出生顺序及其对儿童睡眠质量的影响:一项大型流行病学研究
Tingjun Chen1, Zeyu Wang2, Zhou Wang3
1Hainan Branch, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Sanya, China; School of Public Health, Shanghai Jiao Tong University, Shanghai, China; College of Health Science and Technology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Sleep medicine
|November 13, 2025
概括
第二个或之后出生的孩子的睡眠质量比长子更好,随着出生顺序的增加,有所改善. 然而,独生子女面临更高的特定睡眠问题的风险,这突显了家庭结构.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 发展心理学 发展心理学
- 流行病学 流行病学
背景情况:
- 关于出生顺序与儿童睡眠特征之间的联系的证据有限.
- 了解影响儿童睡眠的因素对于公共健康至关重要.
研究的目的:
- 在一大批儿童中量化出生顺序和睡眠质量之间的关联.
- 研究家庭结构如何影响儿童的睡眠模式.
主要方法:
- 对16936名3至12岁儿童的横截面分析.
- 出生顺序分类为独生子,长子,二胎,三胎或以后.
- 用于分析数据的治疗权重反向概率 (IPTW) 和多变量逻辑回归.
主要成果:
- 与初生儿相比,第二或后生儿的睡眠质量差的风险较低 (aOR 0.708-0.730).
- 观察到剂量-反应关系,睡眠质量改善与出生顺序更高相关.
- 只有儿童的整体睡眠质量与初生的睡眠质量相当,但更容易出现特定的睡眠问题.
结论:
- 出生顺序似乎从本质上调节了儿童的睡眠质量.
- 第二次或之后出生的孩子通常有更好的睡眠,益处随着出生顺序的增加而增加.
- 家庭结构,包括出生顺序,是评估和管理儿科睡眠健康的重要考虑因素.
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