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Relationships between Sleep Behaviors and Unintentional Injury in Southern Chinese School-Aged Children: A Population-Based Study

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  • Yafei Tan

    (Center for Injury Prevention Research, Shantou University Medical College, Shantou 515041, China
    These authors contributed equally to this work.)

  • Di Ma

    (Joint Shantou International Eye Center of Shantou University and Chinese University of Hong Kong, Shantou 515041, China
    These authors contributed equally to this work.)

  • Ying Chen

    (Center for Injury Prevention Research, Shantou University Medical College, Shantou 515041, China)

  • Fuyuan Cheng

    (Center for Injury Prevention Research, Shantou University Medical College, Shantou 515041, China)

  • Xiangxiang Liu

    (Center for Injury Prevention Research, Shantou University Medical College, Shantou 515041, China)

  • Liping Li

    (Center for Injury Prevention Research, Shantou University Medical College, Shantou 515041, China)

Abstract

The purpose of this study is to explore the relationships between sleep behaviors and injury occurrence among Chinese school-aged children. Data were collected with self-administered questionnaires of a cross-sectional survey which covered the school-aged children from southeastern Chinese urban and rural areas in April 2010. Information was collected on unintentional injury in the past year, sleep duration, napping and daytime fatigue, sleeping pill use, and social-demographic variables. Multivariable logistic regression analyses, controlling for confounding factors, were conducted to assess sleep-related variables that were associated with injuries. Students who slept for less than 8 h had a 30% increased risk of injury (OR: 1.30; 95%CI: 1.01–1.69) compared with those who slept for 8–9 h. Lack of napping, snoring and use of sleeping pills were significantly associated with injury. Among different genders, the slight difference in sleep behaviors predicted the occurrence of injury. Rural children displayed more sleep behaviors associated with injury than urban children. The sleep behaviors of primary school students were more negatively correlated with injury occurrence than junior/senior high school children. Consideration should be given to the prevention of problematic sleep behaviors as a potential risk factor in order to decrease injury rates and promote the health of school-aged children.

Suggested Citation

  • Yafei Tan & Di Ma & Ying Chen & Fuyuan Cheng & Xiangxiang Liu & Liping Li, 2015. "Relationships between Sleep Behaviors and Unintentional Injury in Southern Chinese School-Aged Children: A Population-Based Study," IJERPH, MDPI, vol. 12(10), pages 1-17, October.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:10:p:12999-13015:d:57235
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    References listed on IDEAS

    as
    1. Huiping Zhu & Yunfeng Han & Yaowu Sun & Zhiping Xie & Xueyan Qian & Lorann Stallones & Huiyun Xiang & Limin Wang, 2014. "Sleep-Related Factors and Work-Related Injuries among Farmers in Heilongjiang Province, People’s Republic of China," IJERPH, MDPI, vol. 11(9), pages 1-14, September.
    2. Yim Wah Mak & Cynthia Sau Ting Wu & Donna Wing Shun Hui & Siu Ping Lam & Hei Yin Tse & Wing Yan Yu & Ho Ting Wong, 2014. "Association between Screen Viewing Duration and Sleep Duration, Sleep Quality, and Excessive Daytime Sleepiness among Adolescents in Hong Kong," IJERPH, MDPI, vol. 11(11), pages 1-19, October.
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    Cited by:

    1. Yafei Tan & Ying Chen & Yaogui Lu & Liping Li, 2016. "Exploring Associations between Problematic Internet Use, Depressive Symptoms and Sleep Disturbance among Southern Chinese Adolescents," IJERPH, MDPI, vol. 13(3), pages 1-12, March.
    2. Sha Ma & Minmin Jiang & Feng Wang & Jingjing Lu & Lu Li & Therese Hesketh, 2019. "Left-Behind Children and Risk of Unintentional Injury in Rural China—A Cross-Sectional Survey," IJERPH, MDPI, vol. 16(3), pages 1-9, January.
    3. Ying Chen & Yang Gao & Li Zhou & Yafei Tan & Liping Li, 2016. "A Comparative Study of Dog- and Cat-Induced Injury on Incidence and Risk Factors among Children," IJERPH, MDPI, vol. 13(11), pages 1-11, November.

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