The Association between Sleep Deprivation of Caregivers and the Risk of Injury among Toddler
| Autor: | Ting-Yun Huang, 黃婷韵 |
|---|---|
| Rok vydání: | 2014 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 102 Unintentional injury remains the leading cause of death for children. Injuries are not inevitable, they can be prevented or controlled. Compared with other age groups, infants and toddlers (0-4 years old) are more vulnerable to accidents. Not only they are not fully aware of the surrounding environment; moreover, their motor skill and neurologic development are not mature. Their own safety relies on caregivers more than any other age group. Therefore adequate parental supervision is an important strategy to keep infants and toddlers to stay away from the injury. Many factors such as substance abuse, single motherhood, large family size, poor socioeconomic status, etc. may have effects on parental supervision. Maternal mental health is also recognized associated with increased risk of injury in children. Sleep deprivation is recognized as a risk factor of unintentional injuries. It not only alters cognitive abilities, also results in negative mood status. Therefore sleep deprivation of caregiver might attribute to unintentional injuries of children under the effects of negative mood and poor daytime cognitive functions. This study design was a retrospective Case-Control study. Infants and toddlers (0-4 years old) were enrolled as case group if they visited the emergency department of Shaung-Ho Hospital due to unintentional injuries during Sep 1st 2013 to March 30th 2014. Children in the control group were matched with case group by age and gender. We collected related variables by chart review and telephone questionnaire survey. Our study showed odds of medically attended injuries were increased for children whose caregivers have “sleep disturbance”. Odds of medically attended injuries had the trend to be increased for children whose caregivers had poor “daytime dysfunction”. Children had lower probability of medically attended injuries if their caregivers had poor “habitual sleep efficiency”. To our knowledge, this is the first analysis to look at the association between caregiver’s sleeping quality and child injury. Our result provides evidence that caregiver’s sleeping condition might attribute to medically attended injury in children. Through which kind of mechanism that caregiver’s sleeping condition attribute to child injury remains unknown. Further research might be required. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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