南印度学龄前儿童的屏幕时间和睡眠问题:基于社区的横截面研究
Akila Govindarajan Venguidesvarane1, Samya Varadarajan2, Muthukumar Rajamohan1
1Department of Community Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
BMJ open
|December 4, 2025
概括
近五分之二的南印度学龄前儿童有睡眠问题,这与过多的屏幕时间密切相关,特别是在床上. 每天2.4小时的屏幕时间门预测了这些问题,指导了干预.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 公共卫生研究 公共卫生研究
- 儿童发展 儿童发展
背景情况:
- 睡眠问题在学龄前儿童中很普遍,影响他们的发展和福祉.
- 屏幕时间已经成为影响儿童睡眠模式的潜在环境因素.
研究的目的:
- 为了确定2-5岁的南印度儿童睡眠问题的患病率.
- 调查屏幕时间和睡眠问题之间的关联.
- 确定与睡眠障碍相关的屏幕时间的预测值.
主要方法:
- 一项基于人口的横截面研究,涉及印度南部的523名2-5岁儿童.
- 使用经过验证的查工具评估的睡眠问题 (睡前问题,白天嗜睡,夜间醒来,睡眠规律,打).
- 用于确定最佳屏幕时间值的接收器操作特征 (ROC) 分析.
主要成果:
- 39.6%的儿童经历了睡眠障碍,最常见的是不规则的睡眠,睡前抵抗和夜间醒来.
- 过度的屏幕时间 (≥2.4小时/天) 被确定为一个显著的预测因素 (ROC分析:AUC=0.800).
- 其他相关因素包括在床上使用屏幕,家庭规模较小,身体活动减少,分娩间隔较短,社会经济地位较低以及母亲的屏幕时间.
结论:
- 睡眠问题影响了印度南部相当一部分学龄前儿童,过多的屏幕时间是主要原因之一.
- 这项研究建立了ROC衍生的屏幕时间门,为识别有风险的儿童提供了有价值的工具.
- 研究结果支持针对性的家长教育和预防策略,以促进幼儿的健康睡眠习惯.
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