Factors Affecting Sleep Problems in Preschoolers

*Eka Wahyuningrum  -  Stikes St. Elisabeth Semarang, Indonesia
Natalia Ratna Yulianti  -  Stikes St. Elisabeth Semarang, Indonesia
Andri K. Gayatina  -  Stikes St. Elisabeth Semarang, Indonesia
Received: 20 Nov 2019; Revised: 15 Apr 2020; Accepted: 26 Apr 2020; Published: 27 Aug 2020.
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Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Sleep problems are self-care deficits of sleep experienced by more than 44% of preschoolers. Some studies have showed that physical, psychological, family, environmental, and temperamental factors could cause sleep problems among children. However, other research showed that there is no correlation between sleep problems and environmental factors. There are pro-cons regarding the causes of sleep problems. 

Purpose: The purpose of this study was to analyze factors affecting sleep problems among preschoolers.

Methods: A cross-sectional study was conducted among 297 preschoolers selected by systematic random sampling. Data were collected using the Children’s Sleep Habits Questionnaires (CSHQ) and analyzed using bivariate (Chi-Square and Fisher tests) and multivariate (logistic regression) analyses.  

Results: Results of the bivariate analysis showed that some variables were related to sleep problems among preschoolers, including family income (p=0.027), the education level of the mother (p<0.001), and bed-sharing (p=0.003). Multivariate analysis found that factors related to sleep problems were bed-sharing (p=0.031; OR=2.377), gadget use in two hours before sleep (p=0.039; OR= 2.703), and the education level of the mother (p=0.007; OR=2.244).

Conclusion: Factors related to sleep problems in preschoolers were bed-sharing, gadget use in two hours before sleep, the education level of the mother, and family income. This study recommends that environmental and family factors should be modified by limiting bed-sharing and reducing the use of gadgets before bedtime.

Keywords: Bed-sharing; gadget use; preschooler; sleep problem
Funding: Direktorat Riset dan Pengabdian Masyarakat (DRPM) Kementerian Riset, Teknologi dan Pendidikan tinggi Republik Indonesia

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Language: EN
In Vol 10, No 2 (2020): (August 2020)
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  1. Akacem, L. D., Wright, K. P., & LeBourgeois, M. K. (2018). Sensitivity of the circadian system to evening bright light in preschool-age children. Physiological Reports, 6(5), 1-10. doi: 10.14814/phy2.13617
  2. Amalina, S., Sitaresmi, M. N., & Gamayanti, I. L. (2015). Hubungan penggunaan media elektronik dan gangguan tidur [Relationship between electronic media use and sleep disorders]. Sari Pediatri, 17(4), 273–278
  3. Amintehran, E., Ghalehbaghi, B., Asghari, A., Jalilolghadr, S., Ahmadvand, A., & Foroughi, F. (2013). High prevalence of sleep problems in school- and preschool-aged children in Tehran: A population based study. Iran Journal Pediatr, 23(1), 45-52
  4. Astill, R. G., Heidjen, K. B. V. d, Ijzendoorn, M. H. V, & Someren, E. J. W. (2012). Sleep, cognition, and behavioral problems in school-age children: A century of research meta-analyzed. Psycological Buletin, 138(6), 1109-1138. doi: 10.1037/a0028204
  5. Bagley, E. J., Kelly, R. J., Buckhalt, J. A., & El-sheikh, M. (2016). What keeps low-SES children from sleeping well: The role of presleep worries and sleep environment. Sleep Medicine, 16(4), 496-502. doi: 10.1016/j.sleep.2014.10.008
  6. Barazzetta, M., & Ghislandi, S. (2017). Family income and material deprivation: Do they matter for sleep quality and quantity in early life ? Evidence from a longitudinal study. SLEEP, 40(3), 1-9. doi: 10.1093/sleep/zsw066
  7. Bathory, E., & Tomopoulos, S. (2017). Sleep regulation, physiology and development, sleep duration and patterns, and sleep hygiene in infants, toddlers, and preschool-age children. Current Problems in Pediatric and Adolescent Health Care, 47(2), 29-42. doi: 10.1016/j.cppeds.2016.12.001
  8. Biggs, S. N., Walter, L. M., Jackman, A. R., Nisbet, L. C., Weichard, J., Hollis, S. L., … & Horne, R. S. C. (2015). Long-term cognitive and behavioral outcomes following resolution of sleep disordered breathing in preschool children. Plos One, 10(9), e0139142. doi: 10.1371/journal.pone.0139142
  9. Bordeleau, S., Bernier, A., & Carrier, J. (2012). Longitudinal associations between the quality of parent−child interactions and children’s sleep at preschool age. Journal of Family Psychology, 26(2), 254-262. doi: 10.1037/a0027366
  10. Bøe, T., Hysing, M., Morten, K., Lundervold, A. J., & Sivertsen, B. (2012). Sleep problems as a mediator of the association between parental education levels, perceived family economy and poor mental health in children. Journal of Psychosomatic Research, 73(6), 430-436. doi: 10.1016/j.jpsychores.2012.09.008
  11. Cheung, C. H. M., Bedford, R., Saez De Urabain, I. R., Karmiloff-Smith, A., & Smith, T. J. (2017). Daily touchscreen use in infants and toddlers is associated with reduced sleep and delayed sleep onset. Scientific Reports, 7(April), 1-7. doi: 10.1038/srep46104
  12. Chung, S., Wilson, K. E., Miller, A. L., Johnson, D., Lumeng, J. C., & Chervin, R. D. (2014). Home sleeping conditions and sleep quality in low-income preschool children. The Korean Society of Sleep Medicine, 5(1), 29-32. doi: 10.17241/smr.2014.5.1.29
  13. Costa, A., Barros, H., & Santos, A. (2013). Sleep onset delay and night awakenings in preschool children: The generation XXI birth cohort. Sleep Medicine, 14(13), e41. doi: 10.1016/j.sleep.2013.11.061
  14. Dharma, K. K. (2011). Metodologi Penelitian Keperawatan [Nursing research Methodology]. Jakarta: Trans Info Media
  15. Garrison, M. M., Liekweg, K., & Christakis, D. A. (2011). Media use and child sleep: The impact of content, timing, and environment. Pediatrics, 128(1), 29-35. doi: 10.1542/peds.2010-3304
  16. Hartini, S., Sunartini, Herini, S. E., & Takada, S. (2017). Item analysis and internal consistency of children’s sleep habit questionnaire (CSHQ) in Indonesia version. Belitung Nursing Journal, 3(6), 645-655. I. doi: https://doi.org/10.33546/bnj.184
  17. Hollan, D. (2013). Sleeping, dreaming, and health in rural Indonesia and the urban U.S.: A cultural and experiential approach. Social Science and Medicine, 79(1), 23-30. doi: 10.1016/j.socscimed.2012.05.006
  18. Kliegman, R. M., Stanton, B. F., & St Geme, J. W. (2016). Nelson textbook of pediatrics. Philadelpia: Elsevier
  19. Li, S., Zhu, S., Jin, X., Yan, C., Wu, S., Jiang, F., & Shen, X. (2010). Risk factors associated with short sleep duration among Chinese. Sleep Medicine, 11(9), 907-916. doi: 10.1016/j.sleep.2010.03.018
  20. Lo, M. J. (2016). Relationship between sleep habits and nighttime sleep among healthy preschool children in Taiwan. Annals Academy of Medicine, 140, 40306
  21. Maanen, A. Van, Roest, B., Moen, M., Oort, F., Vergouwen, P., Paul, I., … & Smits, M. (2015). Extreme violation of sleep hygiene: Sleeping against the biological clock during a multiday relay event. Asian Journal of Sports Medicine, 6(4), 1-4. doi: 10.5812/asjsm.25678
  22. Mileva-Seitz, V.R., Bakermans-Kranenburg, M.J., Battaini, C., & Luijk, M. P.C.M. (2017). Parent-child bed-sharing: The good, the bad, and the burden of evidence. Sleep Medicine reviews, 32, 4-27. doi: 10.1016/j.smrv.2016.03.003
  23. Mindell, J. A., Sadeh, A., Kwon, R., & Goh, D. Y. T. (2013). Cross-cultural differences in the sleep of preschool children. Sleep Medicine, 14(12), 1283-1289. doi: 10.1016/j.sleep.2013.09.002
  24. Ossai, A. G., & Nwalado, E. N. (2011). Gender and the education of the girl-child in Nigeria. Journal of Qualitative Education, 7(1), 1-7
  25. Owens, J. A., Spirito, A., & McGuinn, M. (2000). The Children’s Sleep Habits Questionnaire (CSHQ): Psychometric properties of a survey instrument for school-aged children. Sleep, 23(8), 1043-1051. doi: 10.1111/j.1469-8749.2001.tb00204.x
  26. Saifullah, A. D, Latifah, N., Artanti, E. R., Cahyani, K. D., Rahayu, U., Paramarta, L., … & Warsini, S. (2020). Mental distress in rural area of Indonesia. Nurse Media Journal of Nursing, 10(1), 1-10. doi: 10.14710/nmjn.v10i1.23244
  27. Speirs, K. E., Liechty, J. M., Wu, C. F., Harrison, K., Bost, K., McBride, B., … & Fiese, B. (2014). Sleep, but not other daily routines, mediates the association between maternal employment and BMI for preschool children. Sleep Medicine, 15(12), 1590-1593. doi: 10.1016/j.sleep.2014.08.006
  28. Tso, W., Rao, N., Jiang, F., Li, A. M., Lee, S., Ho, F. K., … & Ip, P. (2016). Sleep duration and school readiness of Chinese preschool children. The Journal of Pediatrics, 169(743413), 266-271. doi: 10.1016/j.jpeds.2015.10.064
  29. Wahyuningrum, E., Rahmat, I., & Hartini, S. (2018). Effect of health education of sleep hygiene on sleep problems in preschoolers. Belitung Nursing Journal, 4(1), 68-75
  30. Wang, G., Xu, G., Liu, Z., Lu, N., Ma, R., & Zhang, E. (2013). Sleep patterns and sleep disturbances among Chinese school-aged children: Prevalence and associated factors. Sleep Medicine, 14(1), 45-52. doi: 10.1016/j.sleep.2012.09.022
  31. Zahara, D.S., Hartanto, F., & Adyaksa, G. (2013). Hubungan antara gangguan tidur dengan pertumbuhan pada anak usia 3-6 tahun di Kota Semarang [The correlation between sleep disorders and growth in children aged 3-6 years in Semarang City]. Jurnal Kedokteran Diponegoro, 2(1), 1-16

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