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Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Research

Relationship between parents’ health literacy and children’s sleep problems in Japan

Authors: Sae Ono, Hiroto Ogi, Masato Ogawa, Daisuke Nakamura, Teruhiko Nakamura, Kazuhiro P. Izawa

Published in: BMC Public Health | Issue 1/2021

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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 R2 = 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.
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Metadata
Title
Relationship between parents’ health literacy and children’s sleep problems in Japan
Authors
Sae Ono
Hiroto Ogi
Masato Ogawa
Daisuke Nakamura
Teruhiko Nakamura
Kazuhiro P. Izawa
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-10864-z

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