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Understanding the Choice of Sleep Arrangements and Soothing Methods and Their Associations with Sleep Problems among
Wei Wei Feng1, Yue Zhang1, Hui Shan Wang1
1National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing 100081, China.
Insights
Bed-sharing is common in China for children under 3 years old. Parental involvement during sleep onset is linked to increased sleep problems in young children.
Area of Science:
- Pediatrics
- Sleep Medicine
- Child Development
Background:
- Sleep arrangements and soothing methods are crucial for child development.
- Understanding these practices in different cultural contexts is important.
Purpose of the Study:
- To investigate sleep arrangements and soothing methods in Chinese children under 3 years.
- To assess the association between these practices and sleep problems.
Main Methods:
- Cross-sectional survey of 1,195 caregivers in China (2019).
- Utilized the Brief Infant Sleep Questionnaire to assess sleep problems and arrangements.
- Collected data on parental involvement and reasons for bed-sharing.
Main Results:
- Bed-sharing was highly prevalent (69.9%-78.3%) across age groups.
- Parental involvement during sleep onset (feeding, rocking, proximity) was common.
- Parental involvement was significantly associated with frequent night awakenings and difficulty falling asleep.
Conclusions:
- Bed-sharing and parental involvement are prevalent in Chinese infants and toddlers.
- Parental involvement at sleep onset is linked to a higher likelihood of sleep problems in young children.
Objective:
This study aimed to examine the sleep arrangements and soothing methods and to assess their associations with sleep problems among children aged < 3 years in China.
Methods:
A cross-sectional survey was conducted in 2019 from six provinces in China. A total of 1,195 caregivers of children aged 0-35 months were included in the study. Data on sleep arrangements, soothing methods, and sleep problems (i.e., frequent night awakenings and difficulty falling asleep) were assessed using the Brief Infant Sleep Questionnaire. The reasons for bed-sharing in sleep arrangements were recorded using a self-designed questionnaire.
Results:
The bed-sharing practice was very prevalent at any age, which ranged from 69.9% to 78.3%. Most infants fell asleep while feeding or being rocked/held before age 12 months. By age 35 months, 62.4% of the children fell asleep in bed near parents. The most common reasons for bed-sharing were breastfeeding/feeding and convenience. Parental involvement when falling asleep was significantly related with frequent night awakenings and difficulty falling asleep. No association was found between bed-sharing and sleep.
Conclusion:
Bed-sharing and parental involvement were very common among Chinese children aged < 3 years. Children who fall asleep with parental involvement were more likely to have sleep problems.
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