父母社会经济地位与儿童睡眠:系统回顾和荟萃分析

Sleep epidemiology Pub Date : 2022-12-01 DOI:10.1016/j.sleepe.2022.100047

Emily E. Cameron , Dana Watts , Katherine Silang , Ashley Dhillon , Pooja R. Sohal , Anna L. MacKinnon , Leslie E. Roos , Lianne M. Tomfohr-Madsen

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引用次数: 0

摘要

父母的社会经济地位(SES)越来越被认为是睡眠健康的一个关键因素，但对儿童的研究尚未得到综合。目的探讨儿童SES指标与儿童睡眠(≤18岁)之间的关系，进行系统回顾和meta分析。使用定义SES和childhood的术语搜索cinahl全文、PsycINFO、MEDLINE/PubMed和Embase，以确定从数据库建立到2019年12月27日所有相关的同行评审文章。研究选择如果父母的社会经济地位指标与儿童睡眠(持续时间、质量和问题)测量之间存在关联，则纳入研究。数据提取数据提取自46项研究(N = 72,915)。在这些研究中，纳入meta估计的参与者的总样本量为N = 69,373。结果数据来自46项研究(N = 72,915)。在这些研究中，纳入meta估计的参与者的总样本量为N = 69,373。父母教育程度越高，儿童睡眠时间越长(白人儿童比例越高)(OR = 1.302, 95% CI [1.111, 1.526]， p = .001)，睡眠质量越好(OR = 1.332, 95% CI [1.014, 1.751]， p = .040)。父母教育与儿童睡眠问题无直接关系(OR = 1.191, 95% CI [0.733, 1.935]， p = .479);调节发生在各大洲，在亚洲元估计中关系更为明显。较高的家庭收入与较长的儿童睡眠时间没有直接关系(OR = 0.570, 95% CI [0.167, 1.943]， p = 0.369)，但高质量的研究和样本中白人儿童的比例出现了调节。较高的家庭收入与较少的睡眠问题相关(受大洲影响)(OR = 0.764 (95% CI [0.689, 0.848]， p <.001)和更高的睡眠质量(OR = 1.558, 95% CI [1.036, 2.342]， p = 0.033)。本综述受到符合纳入标准的已发表研究的数量和方法的限制。结论强调改善社会经济地位较低家庭的儿童和青少年睡眠的预防项目是必要的。

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Parental socioeconomic status and childhood sleep: A systematic review and meta-analysis

Context

Parental socioeconomic status (SES) is increasingly understood to be a key contributor to sleep health, but the research in childhood has not been synthesized.

Objective

To examine the associations between indicators of child SES and child sleep (≤18 years old), we conducted a systematic review and meta-analyses.

Data sources

CINAHL with Full Text, PsycINFO, MEDLINE/PubMed, and Embase were searched using terms to define SES and childhood to ascertain all relevant, peer-reviewed articles from database inception to 27 December 2019.

Study selection

Studies were included if an association between an indicator of parental SES and a measure of child sleep (duration, quality, and problems) was reported.

Data extraction

Data was extracted from 46 studies (N = 72,915). Across these studies, total sample size across participants included in the meta-estimate was N = 69,373.

Results

Data was extracted from 46 studies (N = 72,915). Across these studies, total sample size across participants included in the meta-estimate was N = 69,373. Higher parental education was associated with longer childhood sleep duration (stronger in samples with a higher proportion of White children) (OR = 1.302, 95% CI [1.111, 1.526], p = .001) and better sleep quality (OR = 1.332, 95% CI [1.014, 1.751], p = .040). Parental education was not directly associated with child sleep problems (OR = 1.191, 95% CI [0.733, 1.935], p = .479); moderation occurred by continent and the relationship was more pronounced in the Asian meta-estimate. Higher household income was not directly associated with longer childhood sleep duration (OR = 0.570, 95% CI [0.167, 1.943], p = 0.369), but moderation occurred by higher quality studies and the proportion of White children in the sample. Higher household income was associated with fewer sleep problems (moderated by continent) (OR = 0.764 (95% CI [0.689, 0.848], p < .001) and higher sleep quality (OR = 1.558, 95% CI [1.036, 2.342], p = .033).