Current status and associated factors of sleep problems among preschool children in Hainan Province
10.16835/j.cnki.1000-9817.2026114
- VernacularTitle:海南省学龄前儿童睡眠问题现况及相关因素
- Author:
LEI Xuelu, WANG Ping, WU Weijia, CHEN Pinghao, LIN Zhijing, HUANG Zhenning,〖JZ〗 HUANG Chuican, LUO Qing, FAN Lichun
1
Author Information
1. School of Public Health, Hainan Medical College, Haikou 571199, Hainan Province, China
- Publication Type:Journal Article
- Keywords:
Sleep;
Mental health;
Regression analysis;
Child,preschool
- From:
Chinese Journal of School Health
2026;47(4):517-521
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status and associated factors of sleep problems among preschool children in Hainan Province, so as to provide scientific evidence for improving sleep health in this population.
Methods:From January 2021 to June 2022, a total of 4 105 preschool children aged 3-6 years from 62 kindergartens in Hainan Province were selected using stratified cluster random sampling method. Demographic information and lifestyle habits were collected through the Hainan Province Child Growth and Development Survey Questionnaire. The Children s Sleep Habits Questionnaire (CSHQ) was employed to assess sleep status. Unconditional binary Logistic regression model was applied to investigate the associated factors of sleep problems among preschool children.
Results:The overall CSHQ score for children was 58.03±18.84, with 80.95% of preschool children exhibiting sleep related issues. The top three most prevalent sleep problem domains were bedtime resistance (72.42%), sleep anxiety ( 54.88 %), and parasomnias (38.86%). Logistic regression analysis revealed that higher family annual income ( OR=0.60, 95%CI = 0.45-0.79), higher maternal education level ( OR=0.53, 95%CI =0.32-0.89), regular or daily vitamin D supplementation ( OR=0.77, 95%CI =0.60-0.99), and fully self initiated eating behavior ( OR=0.71, 95%CI =0.59-0.85) were negatively related with children s sleep problems; in addition, screen exposure ( OR=1.27, 95%CI =1.06-1.51) and picky eating ( OR= 1.47 , 95%CI =1.21-1.78) were positively related to children s sleep problems (all P <0.05).
Conclusion:The high detection rate of sleep problems among preschool children in Hainan Province is multifactorially associated with family environment, dietary habits, and lifestyle behaviors.
