Association between Sleep Deprivation in Caregivers and Risk of Injury among Toddlers: A Propensity Score Analysis.

BioMed Research International
I-Tsung ChiuHon-Ping Ma

Abstract

Unintentional injury remains the leading cause of death in children worldwide. Adequate parental supervision is a crucial strategy for preventing injury. Many factors, such as a large family size, poor socioeconomic status, and the caregiver being a single mother, contribute to unintentional injury in children. In addition, sleep deprivation in caregivers might be associated with injury in children because sleep deprivation causes impaired daytime cognitive function, wake-state instability, and negative moods, thereby impairing caregiver supervision. Therefore, this study determines the association between injury in children and the sleep quality of their primary caregivers. This is a retrospective case-control study on unintentional injury in children aged 0 to 4 years who visited the emergency department (case group) and an age- and sex-matched control group. Sleep quality in caregivers was assessed using the Chinese version of the Pittsburgh Sleep Quality Index (PSQI). Logistic regression was used to evaluate the association between aspects of the PSQI and injury. A propensity score model was used to generate a quasirandomized design. This case-control study recruiting 277 injured and 274 noninjured children was conducted in...Continue Reading

References

Dec 1, 1995·Journal of Sleep Research·D F Dinges
Sep 13, 2005·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Pei-Shan TsaiSu-Chen Fang
Jun 3, 2008·European Journal of Public Health·Bjarne Laursen, Jeppe W Nielsen
Jun 24, 2010·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Ying-Yeh Chen, Kevin Chien-Chang Wu
Oct 5, 2010·Journal of Sleep Research·Leslie M SwansonChristopher Drake
Nov 8, 2011·Sleep Medicine·Leonor Reis BotoRosário Ferreira

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