Abstract

Introduction

Perspectives on co-sleeping vary by family cultural background and socio-demographic characteristics; furthermore, families may choose to co-sleep based on family values or out of necessity. To better understand the role of co-sleeping in young children from ethnic minority backgrounds, the current study sought to test the relationship between co-sleeping and sleep outcomes in an urban early childhood setting.

Methods

141 Parent-child dyads with children aged 1-5 years old (N=141,50.4% female, M=4.01 [SD=1.05]; 41% African American; 41% Latinx; median income $20-30,000) were recruited through an urban preschool. Parents completed demographic information and the Brief Child Sleep Questionnaire, which yielded insomnia and sleep hygiene indices. Step-wise regressions were used to examine the relationship between sleeping location and sleep outcomes (insomnia, sleep health, and child sleep quality), controlling for child age.

Results

Approximately half of the sample (n=71) reported that their child sleeps in a space shared by caregivers or siblings. Co-sleeping did not differ by race/ethnicity [χ ²(3)=1.45, p=.694], child age [F(1, 140)=2.15, p=.145], or income [χ ²(5)=7.05, p=.217]. Controlling for age, insomnia was higher in co-sleeping children [F(2,140)=4.10, p=.019], although sleep location was not a significant independent predictor. Sleep hygiene [F(2,140)=2.39, p=.095] and sleep quality [F(2,139)=0.94, p=.394] did not differ by sleeping location, when controlling for age.

Conclusion

Co-sleeping was common but was not related to sociodemographic factors as described in prior research. Controlling for age, co-sleeping predicted higher insomnia scores suggesting that co-sleeping may be related to symptoms of behavioral insomnia. Sleep hygiene practices and sleep quality did not differ by sleeping location, suggesting that in children without behavioral insomnia symptoms, co-sleeping may not affect sleep. Future studies that seek to better understand caregiver preference and intentions regarding co-sleeping may be important to intervention development seeking to improve behavioral insomnia in ethnic/minority samples.

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中文翻译：

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0925城市学龄前儿童同睡与睡眠质量的关系

摘要

介绍

同睡的观点因家庭文化背景和社会人口统计学特征而异；此外，家庭可以根据家庭价值观或出于必要而选择同睡。为了更好地了解共同睡眠在少数民族背景的幼儿中的作用，当前的研究试图检验城市早期儿童环境中共同睡眠与睡眠结果之间的关系。

方法

通过141招募了141例1-5岁儿童的亲子二元组（N = 141,50.4％，M = 4.01 [ SD = 1.05]； 41％的是非洲裔美国人； 41％的拉丁美洲人；中位收入为20-30,000美元）城市学龄前儿童。父母填写了人口统计信息和简要的儿童睡眠问卷，得出了失眠和睡眠卫生指数。采用逐步回归法检查睡眠位置与睡眠结局（失眠，睡眠健康和儿童睡眠质量）之间的关系，并控制儿童年龄。

结果

大约一半的样本（n = 71）报告说，他们的孩子在看护人或兄弟姐妹共享的空间里睡觉。共睡眠没有由人种/族裔[χ不同 ²（3）= 1.45，p = 0.694]，儿童年龄[ ˚F（1，140）= 2.15，p = 0.145]，或收入[χ  ²（5 ）= 7.05，p = .217]。在同龄儿童中，控制年龄的失眠率更高[ F（2,140）= 4.10，p = .019]，尽管睡眠位置不是重要的独立预测因子。睡眠卫生[ F（2,140）= 2.39，p = .095]和睡眠质量[ F（2,139）= 0.94，p= .394]在控制年龄时，睡眠位置没有差异。

结论

同睡很常见，但与先前研究中所述的社会人口统计学因素无关。在控制年龄的情况下，同睡预计失眠评分更高，这表明同睡可能与行为失眠的症状有关。睡眠卫生习惯和睡眠质量随睡眠地点的不同而不同，这表明在没有行为失眠症状的儿童中，同睡可能不会影响睡眠。旨在更好地了解护理人员偏好和共睡意图的未来研究对于寻求改善种族/少数民族样本行为失眠的干预开发可能很重要。

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