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Association of sleep duration with socio-economic status and behavioural problems among schoolchildren
Ayse Rodopman Arman1, Pinar Ay, Nese Perdahli Fis
1Department of Child and Adolescent Psychiatry, Marmara University Hospital, Istanbul, Turkey. aarman@marmara.edu.tr
Insights
Schoolchildren
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Public Health
Background:
- Total sleep duration (TSD) is crucial for children's health and development.
- Socio-economic status (SES) and behavioral symptoms may influence sleep patterns in children.
Purpose of the Study:
- To investigate total sleep duration (TSD) in schoolchildren.
- To examine the association between TSD, socio-economic status (SES), and behavioral symptoms.
Main Methods:
- A cross-sectional study involving 2669 schoolchildren in Istanbul.
- Parent-completed questionnaires assessed sleep variables; Turkish SES scale determined socio-economic status.
- Multiple linear regression analyzed relationships between TSD, SES, and behavioral factors.
Main Results:
- Mean TSD was 10.20 hours; boys slept less than girls.
- TSD decreased with age and higher socio-economic status (SES).
- Sleep fragmentation correlated with snoring, parasomnias, daytime sleepiness, and conduct symptoms.
Conclusions:
- Boys, older children, and those from higher SES backgrounds experienced shorter sleep durations.
- Reduced TSD in these groups may negatively impact sleep hygiene and psychological well-being.
Aim:
In this population-based study, we aimed to determine the total sleep duration (TSD), its association with socio-economic status (SES) and behavioural symptoms among schoolchildren.
Methods:
A cross-sectional study was performed among schoolchildren in Istanbul. A structured questionnaire evaluating the sleep schedule variables was filled out by their parents. SES was determined according to the Turkish SES scale.
Results:
The mean age of 2669 children was 8.2 ± 2.4 years, and 51% of the students were girls. The mean TSD was 10.20 ± 1.04, and the mean bedtime was 21.57 ± 0.56 (both in hours, minutes ± SD). Boys tended to go bed later (p = 0.004) and slept less than girls (p = 0.02). The duration of sleep disruptions increased (p < 0.001), whereas TSD decreased with age (p < 0.001). Multiple linear regression revealed that waking time and TSD decreased significantly (p < 0.05) with higher SES among both girls and boys. Sleep fragmentation was associated with habitual snoring, parasomnias, daytime sleepiness and conduct symptoms.
Conclusion:
Decreased total sleep duration is more prominent in boys, older children and children among higher socio-economic status. Insufficient sleep attributed to shortened total sleep duration by age and higher socio-economic status might have a negative effect on both sleep hygiene and psychological well-being in schoolchildren.
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