母亲童年期不良经历与学龄前儿童睡眠质量的关联

汪小燕; 殷刚柱; 邵子瑜; 郭锋; 胡海利; 蒋志成; 李书琴; 李若瑜; 万宇辉

doi:10.16462/j.cnki.zhjbkz.2021.05.018

母亲童年期不良经历与学龄前儿童睡眠质量的关联

doi: 10.16462/j.cnki.zhjbkz.2021.05.018

1.
230001 合肥，合肥市妇幼保健计划生育服务中心
2.
230032 合肥，安徽医科大学公共卫生学院儿少卫生与妇幼保健学系，人口健康与优生安徽省重点实验室

基金项目:

国家自然科学基金 81773453

国家自然科学基金 82073576

合肥市卫健委2020年新冠肺炎疫情防控科研课题 Hwk2020yb009

详细信息

通讯作者:
万宇辉，E-mail: wyhayd@163.com

中图分类号: R179
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- 文章访问数: 456
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- 被引次数: 0
出版历程
- 收稿日期: 2020-12-07
- 修回日期: 2021-02-01
- 网络出版日期: 2021-06-16
- 刊出日期: 2021-05-10

The role of maternal adverse childhood experiences on the sleep quality of preschool children

1.
Maternal and Child Health and Family Planning Service Center of Hefei City, Hefei 230001, China
2.
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei 230032, China

Funds:

National Natural Science Foundation of China 81773453

National Natural Science Foundation of China 82073576

Novel Coronavirus Pneumonia Epidemic Prevention and Control Research Project in 2020 of the Health Committee of Hefei Province Hwk2020yb009

More Information

Corresponding author: WAN Yu-hui, E-mail: wyhayd@163.com

摘要

摘要: 目的分析母亲童年期不良经历(adverse childhood experiences, ACEs)与学龄前儿童睡眠质量之间的关联。方法采用分层整群抽样方法，选取合肥市4个主城区、3个开发区、3个县和1个地级市7 318名学龄前儿童，使用ACEs问卷和儿童睡眠评估问卷等进行调查，建立多因素Logistic回归分析模型分析母亲ACEs与学龄前儿童睡眠质量的关联。结果学龄前儿童睡眠质量不良检出率为34.31%。调整胎次、父母文化水平、父母职业和家庭结构等混杂因素，母亲有ACEs组学龄前儿童睡眠质量不良的检出率高于母亲无ACEs组，OR(95% CI)值为1.62(1.45~1.81) (P＜0.05)。母亲ACEs与学龄前男童、女童睡眠质量不良的风险增加相关，男童OR(95%CI)值为1.66(1.42~1.93)，女童OR(95% CI)值为1.58(1.35~1.86)(均有P＜0.05)。结论母亲ACEs暴露与学龄前儿童睡眠质量不良相关，促进学龄前儿童睡眠健康需要关注母亲ACEs的代际效应。
- 童年期不良经历 /
- 学龄前儿童 /
- 睡眠
Abstract: Objective To analyze the correlation between maternal adverse childhood experiences (ACEs) and sleep quality of preschool children. Methods Using stratified cluster sampling, 7 318 preschool children were selected from 4 main urban areas, 3 development zones, 3 counties and 1 prefecture-level City of Hefei. Investigation was carried out using the ACEs Questionnaire and the Children's Sleep Assessment Questionnaire. A multivariate logistic regression model was established to analyze the correlation between maternal ACEs and the sleep quality of preschool children. Results The detection rate of poor sleep quality in preschool children was 34.31%. After adjusting the parity, parents' educational level, parents' occupation and family structure, the detection rate of poor sleep quality of preschool children in the maternal ACEs group was higher than that in the non-maternal ACEs group, [OR(95% CI) = 1.62 (1.45-1.81), P < 0.05]. Maternal ACEs were correlated with increased risk of poor sleep quality in preschool boys and girls [boys: OR(95% CI)=1.66(1.42-1.93); girls: OR(95% CI)= 1.58(1.35-1.86); all P < 0.05]. Conclusions Maternal ACEs are correlated with poor sleep quality of preschool children. Therefore, to promote sleep health of preschool children, we need to pay attention to the intergenerational effect of maternal ACEs.
- Adverse childhood experiences /
- Preschool children /
- Sleep

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表 1 不同组别学龄前儿童睡眠问题人数检出情况比较[n(%)]

Table 1. Comparison in detection rate of sleep problems among preschool children between different groups [n(%)]

组别	总人数	异常人数(%)	χ²值	P值
性别			0.115	0.735
男	3 929	1 355(34.49)
女	3 389	1 156(34.11)
胎次			45.183	＜0.001
1胎	5 394	1 971(36.54)
其他	1 924	540(28.07)
分娩方式			3.378	0.066
顺产	3 817	1 347(35.29)
其他	3 501	1 164(33.25)
早产			0.007	0.934
否	7 027	2 416(34.30)
是	275	95(34.55)
低出生体重			0.053	0.818
否	7 131	2 453(34.29)
是	165	58(35.15)
年龄(岁)			1.236	0.744
3~＜4	1 461	513(35.11)
4~＜5	2 370	815(34.39)
5~＜6	2 364	792(33.50)
≥6	1 123	391(34.82)
父亲文化水平			6.583	0.010
高中及以下	2 552	826(32.37)
专科及以上	4 766	1 685(35.35)
母亲文化水平			18.779	< 0.001
高中及以下	2 743	856(31.21)
专科及以上	4 575	1 655(36.17)
父亲职业			6.994	0.030
公务员/企事业单位	1 725	624(36.17)
外企/私企	2 883	1 006(34.89)
其他	2 710	881(32.51)
母亲职业			20.300	< 0.001
公务员/企事业单位	1 450	548(37.79)
外企/私企	2 217	799(36.04)
其他	3 651	1 164(31.88)
家庭收入(元)			0.023	0.879
＜6 000	2 999	1 026(34.21)
≥6 000	4 319	1 485(34.38)
家庭结构			29.853	< 0.001
大家庭	3 033	1 150(37.92)
核心家庭	4 145	1 316(31.75)
其他	140	45(32.14)
4个月内喂养方式			2.822	0.244
母乳	4 735	1 593(33.64)
奶粉	913	329(36.04)
混合	1 670	589(35.27)

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表 2 q母亲不同形式ACEs与子代睡眠问题关联的Logistic回归分析模型

Table 2. Logistic regression analysis model of correlation between different forms of maternal ACEs and sleep problems in offspring

变量	总人数	异常人数[n(%)]	模型1^a			模型2^b
变量	总人数	异常人数[n(%)]	OR值	(95% CI)值	P值	OR值	(95% CI)值	P值
情感忽视
无	5 735	1 910(33.30)	1.00			1.00
有	1 583	601(37.97)	1.23	1.09~1.38	0.001	1.26	1.12~1.42	＜0.001
躯体忽视
无	5 011	1 629(32.51)	1.00			1.00
有	2 307	882(38.23)	1.29	1.16~1.42	＜0.001	1.30	1.17~1.44	＜0.001
情感虐待
无	5 268	1 634(31.02)	1.00			1.00
有	2 050	877(42.78)	1.66	1.50~1.85	＜0.001	1.65	1.49~1.84	＜0.001
躯体虐待
无	5 327	1 696(31.84)	1.00			1.00
有	1 991	815(40.93)	1.48	1.33~1.65	＜0.001	1.49	1.34~1.65	＜0.001
社区暴力
无	6 027	1 979(32.84)	1.00			1.00
有	1 291	532(41.21)	1.43	1.27~1.62	＜0.001	1.43	1.26~1.61	＜0.001
同伴欺凌
无	6 343	2 080(32.79)	1.00			1.00
有	975	431(44.21)	1.62	1.42~1.86	＜0.001	1.63	1.42~1.87	＜0.001
家庭功能不全
无	5 350	1 706(31.89)	1.00			1.00
有	1 968	805(40.90)	1.48	1.33~1.65	＜0.001	1.46	1.32~1.63	＜0.001
ACEs
无	2 219	604(27.22)				1.00
有	5 099	1 907(37.40)	1.60	1.43~1.78	＜0.001	1.62	1.45~1.81	＜0.001
注: ^a单因素分析；^b控制胎次、父母文化水平、父母职业、家庭结构。

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表 3 母亲不同形式ACEs与男女童睡眠问题关联

Table 3. Correlation between different forms of maternal ACEs and sleep problems in boys and girls

变量	男童^a			女童^a
变量	总人数	异常人数[n(%)]	OR(95% CI)值	总人数	异常人数[n(%)]	OR(95% CI)值
情感忽视
无	3 067	1 021(33.29)	1.00	2 668	889(33.32)	1.00
有	862	334(38.75)	1.30(1.11~1.52)^b	721	267(37.03)	1.22(1.02~1.45)^b
躯体忽视
无	2 698	884(32.77)	1.00	2 313	745(32.21)	1.00
有	1 231	471(38.26)	1.28(1.11~1.48)^b	1 076	411(38.20)	1.32(1.13~1.53)^b
情感虐待
无	2 795	877(31.38)	1.00	2 473	757(30.61)	1.00
有	1 134	478(42.15)	1.58(1.37~1.83)^b	916	399(43.56)	1.75(1.50~2.05)^b
躯体虐待
无	2 796	897(32.08)	1.00	2 531	799(31.57)	1.00
有	1 133	458(40.42)	1.44(1.25~1.66)^b	858	357(41.61)	1.54(1.31~1.80)^b
社区暴力
无	3 230	1 062(32.88)	1.00	2 797	917(32.79)	1.00
有	699	293(41.92)	1.47(1.24~1.74)^b	592	239(40.37)	1.37(1.14~1.65)^b
同伴欺凌
无	3 402	1 130(33.22)	1.00	2 941	950(32.30)	1.00
有	527	225(42.69)	1.50(1.25~1.81)^b	448	206(45.98)	1.80(1.47~2.21)^b
家庭功能不全
无	2 849	922(32.36)	1.00	2 501	784(31.35)	1.00
有	1 080	433(40.09)	1.38(1.20~1.60)^b	888	372(41.89)	1.57 1.34~1.84)^b
ACEs
无	1 174	316(26.92)	1.00	1 045	288(27.56)	1.00
有	2755	1 039(37.71)	1.66(1.42~1.93)^b	2 344	868(37.03)	1.58(1.35~1.86)^b
注: ^a控制胎次、父母文化水平、父母职业、家庭结构；^b表示p < 0.05。

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组别	总人数	异常人数(%)	χ²值	P值
性别			0.115	0.735
男	3 929	1 355(34.49)
女	3 389	1 156(34.11)
胎次			45.183	＜0.001
1胎	5 394	1 971(36.54)
其他	1 924	540(28.07)
分娩方式			3.378	0.066
顺产	3 817	1 347(35.29)
其他	3 501	1 164(33.25)
早产			0.007	0.934
否	7 027	2 416(34.30)
是	275	95(34.55)
低出生体重			0.053	0.818
否	7 131	2 453(34.29)
是	165	58(35.15)
年龄(岁)			1.236	0.744
3~＜4	1 461	513(35.11)
4~＜5	2 370	815(34.39)
5~＜6	2 364	792(33.50)
≥6	1 123	391(34.82)
父亲文化水平			6.583	0.010
高中及以下	2 552	826(32.37)
专科及以上	4 766	1 685(35.35)
母亲文化水平			18.779	< 0.001
高中及以下	2 743	856(31.21)
专科及以上	4 575	1 655(36.17)
父亲职业			6.994	0.030
公务员/企事业单位	1 725	624(36.17)
外企/私企	2 883	1 006(34.89)
其他	2 710	881(32.51)
母亲职业			20.300	< 0.001
公务员/企事业单位	1 450	548(37.79)
外企/私企	2 217	799(36.04)
其他	3 651	1 164(31.88)
家庭收入(元)			0.023	0.879
＜6 000	2 999	1 026(34.21)
≥6 000	4 319	1 485(34.38)
家庭结构			29.853	< 0.001
大家庭	3 033	1 150(37.92)
核心家庭	4 145	1 316(31.75)
其他	140	45(32.14)
4个月内喂养方式			2.822	0.244
母乳	4 735	1 593(33.64)
奶粉	913	329(36.04)
混合	1 670	589(35.27)

表(3)

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母亲童年期不良经历与学龄前儿童睡眠质量的关联

doi: 10.16462/j.cnki.zhjbkz.2021.05.018

通讯作者:
万宇辉，E-mail: wyhayd@163.com

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The role of maternal adverse childhood experiences on the sleep quality of preschool children

Corresponding author: WAN Yu-hui, E-mail: wyhayd@163.com

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留言板

母亲童年期不良经历与学龄前儿童睡眠质量的关联

doi: 10.16462/j.cnki.zhjbkz.2021.05.018

通讯作者: 万宇辉，E-mail: wyhayd@163.com

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The role of maternal adverse childhood experiences on the sleep quality of preschool children

Corresponding author: WAN Yu-hui, E-mail: wyhayd@163.com

计量

出版历程

目录

通讯作者:
万宇辉，E-mail: wyhayd@163.com