Abstract
Objective
Child sleep problems are prevalent and have been linked to poor behavior, worse school
performance, and obesity. Low health literacy (HL) is associated with suboptimal parenting
practices and worse health outcomes, but the relationship between parent HL and child
sleep-related issues is not known. We examined the association between parent HL and
child sleep-related issues.
Methods
This was a cross-sectional analysis of data from caregivers enrolled in a cluster
randomized trial of a primary care-based child obesity prevention program in 4 pediatric
clinics. Parent HL was assessed using the Short Test of Functional Health Literacy
in Adults. At the 9-month well-child visit, sleep-related factors were assessed: presence
of TV in room where child sleeps, regular naptimes and bedtimes (≥5 days/wk), low
daytime and nighttime sleep duration (>1 SD below mean on the basis of national data).
Multiple logistic regression analyses were performed.
Results
We enrolled 557 caregivers of 9-month-old children (49.7% Hispanic, 26.9% black, 56.2%
<$20,000 annual income); 49.6% reported having a TV in the room where their child
sleeps; 26.6% did not have regular naptimes norbedtimes. Median sleep duration was
2.3 (interquartile range, 1.5–3.0) hours (daytime), and 9.0 (interquartile range,
8.0–10.0) hours (night) (30.2% low daytime; 20.3% low nighttime sleep duration). Children
of parents with low HL were more likely to have a bedroom TV (66.7% vs 47.7%, P = .01; adjusted odds ratio, 2.2; 95% confidence interval, 1.1–4.3) and low night-time
sleep (37.0% vs 18.5%; P = .002; adjusted odds ratio, 2.4; 95% confidence interval, 1.2–4.8).
Conclusions
Low parent HL is associated with TV in the bedroom and low night sleep duration. Additional
study is needed to further explore these associations and intervention strategies
to address child sleep problems.
Keywords
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Article Info
Publication History
Published online: March 12, 2016
Accepted:
March 7,
2016
Received:
September 18,
2015
Footnotes
The authors have no conflicts of interest to disclose.
Identification
Copyright
Copyright © 2016 by Academic Pediatric Association
