Analysis of Influencing Factors and Investigation of Sleep Disorder in School-Age Children in Minhang District of Shanghai

Liang Qing; Zhou Ze; Tian Youping

doi:10.3969/j.issn.1001-568X.2025.11.0010

Abstract：OBJECTIVE To understand the current status of sleep disorder and behavioral problems among school-aged children in Minhang District of Shanghai,and to investigate the factors influencing sleep disorder,thereby providing a basis for developing targeted interventions to improve children's sleep health.METHODS From June 2023 to June 2024,a stratified cluster sampling method was used to survey 1 419 school-aged children from three primary schools.Data on general demographics,family upbringing,and sleep disorders were collected using a general information questionnaire and the Sleep Disturbance Scale for Children(SDSC).Logistic regression analyses were conducted to identify factors influencing sleep disorders in school-aged children.RESULTS A total of 1 419 children whose average score of SDSC was(32.97±6.65)were included,among whom 213(15.01％)were found to have sleep disorders.Multivariate analyses revealed that female gender(OR=0.64,95％CI:0.47～0.87),being a non-only child(OR=0.70,95％CI:0.51～0.97),and paternal companionship time ≥5 hours per week(OR=0.54,95％CI:0.30～0.97)were protective factors against sleep disorders.In contrast,secondhand smoke exposure(OR=2.22,95％CI:1.33～3.72)was identified as a risk factor for sleep disorders.CONCLUSION Sleep disorders among school-aged children in Minhang District are closely associated with gender and family upbringing.Targeted community education can help reduce the incidence of sleep disorders in this population.