Impact of Sleep on Injury Risk Among Rural Children

Details

• Personal Author:
  Dosman, James A. ; Hagel, Louise ; King, Nathan ; Lawson, Joshua ; Marlenga, Barbara ; Pickett, William
• Corporate Authors:
  Saskatchewan Farm Injury Cohort Study Team
• Description:
  Objectives: To examine sleep patterns in a large cohort of rural children and explore the association between sleep patterns and injury occurrence. Methods: Cross-sectional analyses of the baseline survey from a prospective cohort study (2012 to 2017) was conducted with 46 rural schools in Saskatchewan, Canada who distributed surveys to parents of 2275 rural dwelling farm and nonfarm children aged 0 to 17 years. Parents reported child sleep characteristics and farm or nonfarm injury in the previous calendar year. Multivariable log-binomial regression examined associations between sleep characteristics and injury risk. Results: There was a significant trend of decreasing sleep duration with increasing age (P-trend < 0.001). Short sleep duration on weekdays (RR: 2.14; 95% CI: 1.25 to 3.66) and sleep debt (RR: 1.89; 95% CI: 1.21 to 2.95) increased injury risk in school-age children (7 to 12 years) but not in teens. A nearly fivefold increase in injury risk was identified among school-age children reporting all sleep problems (RR: 4.99; 95% CI: 1.99 to 12.50). Snoring in teens (13 to 17 years), often a symptom of obstructive sleep apnea, was associated with increased injury risk (RR: 1.98; 95% CI: 1.17 to 3.33). There were no statistically significant associations identified between sleep characteristics and injury risk in preschool children. Conclusion: Injuries to rural children are an important public health concern. This study highlights the impact of sleep problems on risk for injury among rural children. These findings are discussed in light of the recent American Academy of Pediatrics Technical Report on Insufficient Sleep in Adolescents and Young Adults. [Description provided by NIOSH]
• Subjects:
  Adolescent Aging Cohort Studies Farmers Occupational Health Public Health Risk Assessment Risk Factors Safety Sleep
• Keywords:
  Adolescents Age Groups Author Keywords: Injury Risk Children Cohort Studies Injuries Public Health Risk Factors Risk Factors/Reduction Rural Children/Adolescents Snoring Statistical Analysis

  More +
• ISSN:
  1205-7088
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Canada ; OSHA Region 5 ; Wisconsin
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  6 pdf pages
• Volume:
  22
• Issue:
  4
• NIOSHTIC Number:
  nn:20066886
• Citation:
  Paediatr Child Health 2017 Jul; 22(4):211-216
• Contact Point Address:
  Barbara Marlenga, National Children's Center for Rural and Agricultural Health and Safety, Marshfield Clinic Research Foundation, 1000 North Oak Avenue, Marshfield, Wisconsin 54449
• Email:
  marlenga.barbara@mcrf.mfldclin.edu
• Federal Fiscal Year:
  2017
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  Marshfield Clinic Research Foundation
• Peer Reviewed:
  True
• Start Date:
  20080930
• Source Full Name:
  Paediatrics & Child Health
• End Date:
  20250929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:10d21f215820a67f70619ea2f835187df094f3e2bfd972b5c935be57d213ff9ad4161d5f047ddf8fa2dc8c891cd9bab584cb26e620b217a9c1c92156068f3191
• Download URL:
  https://stacks.cdc.gov/view/cdc/230808/cdc_230808_DS1.pdf
• File Type:
  [PDF - 538.97 KB ]