睡眠期间卧室夜灯暴露与儿童情绪症状的关联

董秀清; 周艺; 王冬梅; 徐玉祥; 黄文娟; 吴霈霈; 孙莹

doi:10.16835/j.cnki.1000-9817.2023.04.022

睡眠期间卧室夜灯暴露与儿童情绪症状的关联

doi: 10.16835/j.cnki.1000-9817.2023.04.022

董秀清¹,
周艺²,
王冬梅³,
徐玉祥²,
黄文娟²,
吴霈霈²,
孙莹^{2, 4, ,}

1.
安徽省滁州市天长市城南小学，239399
2.
安徽医科大学公共卫生学院儿少卫生与妇幼保健学系
3.
安徽省滁州市天长市教育体育局
4.
出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室

基金项目:

安徽省学生心理健康监测、预警及学校预防性服务干预示范研究项目 JKZ22001

详细信息

作者简介:
董秀清(1979-)，男，安徽天长人，大学本科，高级教师，主要研究方向为教育教学管理

周艺(1994-)，女，江苏盐城人，在读硕士，主要研究方向为儿童青少年卫生

通讯作者:
孙莹，E-mail：yingsun@ahmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
董秀清与周艺为并列第一作者。
中图分类号: G444 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2022-12-30
- 修回日期: 2023-01-31
- 网络出版日期: 2023-04-26
- 刊出日期: 2023-04-25

Association between bedroom night light exposure during sleep and children's emotional symptoms

1.
Tianchang Chengnan Primary School, Chuzhou (239399), Anhui Province, China

摘要

摘要: 目的探讨睡眠期间卧室夜灯暴露与儿童情绪症状的关联，为后续开展有效预防和干预措施提供科学依据。方法对2021年12月在安徽省滁州市天长市2所小学招募的1 926名四至六年级学生开展问卷调查，收集一般人口统计学信息、夜灯和窗帘使用情况、情绪症状等资料。采用二元Logistic回归分析探讨夜灯使用情况与儿童情绪症状的相关性。结果儿童抑郁症状、广泛性焦虑症状、社交恐惧、强迫症状报告率分别为2.5%，2.6%，3.4%和2.5%。有12.6%的儿童睡眠期间经常开夜灯，22.0%的儿童睡眠期间不关窗帘。二元Logistic回归分析显示，经常开夜灯睡觉与儿童抑郁症状(OR=2.29，95%CI=1.04~5.03)、社交恐惧(OR=1.93，95%CI=1.02~3.64)、强迫症状(OR=3.44，95%CI=1.72~6.88)风险增加有关(P值均 < 0.05)。结论睡眠期间卧室夜灯暴露与儿童情绪症状报告率存在正向关联。应重视儿童睡眠期间卧室光环境，减轻夜间光暴露对儿童心理健康的不利影响。
- 睡眠 /
- 光 /
- 环境暴露 /
- 情绪 /
- 精神卫生 /
- 回归分析 /
- 儿童
Abstract: Objective To explore the association between exposure to bedroom night light during sleep and emotional symptoms in children and provide a scientific basis for subsequent effective prevention and intervention. Methods In December 2021, 1 926 students from grades 4 to 6 were recruited to conduct a student questionnaire survey in two primary schools in Tianchang of Chuzhou City, Anhui Province. The data, including general demographic information, use of night lights and curtains, emotional symptoms, and other information, was collected. Binary Logistic regression analysis was used to examine the correlation between night light use and children's emotional symptoms. Results The reporting rates of depression symptoms, generalized anxiety symptoms, social phobia, and obsessive-compulsive symptoms of the children were 2.5%, 2.6%, 3.4% and 2.5%, respectively. About 12.6% of children often sleep with a night light on, and 22.0% of children did not close the curtains. Binary Logistic regression analysis revealed that frequent sleep with night lights was associated with an increased risk of depression symptoms(OR=2.29, 95%CI=1.04-5.03), social phobia (OR=1.93, 95%CI=1.02-3.64) and obsessive-compulsive symptoms (OR=3.44, 95%CI=1.72-6.88) in children(P < 0.05). Conclusion There is a positive correlation between bedroom night light exposure during sleep and the detection rate of children's emotional symptoms. The attention should be paid to bedroom light environment of children during sleep to reduce the adverse effects of night light exposure on the mental health.
- Sleep /
- Light /
- Environmental exposure /
- Emotions /
- Mental health /
- Regression analysis /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

2) 董秀清与周艺为并列第一作者。

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表 1 不同组别儿童睡眠期间窗帘和夜灯使用情况分布比较

Table 1. Comprasion of distribution of curtain and night light use during children's sleep of different groups

组别	选项	人数	睡眠期间窗帘使用情况				睡眠期间夜灯使用情况
组别	选项	人数	不关窗帘	关窗帘但不太隔光	关窗帘且基本隔光	χ²值	从不	偶尔	经常	χ²值
性别	男	1 071	261(24.4)	174(16.2)	636(59.4)	8.98^*	777(72.5)	175(16.3)	119(11.1)	9.64^**
	女	855	163(19.1)	133(15.6)	559(65.4)		565(66.1)	167(19.5)	123(14.4)
年级	四	580	149(25.7)	96(16.6)	335(57.8)	8.15	408(70.3)	106(18.3)	66(11.4)	4.86
	五	683	136(19.9)	105(15.4)	442(64.7)		458(67.1)	127(18.6)	98(14.3)
	六	663	139(21.0)	106(16.0)	418(63.0)		476(71.8)	109(16.4)	78(11.8)
独生子女	是	1 352	307(22.7)	229(16.9)	816(60.4)	5.91	947(70.0)	241(17.8)	164(12.1)	0.78
	否	574	117(20.4)	78(13.6)	379(66.0)		395(68.8)	101(17.6)	78(13.6)
父亲学历	小学及以下	89	25(28.1)	11(12.4)	53(59.6)	5.94	61(68.5)	14(15.7)	14(15.7)	7.28
	初中	597	142(23.8)	95(15.9)	360(60.3)		428(71.7)	110(18.4)	59(9.9)
	高中	693	151(21.8)	114(16.5)	428(61.8)		471(68.0)	129(18.6)	93(13.4)
	大专及以上	547	106(19.4)	87(15.9)	354(64.7)		382(69.8)	89(16.3)	76(13.9)
母亲学历	小学及以下	231	63(27.3)	27(11.7)	141(61.0)	12.28	161(69.7)	43(18.6)	27(11.7)	4.43
	初中	693	161(23.2)	115(16.6)	417(60.2)		485(70.0)	130(18.8)	78(11.3)
	高中	561	120(21.4)	98(17.5)	343(61.1)		398(70.9)	91(16.2)	72(12.8)
	大专及以上	441	80(18.1)	67(15.2)	294(66.7)		298(67.6)	78(17.7)	65(14.7)
家庭经济状况	较差	39	9(23.1)	5(12.8)	25(64.1)	1.68	27(69.2)	5(12.8)	7(17.9)	5.79
	中等	1 113	248(22.3)	186(16.7)	679(61.0)		796(71.5)	186(16.7)	131(11.8)
	较好	774	167(21.6)	116(15.0)	491(63.4)		519(67.1)	151(19.5)	104(13.4)
好朋友数量	没有	53	9(17.0)	8(15.1)	36(67.9)	3.00	34(64.2)	11(20.8)	8(15.1)	6.18
	1~2	446	109(24.4)	71(15.9)	266(59.6)		306(68.6)	79(17.7)	61(13.7)
	3~5	667	142(21.3)	104(15.6)	421(63.1)		464(69.6)	131(19.6)	72(10.8)
	≥6	760	164(21.6)	124(16.3)	472(62.1)		538(70.8)	121(15.9)	101(13.3)
注： ()内数字为构成比/%。P < 0.05，*P < 0.01。

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表 2 不同组别儿童情绪症状报告率比较

Table 2. Comparison of the prevalence of emotional symptoms in children with different groups

组别	选项	人数	统计值	抑郁症状	广泛性焦虑症状	社交恐惧	强迫症状
性别	男	1 071		30(2.8)	44(4.1)	48(4.5)	36(3.4)
	女	855		18(2.1)	7(0.8)	18(2.1)	12(1.4)
			χ²值	0.95	19.56	8.11	7.50
			P值	0.33	< 0.01	< 0.01	< 0.01
年级	四	580		3(0.5)	9(1.6)	16(2.8)	8(1.4)
	五	683		18(2.6)	21(3.1)	21(3.1)	21(3.1)
	六	663		27(4.1)	21(3.2)	29(4.4)	19(2.9)
			χ²值	16.18	3.88	2.84	4.29
			P值	< 0.01	0.14	0.24	0.12
独生子女	是	1 352		37(2.7)	40(3.0)	46(3.4)	35(2.6)
	否	574		11(1.9)	11(1.9)	20(3.5)	13(2.3)
			χ²值	1.12	1.70	0.01	0.17
			P值	0.29	0.19	0.93	0.68
父亲学历	小学及以下	89		4(4.5)	3(3.4)	4(4.5)	3(3.4)
	初中	597		23(3.9)	24(4.0)	16(2.7)	16(2.7)
	高中	693		13(1.9)	17(2.5)	28(4.0)	16(2.3)
	大专及以上	547		8(1.5)	7(1.3)	18(3.3)	13(2.4)
			χ_趋势²值	8.37	7.57	0.07	0.31
			P值	< 0.01	< 0.01	0.80	0.58
母亲学历	小学及以下	231		14(6.1)	15(6.5)	11(4.8)	9(3.9)
	初中	693		15(2.2)	22(3.2)	18(2.6)	20(2.9)
	高中	561		12(2.1)	10(1.8)	24(4.3)	12(2.1)
	大专及以上	441		7(1.6)	4(0.9)	13(2.9)	7(1.6)
			χ_趋势²值	7.60	18.30	0.11	4.00
			P值	< 0.01	< 0.01	0.74	< 0.05
家庭经济状况	较差	39		3(7.7)	4(10.3)	5(12.8)	2(5.1)
	中等	1 113		25(2.2)	25(2.2)	31(2.8)	27(2.4)
	较好	774		20(2.6)	22(2.8)	30(3.9)	19(2.5)
			χ_趋势²值	0.13	0.16	< 0.01	0.13
			P值	0.71	0.69	1.00	0.71
关系密切好朋友数量	没有	53		5(9.4)	4(7.5)	3(5.7)	3(5.7)
	1~2	446		13(2.9)	13(2.9)	16(3.6)	13(2.9)
	3~5	667		14(2.1)	12(1.8)	25(3.7)	18(2.7)
	≥6	760		16(2.1)	22(2.9)	22(2.9)	14(1.8)
			χ_趋势²值	4.38	0.57	1.10	3.06
			P值	< 0.05	0.45	0.29	0.08
睡眠期间窗帘使用情况	不关窗帘	424		13(3.1)	14(3.3)	13(3.1)	8(1.9)
	关窗帘但不太隔光	307		6(2.0)	10(3.3)	17(5.5)	8(2.6)
	关窗帘且基础隔光	1 195		29(2.4)	27(2.3)	36(3.0)	32(2.7)
			χ_趋势²值	0.32	1.63	0.27	0.72
			P值	0.57	0.20	0.60	0.40
睡眠期间夜灯使用情况	从不	1 342		26(1.9)	31(2.3)	41(3.1)	26(1.9)
	偶尔	342		10(2.9)	9(2.6)	10(2.9)	8(2.3)
	经常	242		12(5.0)	11(4.5)	15(6.2)	14(5.8)
			χ_趋势²值	7.74	3.38	4.32	10.23
			P值	< 0.01	0.07	< 0.05	< 0.01
注： ()内数字为报告率/%。

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表 3 睡眠期间夜灯使用情况与儿童情绪症状的二元Logistic回归模型[OR值(OR值95%CI)，n=1 926]

Table 3. Bivariate Logistic regression model of night light use during sleep on children's emotional symptoms[OR(OR 95%CI), n=1 926]

夜灯使用情况	抑郁症状	广泛性焦虑症状	社交恐惧	强迫症状
从不开	1.00	1.00	1.00	1.00
偶尔开	1.36(0.60~3.10)	1.19(0.54~2.65)	0.93(0.45~1.90)	1.24(0.55~2.80)
经常开	2.29(1.04~5.03)^*	2.03(0.95~4.32)	1.93(1.02~3.64)^*	3.44(1.72~6.88)^**
注：控制性别、年龄、独生子女与否、家庭经济状况、父母教育水平、朋友个数、学习成绩、睡觉时间、起床时间；P < 0.05，*P < 0.01。

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睡眠期间卧室夜灯暴露与儿童情绪症状的关联

doi: 10.16835/j.cnki.1000-9817.2023.04.022

作者简介:
董秀清(1979-)，男，安徽天长人，大学本科，高级教师，主要研究方向为教育教学管理

周艺(1994-)，女，江苏盐城人，在读硕士，主要研究方向为儿童青少年卫生

通讯作者:
孙莹，E-mail：yingsun@ahmu.edu.cn

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Association between bedroom night light exposure during sleep and children's emotional symptoms

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留言板

睡眠期间卧室夜灯暴露与儿童情绪症状的关联

doi: 10.16835/j.cnki.1000-9817.2023.04.022

作者简介: 董秀清(1979-)，男，安徽天长人，大学本科，高级教师，主要研究方向为教育教学管理 周艺(1994-)，女，江苏盐城人，在读硕士，主要研究方向为儿童青少年卫生

通讯作者: 孙莹，E-mail：yingsun@ahmu.edu.cn

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Association between bedroom night light exposure during sleep and children's emotional symptoms

计量

出版历程

目录

作者简介:
董秀清(1979-)，男，安徽天长人，大学本科，高级教师，主要研究方向为教育教学管理

周艺(1994-)，女，江苏盐城人，在读硕士，主要研究方向为儿童青少年卫生

通讯作者:
孙莹，E-mail：yingsun@ahmu.edu.cn