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Association of Sleep-related Parenting Practices and Sleep Problems in Preschoolers: A National Multiprovince Survey

Ji Zhou1, Tong Cheng1, Mengjie Xu1

  • 1Research and Guidance Center for Infant Care Services, Capital Center for Children's Health, Capital Medical University, Capital Institute of Pediatrics, Beijing, People's Republic of China.

Nature and Science of Sleep
|March 20, 2026
PubMed

Insights

Parental screen time during bedtime routines and co-sleeping arrangements are linked to sleep problems in Chinese preschoolers. Addressing these parenting practices can help improve children's sleep quality and duration.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Development
  • Behavioral Science

Background:

  • Sleep is crucial for preschooler development, but sleep problems are common.
  • Parenting practices influence child sleep, yet large-scale data from China is limited.

Purpose of the Study:

  • To investigate the association between specific sleep-related parenting practices and sleep problems in Chinese preschoolers.
  • To provide evidence-based recommendations for improving sleep in young children in China.

Main Methods:

  • A cohort of 1316 Chinese preschoolers (aged 3-4) participated in the SUNRISE study.
  • Parents completed questionnaires on sociodemographics and sleep practices; children's sleep problems were assessed using the Children's Sleep Habits Questionnaire (CSHQ).
  • Linear mixed models were employed to analyze associations, controlling for covariates.

Main Results:

  • Thirteen percent of children experienced sleep problems (CSHQ score >54).
  • Parental screen use during bedtime routines correlated with shorter weekday sleep duration and poorer sleep quality.
  • Sharing a room or bed with others was associated with more severe overall sleep problems.

Conclusions:

  • Specific sleep-related parenting practices, such as parental screen exposure and co-sleeping, significantly impact sleep in Chinese preschoolers.
  • Findings suggest that modifying these practices can contribute to a healthier sleep environment for young children.
Abstract

Keywords:
Chinese cohortparenting practicespreschoolerssleep quality

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