Inadequate sleep and unintentional injuries in young children.
OBJECTIVE
The purpose of this study was to explore the relationship between adequacy of sleep and injuries sustained by children between 18 months and 4 years of age. DESIGN, SAMPLE, AND MEASURES: Data from a descriptive, longitudinal study of 278 mothers and their preschool children were collected in Rochester, NY, from September 2002 to December 2004. Participants were recruited from 4 pediatric practices. The number of medically attended injuries that each child sustained between 18 months and 4 years of age served as the dependent variable. Data on injuries were collected through maternal report and medical record abstraction. Mothers reported on the child's sleep. The relationships among variables were evaluated using Pearson correlation coefficients and Poisson regression analysis.


RESULTS
Children who did not get enough sleep sustained a higher number of medically attended injuries. The results were significant even after controlling for key demographic variables and child's temperament.


CONCLUSIONS
The present findings provide support for a relationship between children's sleep and injuries. Improving children's sleep hygiene may be an important component of parental interventions to reduce preschoolers' unintentional injuries.
Koulouglioti
Christina
C
School of Nursing, University of Rochester, Rochester, New York, USA. Christina_Koulouglioti@urmc.rochester.edu
Cole
Robert
R
Kitzman
Harriet
H
D000059:Accidents / Q000706:statistics & numerical data*; D000328:Adult; D000704:Analysis of Variance; D002652:Child Behavior; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D008297:Male; D009518:New York / Q000453:epidemiology; D011159:Population Surveillance / Q000379:methods; D012044:Regression Analysis; D012307:Risk Factors; D012720:Severity of Illness Index; D012892:Sleep Deprivation / Q000150:complications* / Q000175:diagnosis / Q000517:prevention & control; D011795:Surveys and Questionnaires; D013694:Temperament; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control