OR=0.61, 95%CI: 0.35-0.96)was negatively correlated with the occurrence of emotional behavior problems. Abnormal sleep(OR=2.52, 95%CI: 1.24-4.36)and sleep disturbance(OR=4.96, 95%CI: 1.26-19.03)were positively correlated with the occurrence of emotional behavior problems in girls, and adequate sleep(OR=0.51, 95%CI: 0.26-0.79)was negatively correlated with the occurrence of emotional behavior problems. Conclusion The detection rate of emotional behavior problems and sleep disorders in preschool children in Beijing-Tianjin-Hebei region is high, and sleep and emotional behavior problems are closely related with gender differences.