Relationship Between Parents' Health Literacy and Children's Sleep Problems in Japan

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2021 Apr 25

PMID 33894754

Citations 4

Authors

Sae Ono

Hiroto Ogi

Masato Ogawa

Daisuke Nakamura

Teruhiko Nakamura

Kazuhiro P Izawa

Affiliations

Soon will be listed here.

Abstract

Background: Sleep problems in preschool children can stunt their health and growth. However, the factors that cause sleep problems in children are not well understood. The aim of this study was to determine the relationship between parents' health literacy (HL) and children's sleep problems. The study was conducted at two kindergartens, two nursery schools, and a center for early childhood education in Chitose-city, Hokkaido, Japan.

Method: This study used a multicenter cross-sectional design. The sample comprised 354 preschoolers (aged 3-6 years) and their parents. In families with two or more children attending the same facility, only the oldest child was asked to participate in the study. Exclusion criteria included participants whose completed questionnaires had missing values. Children's sleep problems were assessed using the Japanese version of the Children's Sleep Habits Questionnaire (CSHQ-J). Parents' HL was assessed using the 14-item Health Literacy Scale (HLS-14). The parents were classified into two groups (high HL group and low HL group). Multiple regression modelling was used to determine the association between HLS-14 and CSHQ-J scores.

Results: Of the 354 parents, 255 (72%) were in the high HL group and 99 (28%) in the low HL group. The mean CSHQ-J score was significantly lower in the high HL group than in the low HL group (45.3 ± 6.0 points vs. 46.8 ± 5.9 points, p = 0.043). In multiple regression analyses, parents' HL was independently associated with their CSHQ-J score after adjusting for all confounding factors (adjusted R = 0.22, β = - 0.11; p = 0.043).

Conclusions: Parents' HL appears to affect their children's sleep problems. This finding suggests that parents' HL may be a target for intervention to improve children's sleep problems.

Citing Articles

The Role of Parental Health Literacy in Establishing Health-Promoting Habits in Early Childhood.

Csima M, Podraczky J, Keresztes V, Soos E, Financz J Children (Basel). 2024; 11(5).

PMID: 38790571 PMC: 11119361. DOI: 10.3390/children11050576.

Sleep and its association with dental caries or myopia in first graders.

Tsai H, Tsai T, Wang Y, Chen H, Lee C, Tsai S Nurs Open. 2024; 11(1):e2063.

PMID: 38268265 PMC: 10721956. DOI: 10.1002/nop2.2063.

The relationship between health belief and sleep quality of Chinese college students: The mediating role of physical activity and moderating effect of mobile phone addiction.

Gao X, Li C, Han B, Xu P, Qu C Front Public Health. 2023; 11:1108911.

PMID: 37124819 PMC: 10133522. DOI: 10.3389/fpubh.2023.1108911.

Association between Insufficient Sleep and Dental Caries among Preschoolers in Japan: A Cross-Sectional Multicentre Study.

Ogawa M, Ogi H, Nakamura D, Nakamura T, Izawa K Eur J Investig Health Psychol Educ. 2022; 12(1):1-10.

PMID: 35049530 PMC: 8774937. DOI: 10.3390/ejihpe12010001.

References

Suka M, Odajima T, Kasai M, Igarashi A, Ishikawa H, Kusama M . The 14-item health literacy scale for Japanese adults (HLS-14). Environ Health Prev Med. 2013; 18(5):407-15. PMC: 3773092. DOI: 10.1007/s12199-013-0340-z. View

Buysse D, Reynolds 3rd C, Monk T, BERMAN S, Kupfer D . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213. DOI: 10.1016/0165-1781(89)90047-4. View

Black M, Walker S, Fernald L, Andersen C, DiGirolamo A, Lu C . Early childhood development coming of age: science through the life course. Lancet. 2016; 389(10064):77-90. PMC: 5884058. DOI: 10.1016/S0140-6736(16)31389-7. View

Miller E, Lee J, DeWalt D, Vann Jr W . Impact of caregiver literacy on children's oral health outcomes. Pediatrics. 2010; 126(1):107-14. PMC: 2896459. DOI: 10.1542/peds.2009-2887. View

Berkman N, Sheridan S, Donahue K, Halpern D, Viera A, Crotty K . Health literacy interventions and outcomes: an updated systematic review. Evid Rep Technol Assess (Full Rep). 2012; (199):1-941. PMC: 4781058. View

Friis K, Vind B, Simmons R, Maindal H . The Relationship between Health Literacy and Health Behaviour in People with Diabetes: A Danish Population-Based Study. J Diabetes Res. 2016; 2016:7823130. PMC: 5059573. DOI: 10.1155/2016/7823130. View

Nutbeam D, McGill B, Premkumar P . Improving health literacy in community populations: a review of progress. Health Promot Int. 2017; 33(5):901-911. DOI: 10.1093/heapro/dax015. View

Durduran Y, Pekcan S, Colpan B . Sleep habits and related factors in kindergarten children. Niger J Clin Pract. 2019; 22(9):1218-1223. DOI: 10.4103/njcp.njcp_520_18. View

Suka M, Odajima T, Okamoto M, Sumitani M, Nakayama T, Sugimori H . Reading comprehension of health checkup reports and health literacy in Japanese people. Environ Health Prev Med. 2014; 19(4):295-306. PMC: 4085256. DOI: 10.1007/s12199-014-0392-8. View

10.

Reynaud E, Vecchierini M, Heude B, Charles M, Plancoulaine S . Sleep and its relation to cognition and behaviour in preschool-aged children of the general population: a systematic review. J Sleep Res. 2017; 27(3):e12636. DOI: 10.1111/jsr.12636. View

11.

Brown W, Wilkerson A, Boyd S, Dewey D, Mesa F, Bunnell B . A review of sleep disturbance in children and adolescents with anxiety. J Sleep Res. 2017; 27(3):e12635. DOI: 10.1111/jsr.12635. View

12.

Bonuck K, Schwartz B, Schechter C . Sleep health literacy in head start families and staff: exploratory study of knowledge, motivation, and competencies to promote healthy sleep. Sleep Health. 2016; 2(1):19-24. PMC: 4879821. DOI: 10.1016/j.sleh.2015.12.002. View

13.

Coulombe J, Reid G, Boyle M, Racine Y . Concurrent associations among sleep problems, indicators of inadequate sleep, psychopathology, and shared risk factors in a population-based sample of healthy Ontario children. J Pediatr Psychol. 2009; 35(7):790-9. DOI: 10.1093/jpepsy/jsp097. View

14.

Bitzer E, Sorensen K . [Health Literacy]. Gesundheitswesen. 2018; 80(8-09):754-766. DOI: 10.1055/a-0664-0395. View

15.

Nutbeam D, Levin-Zamir D, Rowlands G . Health Literacy in Context. Int J Environ Res Public Health. 2018; 15(12). PMC: 6313523. DOI: 10.3390/ijerph15122657. View

16.

Nelson T, Lundahl A, Molfese D, Waford R, Roman A, Gozal D . Estimating child sleep from parent report of time in bed: development and evaluation of adjustment approaches. J Pediatr Psychol. 2014; 39(6):624-32. PMC: 4061601. DOI: 10.1093/jpepsy/jsu020. View

17.

Mindell J, Sadeh A, Wiegand B, How T, Goh D . Cross-cultural differences in infant and toddler sleep. Sleep Med. 2010; 11(3):274-80. DOI: 10.1016/j.sleep.2009.04.012. View

18.

Owens J, Spirito A, McGuinn M . The Children's Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2001; 23(8):1043-51. View

19.

Byars K, Yeomans-Maldonado G, Noll J . Parental functioning and pediatric sleep disturbance: an examination of factors associated with parenting stress in children clinically referred for evaluation of insomnia. Sleep Med. 2011; 12(9):898-905. DOI: 10.1016/j.sleep.2011.05.002. View

20.

Quach J, Hiscock H, Canterford L, Wake M . Outcomes of child sleep problems over the school-transition period: Australian population longitudinal study. Pediatrics. 2009; 123(5):1287-92. DOI: 10.1542/peds.2008-1860. View