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Published on: December 6, 2016
Racial/ethnic differences in the prevalence of snoring and sleep disordered breathing in young children
Nira A Goldstein1, Tehila Abramowitz, Jeremy Weedon
1Division of Pediatric Otolaryngology, State University of New York Downstate Medical Center, Brooklyn, NY 11203, USA. nira.goldstein@downstate.edu
Insights
Black children have higher odds of snoring, and black race and prematurity predict snoring in children. Parental knowledge of sleep disordered breathing (SDB) did not influence seeking medical care.
Area of Science:
- Pediatric Sleep Medicine
- Public Health
- Genetics and Race
Background:
- Pediatric snoring and sleep disordered breathing (SDB) affect child health.
- Racial and ethnic disparities in pediatric health conditions are a growing concern.
- Understanding prevalence differences is crucial for targeted interventions.
Purpose of the Study:
- To investigate racial and ethnic variations in the occurrence of pediatric snoring.
- To determine if sleep disordered breathing (SDB) prevalence differs across racial/ethnic groups in children.
- To identify risk factors associated with pediatric snoring and SDB.
Main Methods:
- Cross-sectional study involving 346 children aged 2-6 years in Brooklyn, NY.
- Parental completion of the Pediatric Sleep Questionnaire (PSQ) and demographic surveys.
- Objective measurements of child height and weight.
Main Results:
- Snoring prevalence was 13.9%, and SDB prevalence was 9.4%.
- Black and Hispanic children had significantly higher odds of snoring compared to white children.
- Black race and prematurity were independent predictors of snoring; male gender predicted SDB.
Conclusions:
- Black race and prematurity are significant predictors of snoring in children.
- Parental knowledge about SDB was low and did not correlate with seeking medical evaluation.
- Further research is needed to address health disparities in pediatric sleep disorders.
Study Objective:
To determine whether there are racial/ethnic differences in the prevalence of pediatric snoring and sleep disordered breathing (SDB).
Methods:
In this cross-sectional study, parents or caretakers of 346 children, aged 2 through 6 years, attending well-child care visits at 5 general pediatric offices and clinics (3 academic, 2 private) in Brooklyn, NY completed the Sleep-Related Breathing Disorders Scale of the Pediatric Sleep Questionnaire (PSQ) along with a survey on demographics, prior treatment for SDB, and parental knowledge of pediatric SDB. The child's height and weight were recorded from the office visit.
Results:
The prevalence of snoring was 13.9% (95% CI 10.2, 17.5) and of SDB was 9.4% (95% CI 6.3, 12.6). The odds of snoring for black children was 2.5 as great as for white children, and for Hispanic children was 2.3 as great as for white children (p = 0.031). There was a higher, non-statistically significant prevalence of abnormal PSQ scores in black and Hispanic children than white children. On multivariate analysis, only black race (OR 3.1 95% CI 1.1, 8.9) and prematurity (OR 4.4 95% CI 1.6, 12.4) were associated with snoring; male gender (OR 2.9 95% CI 1.1, 8.5) was associated with SDB. Knowledge regarding SDB was low among parents and caretakers. The degree of knowledge present was not associated with parental concern about snoring and discussion of the snoring with the child's pediatrician.
Conclusions:
Black race and prematurity are independent predictors of snoring. The degree of parental knowledge regarding SDB was not associated with seeking medical treatment.
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