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Co-sleeping and childhood enuresis in China

Jun Ma1, Shenghui Li, Fan Jiang

  • 1*Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Centre, Shanghai Jiaotong University School of Medicine, Shanghai, China; †MOE-Shanghai Key Laboratory of Children's Environmental Health, Shanghai Jiaotong University School of Medicine, Shanghai, China; ‡Shanghai Institute of Pediatric Translational Medicine, Shanghai Children's Medical Centre, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Journal of Developmental and Behavioral Pediatrics : JDBP
|December 20, 2013
PubMed

Insights

Co-sleeping is linked to a higher risk of nocturnal enuresis (bed-wetting) in Chinese primary school children. This association is particularly strong in older children, aged 11 to 12 years.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Public Health

Background:

  • Co-sleeping can disrupt natural sleep patterns, leading to sleep fragmentation and daytime sleepiness.
  • Nocturnal enuresis (NE), or bed-wetting, causes significant distress for children and their caregivers.
  • Understanding factors influencing NE is crucial for effective management and support.

Purpose of the Study:

  • To investigate the relationship between co-sleeping and nocturnal enuresis (NE) in primary school children in China.
  • To determine if co-sleeping is an independent risk factor for NE.
  • To examine age-specific associations between co-sleeping and NE.

Main Methods:

  • Analysis of data from a prior sleep study involving primary school children from 8 Chinese cities.
  • Multivariable regression analysis to assess the co-sleeping and NE association, controlling for confounders.
  • Evaluation of NE prevalence in co-sleeping versus non-co-sleeping children across different age groups.

Main Results:

  • The prevalence of co-sleeping was 22.8%, and NE was 4.6% in children aged 5-12 years.
  • Co-sleeping was significantly associated with a higher prevalence of NE (OR, 1.50; p < .001) after adjusting for confounding factors.
  • Significant differences in NE prevalence were observed in 9-year-olds (OR, 1.49; p = .025) and 11- to 12-year-olds (OR, 3.16; p < .001).

Conclusions:

  • Co-sleeping may increase the risk of nocturnal enuresis in primary school-aged children.
  • The association between co-sleeping and NE is particularly pronounced in older children (11-12 years).
  • Findings suggest co-sleeping is a potential contributing factor to NE in this population.
Abstract

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