首页 期刊 论文 学科刊群 资讯 加盟 关于
EN
image
Article(id=1241675635475673292, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241675628051755031, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202406345, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1718899200000, receivedDateStr=2024-06-21, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773968140714, onlineDateStr=2026-03-20, pubDate=1732464000000, pubDateStr=2024-11-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773968140714, onlineIssueDateStr=2026-03-20, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773968140714, creator=13701087609, updateTime=1773968140714, updator=13701087609, issue=Issue{id=1241675628051755031, tenantId=1146029695717560320, journalId=1227665162245664772, year='2024', volume='51', issue='22', pageStart='4033', pageEnd='4224', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773968138945, creator=13701087609, updateTime=1773968595676, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1241677543783322543, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241675628051755031, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1241677543783322544, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241675628051755031, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=4121, endPage=4126, ext={EN=ArticleExt(id=1241675635920269559, articleId=1241675635475673292, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Association and gender differences between childhood adverse experiences and sleep disorders among middle school students in a certain district, Guangzhou, columnId=1228016568949474136, journalTitle=Modern Preventive Medicine, columnName=Child and Adolescent health, Maternal and Child Health, runingTitle=null, highlight=null, articleAbstract=
Objective

To understand the adverse childhood experiences of middle school students in Huangpu District and the association and gender differences between sleep disorders, and to provide scientific basis for the prevention and control policies of sleep disorders.

Methods

A stratified cluster sampling method was used to investigate the adverse childhood experiences (ACEs) of middle school students, evaluate their overall sleep function, and investigate the childhood adverse experiences of 6 middle school students in Huangpu District. The detection rate of sleep disorders in different childhood adverse experiences exposure was compared using a chi square test. A binary logistic regression model was established to analyze the risk and gender differences between exposure to adverse childhood experiences and sleep disorders in middle school students.

Results

This study analyzed a total of 6 710 students from 6 high schools in Huangpu District, Guangzhou, with 3 525 males and 3 185 females. The detection rate of sleep disorders was 18.0%. The detection rate of ACEs ranged from 1.3% (substance abuse among family members) to 38.9% (domestic violence). The results of the multivariate binary logistic regression analysis showed that, except for the parental disability dimension, the risk of developing sleep disorders was increased in subjects with ACEs (OR=1.38-4.58). There was a dose-response relationship between the cumulative number of ACEs and the risk of sleep disorders. In addition, the risk intensity between emotional neglect and sleep disorders was significantly higher in girls than in boys, but there was no interaction between gender and the association between other types of ACEs or the cumulative number of ACEs and sleep disorders.

Conclusion

There is a significant association between ACEs exposure and sleep disorders among middle school students in Huangpu District, the incidence of sleep disorders in girls is higher than that in boys, and girls who were emotionally neglected during childhood have a higher risk of developing sleep disorders.

, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, authorCompany=null, fund=null, authors=null, authorsList=Xiu-qiong FENG, Sheng-yu LUO, Ming-yi PENG, Ya-wei GUO, Dan XU), CN=ArticleExt(id=1241675636276785430, articleId=1241675635475673292, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=广州市某区中学生睡眠障碍与童年期不良经历的关联及性别差异, columnId=1228016570031604578, journalTitle=现代预防医学, columnName=儿少卫生与妇幼保健, runingTitle=null, highlight=null, articleAbstract=
目的

了解黄埔区中学生童年期不良经历情况及与睡眠障碍之间的关联和性别差异，为睡眠障碍发生防控政策提供科学依据。

方法

使用分层整群抽样方法，调查中学生童年不良经历（ACEs）情况，评估中学生总体睡眠功能，对黄埔区6所中学学生进行童年不良经历情况进行调查，通过χ2检验比较不同童年期不良经历暴露中睡眠障碍的检出率。建立二元logistic回归模型分析童年期不良经历暴露与中学生睡眠障碍的风险分析及性别差异。

结果

本研究共对广州市黄埔区6所中学6 710名学生进行分析，男生3 525名，女生3 185名。睡眠障碍检出率为18.0%。ACEs检出率由1.3%（家庭成员物质滥用）到38.9%（家庭暴力）不等。多因素二元logistic回归分析结果显示，除父母残疾维度外，具有ACEs组研究对象发生睡眠障碍的风险增加（OR=1.38～4.58）。ACEs累积个数与睡眠障碍的风险之间存在剂量反应关系。此外，女生中情感忽视与睡眠障碍的风险强度显著高于男生，但性别在其他类型ACEs或ACEs累计个数与睡眠障碍的关联中不存在交互作用。

结论

黄埔区中学生ACEs暴露睡眠障碍存在显著关联，女生睡眠障碍发生率高于男生，童年受到情感忽视的女生发生睡眠障碍风险更高。

, correspAuthors=null, authorNote=null, correspAuthorsNote=
冯秀琼，E-mail:
, copyrightStatement=本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点，除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=ylsO8oMdgOJJvFHMcGWzqQ==, magXml=pMhIdltfoeRVbhrkpOnohw==, pdfUrl=null, pdf=NMB8q3bAeBwoAP2R/gYcng==, pdfFileSize=575255, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=mnmuFgABBzuYDjPwq0DhTw==, mapNumber=null, authorCompany=null, fund=null, authors=

冯秀琼（1982—），女，硕士，副主任医师，研究方向：学校卫生、公共卫生、食品卫生、环境卫生

, authorsList=冯秀琼, 罗胜钰, 彭明益, 郭雅伟, 许丹)}, authors=[Author(id=1241826539311006615, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=fxqlittlecat@126.com, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1241826539436835745, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, authorId=1241826539311006615, language=EN, stringName=Xiu-qiong FENG, firstName=Xiu-qiong, middleName=null, lastName=FENG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=Guangzhou Huangpu District Center for Disease Prevention and Control, Guangzhou, Guangdong 510535, China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1241826539566859179, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, authorId=1241826539311006615, language=CN, stringName=冯秀琼, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1.广州市黄埔区疾病预防控制中心，广东　广州　510100, bio={"content":"

冯秀琼（1982—），女，硕士，副主任医师，研究方向：学校卫生、公共卫生、食品卫生、环境卫生

"}, bioImg=null, bioContent=

冯秀琼（1982—），女，硕士，副主任医师，研究方向：学校卫生、公共卫生、食品卫生、环境卫生

, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1241826539067736965, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, xref=1., ext=[AuthorCompanyExt(id=1241826539084514181, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, companyId=1241826539067736965, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Guangzhou Huangpu District Center for Disease Prevention and Control, Guangzhou, Guangdong 510535, China), AuthorCompanyExt(id=1241826539088708486, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, companyId=1241826539067736965, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.广州市黄埔区疾病预防控制中心，广东　广州　510100)])]), Author(id=1241826539717854129, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, orderNo=1, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1241826539906597827, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, authorId=1241826539717854129, language=EN, stringName=Sheng-yu LUO, firstName=Sheng-yu, middleName=null, lastName=LUO, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=null, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1241826540028232649, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, authorId=1241826539717854129, language=CN, stringName=罗胜钰, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=2.中山大学公共卫生学院, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1241826539201954702, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, xref=2., ext=[AuthorCompanyExt(id=1241826539206149008, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, companyId=1241826539201954702, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2.中山大学公共卫生学院)])]), Author(id=1241826540183421909, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, orderNo=2, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1241826540380554215, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, authorId=1241826540183421909, language=EN, stringName=Ming-yi PENG, firstName=Ming-yi, middleName=null, lastName=PENG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=Guangzhou Huangpu District Center for Disease Prevention and Control, Guangzhou, Guangdong 510535, China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1241826540594463737, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, authorId=1241826540183421909, language=CN, stringName=彭明益, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1.广州市黄埔区疾病预防控制中心，广东　广州　510100, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1241826539067736965, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, xref=1., ext=[AuthorCompanyExt(id=1241826539084514181, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, companyId=1241826539067736965, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Guangzhou Huangpu District Center for Disease Prevention and Control, Guangzhou, Guangdong 510535, China), AuthorCompanyExt(id=1241826539088708486, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, companyId=1241826539067736965, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.广州市黄埔区疾病预防控制中心，广东　广州　510100)])]), Author(id=1241826540703514627, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, orderNo=3, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1241826542259601422, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, authorId=1241826540703514627, language=EN, stringName=Ya-wei GUO, firstName=Ya-wei, middleName=null, lastName=GUO, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=null, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1241826542385430551, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, authorId=1241826540703514627, language=CN, stringName=郭雅伟, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=2.中山大学公共卫生学院, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1241826539201954702, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, xref=2., ext=[AuthorCompanyExt(id=1241826539206149008, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, companyId=1241826539201954702, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2.中山大学公共卫生学院)])]), Author(id=1241826542523842596, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, orderNo=4, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1241826542679031860, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, authorId=1241826542523842596, language=EN, stringName=Dan XU, firstName=Dan, middleName=null, lastName=XU, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=Guangzhou Huangpu District Center for Disease Prevention and Control, Guangzhou, Guangdong 510535, China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1241826542792278078, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, authorId=1241826542523842596, language=CN, stringName=许丹, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1.广州市黄埔区疾病预防控制中心，广东　广州　510100, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1241826539067736965, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, xref=1., ext=[AuthorCompanyExt(id=1241826539084514181, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, companyId=1241826539067736965, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Guangzhou Huangpu District Center for Disease Prevention and Control, Guangzhou, Guangdong 510535, China), AuthorCompanyExt(id=1241826539088708486, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, companyId=1241826539067736965, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.广州市黄埔区疾病预防控制中心，广东　广州　510100)])])], keywords=[Keyword(id=1241826543027159116, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=EN, orderNo=1, keyword=Adverse childhood experiences), Keyword(id=1241826543161376849, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=EN, orderNo=2, keyword=Sleep disorder), Keyword(id=1241826543291400284, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=EN, orderNo=3, keyword=Sex difference), Keyword(id=1241826543400452198, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=CN, orderNo=1, keyword=童年不良经历), Keyword(id=1241826543509504108, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=CN, orderNo=2, keyword=睡眠障碍), Keyword(id=1241826543656304761, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=CN, orderNo=3, keyword=性别差异)], refs=[Reference(id=1241826545011065026, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=1996, volume=29, issue=2, pageStart=103, pageEnd=107, url=null, language=null, rfNumber=［1］, rfOrder=0, authorNames=刘贤臣, 唐茂芹, 胡蕾, journalName=中华精神科杂志, refType=null, unstructuredReference=刘贤臣，唐茂芹，胡蕾，等．匹兹堡睡眠质量指数的信度和效度研究［J］．中华精神科杂志, 1996, 29(2): 103-107., articleTitle=匹兹堡睡眠质量指数的信度和效度研究, refAbstract=null), Reference(id=1241826545153671373, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=1996, volume=29, issue=2, pageStart=103, pageEnd=107, url=null, language=null, rfNumber=［1］, rfOrder=1, authorNames=Liu XC, Tang MQ, Hu L, journalName=Chinese Journal of Psychiatry, refType=null, unstructuredReference=Liu XC, Tang MQ, Hu L, et al.Reliability and validity study of the Pittsburgh Sleep Quality Index［J］. Chinese Journal of Psychiatry, 1996, 29(2): 103-107. (In Chinese), articleTitle=Reliability and validity study of the Pittsburgh Sleep Quality Index, refAbstract=null), Reference(id=1241826546697175254, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2009, volume=37, issue=5, pageStart=389, pageEnd=396, url=null, language=null, rfNumber=［2］, rfOrder=2, authorNames=Brown DW, Anda RF, Tiemeier HN, journalName=American Journal of Preventive Medicine, refType=null, unstructuredReference=Brown DW, Anda RF, Tiemeier HN, et al. Adverse childhood experiences and the risk of premature mortality［J］. American Journal of Preventive Medicine, 2009, 37(5): 389-396., articleTitle=Adverse childhood experiences and the risk of premature mortality, refAbstract=null), Reference(id=1241826546835587292, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=［3］, rfOrder=3, authorNames=Centers for Disease Control and Prevetion, journalName=null, refType=null, unstructuredReference=Centers for Disease Control and Prevetion. About adverse childhood experiences［EB/OL］. ［2024-10-15］. https://www.cdc.gov/aces/about/., articleTitle=About adverse childhood experiences, refAbstract=null), Reference(id=1241826546961416419, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2022, volume=43, issue=8, pageStart=1134, pageEnd=1138, url=null, language=null, rfNumber=［4］, rfOrder=4, authorNames=荣璠, 李若瑜, 高畅, journalName=中国学校卫生, refType=null, unstructuredReference=荣璠，李若瑜，高畅，等．母亲童年期不良经历及教养方式与学龄前儿童情绪行为问题的关联［J］．中国学校卫生, 2022, 43(8): 1134-1138., articleTitle=母亲童年期不良经历及教养方式与学龄前儿童情绪行为问题的关联, refAbstract=null), Reference(id=1241826547066274023, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2022, volume=43, issue=8, pageStart=1134, pageEnd=1138, url=null, language=null, rfNumber=［4］, rfOrder=5, authorNames=Rong F, Li RY, Gao C, journalName=Chinese Journal of School Health, refType=null, unstructuredReference=Rong F, Li RY, Gao C, et al. Association of maternal adverse childhood experiences and parenting styles with emotional behavior problems in preschool children［J］. Chinese Journal of School Health, 2022, 43(8): 1134-1138. (In Chinese), articleTitle=Association of maternal adverse childhood experiences and parenting styles with emotional behavior problems in preschool children, refAbstract=null), Reference(id=1241826547217268968, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2023, volume=50, issue=10, pageStart=1790, pageEnd=1795, url=null, language=null, rfNumber=［5］, rfOrder=6, authorNames=肖婉, 李书琴, 李若瑜, journalName=现代预防医学, refType=null, unstructuredReference=肖婉，李书琴，李若瑜，等．三城市中学生童年期不良经历暴露模式与心理亚健康的关联及性别差异［J］．现代预防医学, 2023, 50(10): 1790-1795., articleTitle=三城市中学生童年期不良经历暴露模式与心理亚健康的关联及性别差异, refAbstract=null), Reference(id=1241826547347292401, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2023, volume=50, issue=10, pageStart=1790, pageEnd=1795, url=null, language=null, rfNumber=［5］, rfOrder=7, authorNames=Xiao W, Li SQ, Li RY, journalName=Modern Preventive Medicine, refType=null, unstructuredReference=Xiao W, Li SQ, Li RY, et al. Relationship between adverse childhood experiences patterns and psychological sub-health and gender difference among middle school students:a three-city study in China［J］. Modern Preventive Medicine, 2023, 50(10): 1790-1795. (In Chinese), articleTitle=Relationship between adverse childhood experiences patterns and psychological sub-health and gender difference among middle school students:a three-city study in China, refAbstract=null), Reference(id=1241826547460538612, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2023, volume=6, issue=12, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=［6］, rfOrder=8, authorNames=Peterson C, Aslam MV, Niolon PH, journalName=JAMA Network Open, refType=null, unstructuredReference=Peterson C, Aslam MV, Niolon PH, et al. Economic burden of health conditions associated with adverse childhood experiences among US adults［J］. JAMA Network Open, 2023, 6(12): e2346323., articleTitle=Economic burden of health conditions associated with adverse childhood experiences among US adults, refAbstract=null), Reference(id=1241826547577979128, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2011, volume=12, issue=8, pageStart=773, pageEnd=779, url=null, language=null, rfNumber=［7］, rfOrder=9, authorNames=Chapman DP, Wheaton AG, Anda RF, journalName=Sleep Medicine, refType=null, unstructuredReference=Chapman DP, Wheaton AG, Anda RF, et al. Adverse childhood experiences and sleep disturbances in adults［J］. Sleep Medicine, 2011, 12(8): 773-779., articleTitle=Adverse childhood experiences and sleep disturbances in adults, refAbstract=null), Reference(id=1241826547712196860, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2020, volume=265, issue=null, pageStart=595, pageEnd=602, url=null, language=null, rfNumber=［8］, rfOrder=10, authorNames=Xiao D, Wang T, Huang YE, journalName=Journal of Affective Disorders, refType=null, unstructuredReference=Xiao D, Wang T, Huang YE, et al. Gender differences in the associations between types of childhood maltreatment and sleep disturbance among Chinese adolescents［J］. Journal of Affective Disorders, 2020, 265: 595-602., articleTitle=Gender differences in the associations between types of childhood maltreatment and sleep disturbance among Chinese adolescents, refAbstract=null), Reference(id=1241826547884163330, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2021, volume=48, issue=17, pageStart=3126, pageEnd=3129, 3134, url=null, language=null, rfNumber=［9］, rfOrder=11, authorNames=彭莲华, 毛平, 谭茗惠, journalName=现代预防医学, refType=null, unstructuredReference=彭莲华，毛平，谭茗惠，等．湖南省童年不良经历青少年人格特征与睡眠质量的关系研究:睡眠卫生的中介作用［J］．现代预防医学, 2021, 48(17): 3126-3129, 3134., articleTitle=湖南省童年不良经历青少年人格特征与睡眠质量的关系研究:睡眠卫生的中介作用, refAbstract=null), Reference(id=1241826547993215237, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2021, volume=48, issue=17, pageStart=3126, pageEnd=3129, 3134, url=null, language=null, rfNumber=［9］, rfOrder=12, authorNames=Peng LH, Mao P, Tan MH, journalName=Modern Preventive Medicine, refType=null, unstructuredReference=Peng LH, Mao P, Tan MH, et al. Mediating effect of sleep hygiene on the relationship between personality traits and sleep quality in adolescents with adverse childhood experiences, Hunan［J］. Modern Preventive Medicine, 2021, 48(17): 3126-3129, 3134. (In Chinese), articleTitle=Mediating effect of sleep hygiene on the relationship between personality traits and sleep quality in adolescents with adverse childhood experiences, Hunan, refAbstract=null), Reference(id=1241826548119044360, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2015, volume=16, issue=3, pageStart=320, pageEnd=330, url=null, language=null, rfNumber=［10］, rfOrder=13, authorNames=Kajeepeta S, Gelaye B, Jackson CL, journalName=Sleep Medicine, refType=null, unstructuredReference=Kajeepeta S, Gelaye B, Jackson CL, et al. Adverse childhood experiences are associated with adult sleep disorders: a systematic review［J］. Sleep Medicine, 2015, 16(3): 320-330., articleTitle=Adverse childhood experiences are associated with adult sleep disorders: a systematic review, refAbstract=null), Reference(id=1241826548236484878, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2006, volume=29, issue=8, pageStart=1063, pageEnd=1067, url=null, language=null, rfNumber=［11］, rfOrder=14, authorNames=Gregory AM, Caspi A, Moffitt TE, journalName=Sleep, refType=null, unstructuredReference=Gregory AM, Caspi A, Moffitt TE, et al. Family conflict in childhood: a predictor of later insomnia［J］. Sleep, 2006, 29(8): 1063-1067., articleTitle=Family conflict in childhood: a predictor of later insomnia, refAbstract=null), Reference(id=1241826548349731094, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2019, volume=27, issue=9, pageStart=958, pageEnd=961, 966, url=null, language=null, rfNumber=［12］, rfOrder=15, authorNames=张宝, 徐慧琼, 汪姗姗, journalName=中国儿童保健杂志, refType=null, unstructuredReference=张宝，徐慧琼，汪姗姗，等．睡眠质量在童年期不良经历与中学生抑郁症状关联中的中介作用及性别差异［J］．中国儿童保健杂志, 2019, 27(9): 958-961, 966., articleTitle=睡眠质量在童年期不良经历与中学生抑郁症状关联中的中介作用及性别差异, refAbstract=null), Reference(id=1241826548559446301, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2019, volume=27, issue=9, pageStart=958, pageEnd=961, 966, url=null, language=null, rfNumber=［12］, rfOrder=16, authorNames=Zhang B, Xu HQ, Wang SS, journalName=Chinese Journal of Child Health Care, refType=null, unstructuredReference=Zhang B, Xu HQ, Wang SS, et al. Mediating effects of sleep quality in the relationship between adverse childhood experiences and depressive symptoms among Junior middle school students and theroles of gender status［J］. Chinese Journal of Child Health Care, 2019, 27(9): 958-961, 966. (In Chinese), articleTitle=Mediating effects of sleep quality in the relationship between adverse childhood experiences and depressive symptoms among Junior middle school students and theroles of gender status, refAbstract=null), Reference(id=1241826548651720995, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2012, volume=3, issue=1, pageStart=2, pageEnd=9, url=null, language=null, rfNumber=［13］, rfOrder=17, authorNames=Javidi H, journalName=The International Journal of Occupational and Environmental Medicine, refType=null, unstructuredReference=Javidi H. Post-traumatic stress disorder［J］. The International Journal of Occupational and Environmental Medicine, 2012, 3(1): 2-9., articleTitle=Post-traumatic stress disorder, refAbstract=null), Reference(id=1241826548781744425, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2017, volume=69, issue=null, pageStart=40, pageEnd=48, url=null, language=null, rfNumber=［14］, rfOrder=18, authorNames=Lee RD, Chen JR, journalName=Child Abuse & Neglect, refType=null, unstructuredReference=Lee RD, Chen JR. Adverse childhood experiences, mental health, and excessive alcohol use: Examination of race/ethnicity and sex differences［J］. Child Abuse & Neglect, 2017, 69: 40-48., articleTitle=Adverse childhood experiences, mental health, and excessive alcohol use: Examination of race/ethnicity and sex differences, refAbstract=null), Reference(id=1241826548890796332, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2017, volume=67, issue=null, pageStart=338, pageEnd=348, url=null, language=null, rfNumber=［15］, rfOrder=19, authorNames=Kim YH, journalName=Child Abuse & Neglect, refType=null, unstructuredReference=Kim YH. Associations of adverse childhood experiences with depression and alcohol abuse among Korean college students［J］. Child Abuse & Neglect, 2017, 67: 338-348., articleTitle=Associations of adverse childhood experiences with depression and alcohol abuse among Korean college students, refAbstract=null), Reference(id=1241826549020819762, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2013, volume=13, issue=null, pageStart=3, pageEnd=null, url=null, language=null, rfNumber=［16］, rfOrder=20, authorNames=Chapman DP, Liu Y, Presley-Cantrell LR, journalName=BMC Public Health, refType=null, unstructuredReference=Chapman DP, Liu Y, Presley-Cantrell LR, et al. Adverse childhood experiences and frequent insufficient sleep in 5 U.S. States, 2009: a retrospective cohort study［J］. BMC Public Health, 2013, 13: 3., articleTitle=Adverse childhood experiences and frequent insufficient sleep in 5 U.S. States, 2009: a retrospective cohort study, refAbstract=null), Reference(id=1241826549138260280, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2018, volume=null, issue=14, pageStart=113, pageEnd=115, url=null, language=null, rfNumber=［17］, rfOrder=21, authorNames=李蕊杏, 彭焱, journalName=现代交际, refType=null, unstructuredReference=李蕊杏，彭焱．睡眠质量对大学生焦虑、抑郁情绪与持续性注意的影响［J］．现代交际, 2018, (14): 113-115., articleTitle=睡眠质量对大学生焦虑、抑郁情绪与持续性注意的影响, refAbstract=null), Reference(id=1241826549247312184, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, doi=null, pmid=null, pmcid=null, year=2018, volume=null, issue=14, pageStart=113, pageEnd=115, url=null, language=null, rfNumber=［17］, rfOrder=22, authorNames=Li RX, Peng Y, journalName=Modern Society, refType=null, unstructuredReference=Li RX, Peng Y. The influence of sleep quality on anxiety, depressive mood and persistent attention in college students［J］. Modern Society, 2018, (14): 113-115. (In Chinese), articleTitle=The influence of sleep quality on anxiety, depressive mood and persistent attention in college students, refAbstract=null)], funds=null, companyList=[AuthorCompany(id=1241826539067736965, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, xref=1., ext=[AuthorCompanyExt(id=1241826539084514181, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, companyId=1241826539067736965, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Guangzhou Huangpu District Center for Disease Prevention and Control, Guangzhou, Guangdong 510535, China), AuthorCompanyExt(id=1241826539088708486, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, companyId=1241826539067736965, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.广州市黄埔区疾病预防控制中心，广东　广州　510100)]), AuthorCompany(id=1241826539201954702, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, xref=2., ext=[AuthorCompanyExt(id=1241826539206149008, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, companyId=1241826539201954702, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2.中山大学公共卫生学院)])], figs=[ArticleFig(id=1241826543920545936, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=EN, label=Table 1, caption=

Detection rate of sleep disorders in different features

, figureFileSmall=null, figureFileBig=null, tableContent=
因素选项人数睡眠障碍人数
n,(%)		χ2P值
青少年信息
性别男3 525534(15.2)40.98<0.001
女3 185674(21.2)
年龄≤15岁4 868729(15.0)111.12<0.001
>15岁1 842479(26.0)
主要照料人父母亲6 2971 120(17.8)2.210.138
其他38580(20.8)
独生子女是1 811353(19.5)3.420.064
否4 826846(17.5)
住校是4 391905(20.6)57.31<0.001
否2 238292(13.1)
父母信息
父亲年龄≤401 574215(13.7)26.97<0.001
>404 901953(19.5)
母亲年龄≤402 936416(14.2)53.34<0.001
>403 578757(21.2)
父亲职业在职6 1361 098(17.9)1.390.239
失业47996(20.0)
母亲职业在职5 482982(17.9)0.170.676
失业1 205222(18.4)
父亲文化程度初中及以下1 431232(16.2)6.480.039
高中、中专1 823329(18.1)
大专及以上2 848552(19.4)
母亲文化程度初中及以下1 739280(16.1)5.450.066
高中、中专1 878348(18.5)
大专及以上2 856533(18.7)
ACE个数01 514155(10.2)317.85<0.001
11 575181(11.5)
21 257194(15.4)
≥32 248667(29.7)
), ArticleFig(id=1241826544033792151, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=CN, label=表1, caption=

不同特征中睡眠障碍的检出率

, figureFileSmall=null, figureFileBig=null, tableContent=
因素选项人数睡眠障碍人数
n,(%)		χ2P值
青少年信息
性别男3 525534(15.2)40.98<0.001
女3 185674(21.2)
年龄≤15岁4 868729(15.0)111.12<0.001
>15岁1 842479(26.0)
主要照料人父母亲6 2971 120(17.8)2.210.138
其他38580(20.8)
独生子女是1 811353(19.5)3.420.064
否4 826846(17.5)
住校是4 391905(20.6)57.31<0.001
否2 238292(13.1)
父母信息
父亲年龄≤401 574215(13.7)26.97<0.001
>404 901953(19.5)
母亲年龄≤402 936416(14.2)53.34<0.001
>403 578757(21.2)
父亲职业在职6 1361 098(17.9)1.390.239
失业47996(20.0)
母亲职业在职5 482982(17.9)0.170.676
失业1 205222(18.4)
父亲文化程度初中及以下1 431232(16.2)6.480.039
高中、中专1 823329(18.1)
大专及以上2 848552(19.4)
母亲文化程度初中及以下1 739280(16.1)5.450.066
高中、中专1 878348(18.5)
大专及以上2 856533(18.7)
ACE个数01 514155(10.2)317.85<0.001
11 575181(11.5)
21 257194(15.4)
≥32 248667(29.7)
), ArticleFig(id=1241826544193175711, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=EN, label=Table 2, caption=

Detection rate of sleep disorders in exposure to adverse experiences during different childhood periods

, figureFileSmall=null, figureFileBig=null, tableContent=
因素选项人数睡眠障碍人数
n,(%)		χ2P值
单独ACE
身体虐待无5 298803(15.2)141.17<0.001
有1 365396(29.0)
情感虐待无5 027685(13.6)263.52<0.001
有1 639514(31.4)
性虐待无5 484837(15.3)159.30<0.001
有1 201369(30.7)
身体忽视无4 403746(16.9)9.610.002
有2 273455(20.0)
情感忽视无4 674686(14.7)114.32<0.001
有1 996512(25.7)
家庭成员物质滥用无6 6241 184(17.9)5.080.024
有8423(27.4)
家庭成员拘禁或坐牢无65191,159(17.8)7.310.007
有18447(25.5)
家庭成员心理疾病无6 1181 004(16.4)117.09<0.001
有588202(34.4)
家庭暴力无4 092591(14.4)88.59<0.001
有2 609613(23.5)
父母分居或离异无6 2601 100(17.6)9.510.002
有440103(23.4)
父母死亡无6 4491 149(17.8)4.150.042
有25959(22.8)
父母残疾无6 5731 172(17.8)4.400.040
有11429(25.4)
同伴欺凌无5 652899(15.9)106.73<0.001
有1 054308(29.2)
ACEs累积个数01 359155(10.2)317.85<0.001
11 394181(11.5)
21 063194(15.4)
≥31 581667(29.7)
), ArticleFig(id=1241826544348364965, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=CN, label=表2, caption=

不同童年期不良经历暴露中睡眠障碍的检出率

, figureFileSmall=null, figureFileBig=null, tableContent=
因素选项人数睡眠障碍人数
n,(%)		χ2P值
单独ACE
身体虐待无5 298803(15.2)141.17<0.001
有1 365396(29.0)
情感虐待无5 027685(13.6)263.52<0.001
有1 639514(31.4)
性虐待无5 484837(15.3)159.30<0.001
有1 201369(30.7)
身体忽视无4 403746(16.9)9.610.002
有2 273455(20.0)
情感忽视无4 674686(14.7)114.32<0.001
有1 996512(25.7)
家庭成员物质滥用无6 6241 184(17.9)5.080.024
有8423(27.4)
家庭成员拘禁或坐牢无65191,159(17.8)7.310.007
有18447(25.5)
家庭成员心理疾病无6 1181 004(16.4)117.09<0.001
有588202(34.4)
家庭暴力无4 092591(14.4)88.59<0.001
有2 609613(23.5)
父母分居或离异无6 2601 100(17.6)9.510.002
有440103(23.4)
父母死亡无6 4491 149(17.8)4.150.042
有25959(22.8)
父母残疾无6 5731 172(17.8)4.400.040
有11429(25.4)
同伴欺凌无5 652899(15.9)106.73<0.001
有1 054308(29.2)
ACEs累积个数01 359155(10.2)317.85<0.001
11 394181(11.5)
21 063194(15.4)
≥31 581667(29.7)
), ArticleFig(id=1241826544528720048, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=EN, label=Table 3, caption=

Association analysis and gender differences between exposure to adverse childhood experiences and sleep disorders in middle school students

, figureFileSmall=null, figureFileBig=null, tableContent=
因素选项所有学生
OR(95% CI)		女生
OR(95% CI)		男生
OR(95% CI)		交互P值
单独ACE
身体虐待无1.001.001.000.810
有2.55(2.18,2.99)2.48(1.99,3.09)2.65(2.12,3.31)
情感虐待无1.001.001.000.304
有3.22(2.76,3.74)3.40(2.78,4.17)3.01(2.39,3.79)
性虐待无1.001.001.000.644
有2.29(1.95,2.68)2.42(1.95,3.00)2.22(1.75,2.82)
身体忽视无1.001.001.000.890
有1.41(1.22,1.64)1.41(1.15,1.72)1.43(1.15,1.77)
情感忽视无1.001.001.000.016
有2.37(2.05,2.75)2.77(2.27,3.39)1.98(1.59,2.46)
家庭成员物质滥用无1.001.001.000.118
有1.91(1.11,3.28)1.14(0.44,2.92)2.67(1.37,5.19)
家庭成员拘禁或坐牢无1.001.001.000.839
有1.70(1.17,2.49)1.90(1.09,3.30)1.65(0.98,2.78)
家庭成员心理疾病无1.001.001.000.243
有2.28(1.86,2.78)2.54(1.96,3.30)1.91(1.40,2.61)
家庭暴力无1.001.001.000.934
有1.99(1.73,2.29)1.96(1.62,2.38)2.03(1.65,2.49)
父母分居或离异无1.001.001.000.754
有1.38(1.05,1.81)1.40(0.98,1.98)1.32(0.86,2.05)
父母死亡无1.001.001.000.188
有1.55(1.08,2.22)1.99(1.20,3.31)1.23(0.73,2.09)
父母残疾无1.001.001.000.896
有1.55(0.95,2.51)1.50(0.74,3.02)1.64(0.84,3.19)
同伴欺凌无1.001.001.000.284
有2.66(2.25,3.15)2.36(1.85,3.01)3.01(2.37,3.81)
ACEs累积个数01.001.001.000.482
11.25(0.97,1.61)1.42(1.00,2.00)1.06(0.74,1.53)
21.91(1.49,2.45)2.15(1.52,3.05)1.65(1.16,2.35)
≥34.58(3.70,5.66)5.25(3.91,7.04)3.90(2.87,5.31)
), ArticleFig(id=1241826544730046647, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241675635475673292, language=CN, label=表3, caption=

童年期不良经历暴露与中学生睡眠障碍的关联分析及性别差异

, figureFileSmall=null, figureFileBig=null, tableContent=
因素选项所有学生
OR(95% CI)		女生
OR(95% CI)		男生
OR(95% CI)		交互P值
单独ACE
身体虐待无1.001.001.000.810
有2.55(2.18,2.99)2.48(1.99,3.09)2.65(2.12,3.31)
情感虐待无1.001.001.000.304
有3.22(2.76,3.74)3.40(2.78,4.17)3.01(2.39,3.79)
性虐待无1.001.001.000.644
有2.29(1.95,2.68)2.42(1.95,3.00)2.22(1.75,2.82)
身体忽视无1.001.001.000.890
有1.41(1.22,1.64)1.41(1.15,1.72)1.43(1.15,1.77)
情感忽视无1.001.001.000.016
有2.37(2.05,2.75)2.77(2.27,3.39)1.98(1.59,2.46)
家庭成员物质滥用无1.001.001.000.118
有1.91(1.11,3.28)1.14(0.44,2.92)2.67(1.37,5.19)
家庭成员拘禁或坐牢无1.001.001.000.839
有1.70(1.17,2.49)1.90(1.09,3.30)1.65(0.98,2.78)
家庭成员心理疾病无1.001.001.000.243
有2.28(1.86,2.78)2.54(1.96,3.30)1.91(1.40,2.61)
家庭暴力无1.001.001.000.934
有1.99(1.73,2.29)1.96(1.62,2.38)2.03(1.65,2.49)
父母分居或离异无1.001.001.000.754
有1.38(1.05,1.81)1.40(0.98,1.98)1.32(0.86,2.05)
父母死亡无1.001.001.000.188
有1.55(1.08,2.22)1.99(1.20,3.31)1.23(0.73,2.09)
父母残疾无1.001.001.000.896
有1.55(0.95,2.51)1.50(0.74,3.02)1.64(0.84,3.19)
同伴欺凌无1.001.001.000.284
有2.66(2.25,3.15)2.36(1.85,3.01)3.01(2.37,3.81)
ACEs累积个数01.001.001.000.482
11.25(0.97,1.61)1.42(1.00,2.00)1.06(0.74,1.53)
21.91(1.49,2.45)2.15(1.52,3.05)1.65(1.16,2.35)
≥34.58(3.70,5.66)5.25(3.91,7.04)3.90(2.87,5.31)
)], attaches=null, journal=Journal(id=1227664546253402114, delFlag=0, nameCn=现代预防医学, nameEn=Modern Preventive Medicine, nameHistory1=null, nameHistory2=null, issn=1003-8507, eissn=null, cn=51-1365/R, coden=null, periodic=3, language=CN, oaType=null, ccby=null, superviseOffice=null, ownerOffice=null, pubOffice=null, editorOffice=null, officeType=null, aims=null, clcCode=null, officeProv=null, officeCity=null, officeAddr=null, officeZip=null, officeEmail=null, officePhone=null, editDirector=null, officeDirector=null, officeDirectorPhone=null, officeStaffNum=null, officeEmpNum=null, coverPicUrl=IeiuPXEZi6AA+k0VfvoiOQ==, journalPrice=null, startedYear=null, abbrevIsoEn=Modern Preventive Medicine, journalRemark=null, publicationField=null, createdTime=1770627636734, updatedTime=1770628902248, createdBy=18614031015, updatedBy=13701087609, firstLetterCn=M, firstLetterEn=M, subjectCode=Life Sciences, subjectName=null, subjectCodeEn=Life Sciences, subjectNameEn=null, picCn=IeiuPXEZi6AA+k0VfvoiOQ==, picEn=/9iTl8/ndms4tBz1fL28Pg==, jcr=null, cjcr=null, exts=[JournalExt(id=1227669854342280188, language=CN, name=现代预防医学, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1770628902278, updatedTime=1770628902278, createdBy=13701087609, updatedBy=13701087609, submissionGuidelinesUrl=, submissionAuthorUrl=http://xdyfyxzz.paperopen.com/#/regist, submissionEditorUrl=http://xdyfyxzz.paperopen.com/#/Login, submissionReviewUrl=http://xdyfyxzz.paperopen.com/#/Login, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""}), JournalExt(id=1227669854396806141, language=EN, name=Modern Preventive Medicine, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1770628902291, updatedTime=1770628902291, createdBy=13701087609, updatedBy=13701087609, submissionGuidelinesUrl=, submissionAuthorUrl=http://xdyfyxzz.paperopen.com/#/regist, submissionEditorUrl=http://xdyfyxzz.paperopen.com/#/Login, submissionReviewUrl=http://xdyfyxzz.paperopen.com/#/Login, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""})], databaseList=null, tenantJournalId=1227665162245664772, websiteList=[Website(id=1227687234141352800, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1227665162245664772, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/xdyfyx/CN, language=CN, createTime=1770633045945, createBy=18614031015, updateTime=1770633090526, updateBy=18614031015, name=现代预防医学-中文, tplId=1146099689490845704, title=现代预防医学, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1227687735088051072, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234141352800, code=articleTextType, value=kx, createTime=1770633165380, updateTime=1770633165380, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687735071273853, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234141352800, code=banner, value=null, createTime=1770633165376, updateTime=1770633165376, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687735113216899, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234141352800, code=grayFlag, value=0, createTime=1770633165386, updateTime=1770633165386, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687735062885244, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234141352800, code=logo, value=https://castjournals.cast.org.cn/joweb/xdyfyx/CN/file/pic?fileId=/XB5plC0xuykmQnycvtyrw==, createTime=1770633165374, updateTime=1770633165374, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687735125799813, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234141352800, code=minRunFlag, value=0, createTime=1770633165389, updateTime=1770633165389, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687735083856767, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234141352800, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/xdyfyx/CN/file/pic, createTime=1770633165379, updateTime=1770633165379, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687735121605508, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234141352800, code=silenceFlag, value=0, createTime=1770633165388, updateTime=1770633165388, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687735079662462, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234141352800, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_cn_619/, createTime=1770633165378, updateTime=1770633165378, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687735096439681, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234141352800, code=themeColor, value=null, createTime=1770633165382, updateTime=1770633165382, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687735104828290, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234141352800, code=themeStyle, value=null, createTime=1770633165384, updateTime=1770633165384, creator=18614031015, updator=18614031015)]), Website(id=1227687234338485094, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1227665162245664772, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/xdyfyx/EN, language=EN, createTime=1770633045992, createBy=18614031015, updateTime=1770633115374, updateBy=18614031015, name=现代预防医学-英文, tplId=1146101810881728533, title=Modern Preventive Medicine, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1227687709129507332, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234338485094, code=articleTextType, value=kx, createTime=1770633159191, updateTime=1770633159191, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687709108535809, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234338485094, code=banner, value=null, createTime=1770633159186, updateTime=1770633159186, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687709167256071, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234338485094, code=grayFlag, value=0, createTime=1770633159200, updateTime=1770633159200, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687709095952896, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234338485094, code=logo, value=https://castjournals.cast.org.cn/joweb/xdyfyx/EN/file/pic?fileId=/XB5plC0xuykmQnycvtyrw==, createTime=1770633159183, updateTime=1770633159183, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687709179838985, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234338485094, code=minRunFlag, value=0, createTime=1770633159203, updateTime=1770633159203, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687709121118723, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234338485094, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/xdyfyx/EN/file/pic, createTime=1770633159189, updateTime=1770633159189, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687709171450376, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234338485094, code=silenceFlag, value=0, createTime=1770633159201, updateTime=1770633159201, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687709112730114, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234338485094, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_en_623/, createTime=1770633159187, updateTime=1770633159187, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687709133701637, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234338485094, code=themeColor, value=null, createTime=1770633159192, updateTime=1770633159192, creator=18614031015, updator=18614031015), WebsiteProps(id=1227687709154673158, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1227687234338485094, code=themeStyle, value=null, createTime=1770633159197, updateTime=1770633159197, creator=18614031015, updator=18614031015)])], journalTitle=现代预防医学, weixinUrl=null, journalUrl=http://xdyfyxzz.paperopen.com/, iacademicId=null, status=1, seqNo=null, journalTitleEn=Modern Preventive Medicine, journalPhotoCn=IeiuPXEZi6AA+k0VfvoiOQ==, journalPhotoEn=/9iTl8/ndms4tBz1fL28Pg==, journalFirstLetter=M, journalRecommend=null, journalNew=null, journalCollection=null, jcrJf=null, cjcrJf=null, jcrJfStr=null, cjcrJfStr=null, submissionFirstDecision=null, sciSubjectClassification=null, casSubjectClassification=null, citeScore=null, totalCitationFrequency=null, icpCode=null, psCode=null, advertisingLicenseCode=null, copyrightInformation=null, country=null, option=, provinceCode=null, provinceName=null, collectFlag=false), detailUrlCn=https://castjournals.cast.org.cn/joweb/xdyfyx/CN/10.20043/j.cnki.MPM.202406345, detailUrlEn=https://castjournals.cast.org.cn/joweb/xdyfyx/EN/10.20043/j.cnki.MPM.202406345, pdfUrlCn=https://castjournals.cast.org.cn/joweb/xdyfyx/CN/PDF/10.20043/j.cnki.MPM.202406345, pdfUrlEn=https://castjournals.cast.org.cn/joweb/xdyfyx/EN/PDF/10.20043/j.cnki.MPM.202406345, aliStartDate=null, aliEndDate=null, collectionFlag=false, citedCount=null, citedUrl=null, reference=null)
收藏切换
广州市某区中学生睡眠障碍与童年期不良经历的关联及性别差异
收藏切换
PDF下载
冯秀琼 1 , 罗胜钰 2 , 彭明益 1 , 郭雅伟 2 , 许丹 1
现代预防医学 | 儿少卫生与妇幼保健 2024,51(22): 4121-4126
收起
收藏切换
现代预防医学 | 儿少卫生与妇幼保健 2024, 51(22): 4121-4126
广州市某区中学生睡眠障碍与童年期不良经历的关联及性别差异
全屏
冯秀琼1 , 罗胜钰2, 彭明益1, 郭雅伟2, 许丹1
作者信息
  • 1.广州市黄埔区疾病预防控制中心，广东　广州　510100
  • 2.中山大学公共卫生学院

    • 冯秀琼（1982—），女，硕士，副主任医师，研究方向：学校卫生、公共卫生、食品卫生、环境卫生

通讯作者:

冯秀琼，E-mail:
Association and gender differences between childhood adverse experiences and sleep disorders among middle school students in a certain district, Guangzhou
Xiu-qiong FENG1 , Sheng-yu LUO2, Ming-yi PENG1, Ya-wei GUO2, Dan XU1
Affiliations
  • Guangzhou Huangpu District Center for Disease Prevention and Control, Guangzhou, Guangdong 510535, China
出版时间: 2024-11-25 doi: 10.20043/j.cnki.MPM.202406345
文章导航
收藏切换
摘要
收起
目的

了解黄埔区中学生童年期不良经历情况及与睡眠障碍之间的关联和性别差异，为睡眠障碍发生防控政策提供科学依据。

方法

使用分层整群抽样方法，调查中学生童年不良经历（ACEs）情况，评估中学生总体睡眠功能，对黄埔区6所中学学生进行童年不良经历情况进行调查，通过χ2检验比较不同童年期不良经历暴露中睡眠障碍的检出率。建立二元logistic回归模型分析童年期不良经历暴露与中学生睡眠障碍的风险分析及性别差异。

结果

本研究共对广州市黄埔区6所中学6 710名学生进行分析，男生3 525名，女生3 185名。睡眠障碍检出率为18.0%。ACEs检出率由1.3%（家庭成员物质滥用）到38.9%（家庭暴力）不等。多因素二元logistic回归分析结果显示，除父母残疾维度外，具有ACEs组研究对象发生睡眠障碍的风险增加（OR=1.38～4.58）。ACEs累积个数与睡眠障碍的风险之间存在剂量反应关系。此外，女生中情感忽视与睡眠障碍的风险强度显著高于男生，但性别在其他类型ACEs或ACEs累计个数与睡眠障碍的关联中不存在交互作用。

结论

黄埔区中学生ACEs暴露睡眠障碍存在显著关联，女生睡眠障碍发生率高于男生，童年受到情感忽视的女生发生睡眠障碍风险更高。

童年不良经历  /  睡眠障碍  /  性别差异
Objective

To understand the adverse childhood experiences of middle school students in Huangpu District and the association and gender differences between sleep disorders, and to provide scientific basis for the prevention and control policies of sleep disorders.

Methods

A stratified cluster sampling method was used to investigate the adverse childhood experiences (ACEs) of middle school students, evaluate their overall sleep function, and investigate the childhood adverse experiences of 6 middle school students in Huangpu District. The detection rate of sleep disorders in different childhood adverse experiences exposure was compared using a chi square test. A binary logistic regression model was established to analyze the risk and gender differences between exposure to adverse childhood experiences and sleep disorders in middle school students.

Results

This study analyzed a total of 6 710 students from 6 high schools in Huangpu District, Guangzhou, with 3 525 males and 3 185 females. The detection rate of sleep disorders was 18.0%. The detection rate of ACEs ranged from 1.3% (substance abuse among family members) to 38.9% (domestic violence). The results of the multivariate binary logistic regression analysis showed that, except for the parental disability dimension, the risk of developing sleep disorders was increased in subjects with ACEs (OR=1.38-4.58). There was a dose-response relationship between the cumulative number of ACEs and the risk of sleep disorders. In addition, the risk intensity between emotional neglect and sleep disorders was significantly higher in girls than in boys, but there was no interaction between gender and the association between other types of ACEs or the cumulative number of ACEs and sleep disorders.

Conclusion

There is a significant association between ACEs exposure and sleep disorders among middle school students in Huangpu District, the incidence of sleep disorders in girls is higher than that in boys, and girls who were emotionally neglected during childhood have a higher risk of developing sleep disorders.

Adverse childhood experiences  /  Sleep disorder  /  Sex difference
冯秀琼, 罗胜钰, 彭明益, 郭雅伟, 许丹. 广州市某区中学生睡眠障碍与童年期不良经历的关联及性别差异. 现代预防医学, 2024 , 51 (22) : 4121 -4126 . DOI: 10.20043/j.cnki.MPM.202406345
Xiu-qiong FENG, Sheng-yu LUO, Ming-yi PENG, Ya-wei GUO, Dan XU. Association and gender differences between childhood adverse experiences and sleep disorders among middle school students in a certain district, Guangzhou[J]. Modern Preventive Medicine, 2024 , 51 (22) : 4121 -4126 . DOI: 10.20043/j.cnki.MPM.202406345
正文
收起
童年期不良经历（adverse childhood experiences，ACEs）是指0到18岁的个体在生长发育过程中所遭受到的实际或潜在影响健康发展的创伤集合[1]，包括家庭功能不全（家庭成员酗酒、吸毒或有精神疾病等）、忽视（情感、身体）和虐待（躯体、情感、性）等多个方面[2-5]。中学生ACEs检出率近90%[6]。有研究提示ACEs与睡眠障碍有关[7],由此可能推断睡眠质量在ACEs与抑郁关联中可能存在中介作用。本研究于2021年10—12月在广州市黄埔区以分层随机整群抽样方法抽取6所中学，分析童年期不良经历与睡眠障碍的关联及性别差异，为开展中学生睡眠障碍干预，促进中学生睡眠健康提供科学数据。
1　对象与方法
收起
1.1　对象
2021年10—12月，采用分层随机整群抽样方法，按照学校类型选取广州市黄埔区按比例随机抽取6所中学，包括4所初中和2所完全中学（同时有初中、高中）。以所有在校中学生（不包括初三、高三毕业班）作为研究对象，回收有效问卷6 710份，应答率90.1%（6 710/6 982），其中女生3 185名，男生3 525名，平均年龄（14.9±1.6）岁。本研究获得校方及学生家长知情同意，并由中山大学公共卫生学院伦理委员会审批（编号：2021［116］）。
1.2　方法
1.2.1　一般人口学特征
包括中学生年龄、性别、主要照料人、父母（年龄、文化程度、职业）、是否独生子女、是否住校等。
1.2.2　童年期不良经历
本研究共测量13种ACEs。其中，童年虐待的评估采用童年创伤问卷-简表（CTQ-SF）评估，该量表测量五类儿童虐待，包括情感虐待、身体虐待和性虐待，以及情感和身体忽视。每个类别包括五个项目，采用李克特五点量表评分（1=“从不”，2=“偶尔”，3=“有时”，4=“经常”，5=“总是”）。每个类别的分值范围为5~25分。本研究中的分界点为：身体虐待8分，精神虐待9分，性虐待6分，身体忽视8分，精神忽视10分。家庭功能失调和同伴欺凌采用童年不良经历国际问卷（ACE-IQ）进行评估。共包括七个类别：家庭药物滥用（1项）、家庭成员入狱（1项）、家庭精神疾病（1项）、父母死亡（1项）、父母分居或离婚（1项）、目睹家庭暴力（3项）和同伴欺凌（1项）。对于目睹家庭暴力和同伴欺凌，使用 4 点李克特量表（1 =“从未”，2=“一次”，3=“几次”，4=“多次”）对其经历进行评分。凡是表示“一次”、“几次”或“很多次”遇到过这些经历的人都被归入“暴露组”。对于其他ACEs类别，回答为是或）。回答 “是”的青少年被归入该ACEs类别的暴露组。另外还有两个问题：（1）“你的女性/男性监护人在你年幼时是否有严重畸形？”和（2）“你的女性/男性监护人在你年幼时是否长期卧病在床？”用于评估父母残疾情况。对任何一个问题的肯定回答都表明青少年接触过父母残疾的ACEs类别。将每个青少年的13个ACEs类别相加，进一步计算出ACEs累积得分，得分范围为0至13分。随后，根据青少年的ACEs累积得分，将所有青少年分为五组，即0、1、2、3和≥4个ACEs组
1.2.3　睡眠质量
采用使用刘贤臣等[1]翻译的匹兹堡睡眠质量指数量表（PSQI）问卷进行调查。该问卷测量睡眠的七个不同维度（分值范围：0-3），包括睡眠潜伏期、睡眠障碍、睡眠持续时间、主观睡眠质量、日间功能障碍、睡眠药物使用和习惯性睡眠效率[1]。通过将七个维度的得分相加计算出PSQI的总分，得分高低与睡眠质量好坏成正比。本研究中将PSQI总分≥7分的青少年划分为异常组，即青少年存在睡眠质量差。本研究量表的内部一致性系数为0.77。
1.3　质量控制
项目组在调查前对学校心理老师和调查员进行规范化培训。统一培训调查。
1.4　统计学方法
采用Stata 16软件进行数据分析。通过χ2检验比较不同人口统计学特征。采用二元logistic回归评估ACEs与睡眠障碍的关联。并采用Likelihood Ratio检验评估性别在ACEs与睡眠障碍间的调节效应。以P<0.05为差异有统计学意义。
2　结果
收起
2.1　不同特征中睡眠障碍检出情况
本研究睡眠障碍检出率为18.0%。睡眠障碍检出在青少年性别（女）、年龄>15岁、住校、父母亲年龄>40岁及暴露于ACEs个数大于3项上的检出存在差异（P<0.001）。见表1。
2.2　不同ACEs暴露中睡眠障碍检出情况
ACEs检出率由1.3%（家庭成员物质滥用）到38.9%（家庭暴力）不等。按ACEs总得分分组，有77.0%的中学生至少汇报了一种ACEs，而有34.1%的中学生则暴露于3种及以上ACEs。不同类型的ACEs暴露中，睡眠障碍的检出率均高于无暴露的中学生（P值均<0.05）。随着ACEs累积个数的增加，睡眠障碍的检出率也呈增加趋势。
2.3　ACEs与睡眠障碍的关联及性别差异
除父母残疾维度外，具有ACEs组研究对象发生睡眠障碍的风险增加（OR=1.38～4.58）。ACEs累积个数越多，则睡眠障碍的风险越高（1个ACEs：OR=1.25, 95% CI: 0.97~1.61; 2个ACEs：OR=1.91, 95% CI:1.49~2.45;3个及以上ACEs：OR=4.58, 95% CI: 3.70~5.66），趋势性检验P值<0.05。此外，女生中情感忽视与睡眠障碍的关联显著高于男生，即性别的交互作用结果显著（P值=0.016）。性别在其他类型ACEs或ACEs累计个数与睡眠障碍的关联中交互作用结果不显著（P值均>0.05）。见表3。
3　讨论
收起
3.1　ACEs与睡眠障碍呈正相关关系
本研究结果显示，中学生睡眠障碍检出率为18.0%，与我国有童年虐待经历青少年睡眠障碍发生率(19.0%)相近[8-9]，显著低于湖南省ACEs青少年睡眠障碍检出率（34.6%）[9]。本研究发现，除父母残疾外，各类型ACEs暴露与中学生睡眠障碍的发生呈正相关关系。国外一项Meta分析结果表明，随着ACEs严重程度和数量的递增，其与睡眠障碍发生的关联强度越大[10]。Gregory等[11]通过一项长达18年的研究证实，研究对象7～15岁经历家庭冲突与其成年后失眠症状的关联具有统计学意义（OR＝1.4，95% CI＝1.2～1.7）。彭莲华等[9]湖南省童年不良经历青少年人格特征与睡眠质量的关系研究发现，相比睡眠正常者，睡眠障碍的ACEs青少年在内外倾、睡眠卫生上得分明显更低、在神经质、精神质得分上得分明显更高，差异均有统计学意义(t= -3.150，-7.358，9.722，2.088;P<0.05)。另外，张宝等[12]一项针对沈阳1 086名寄宿制中学生研究表明，中学生的睡眠障碍在ACEs与抑郁关联中存在中介效应。
3.2　童年情感忽视与睡眠障碍关系存在性别差异
本研究中，中学女生睡眠障碍发生率高于男生，差异具有统计学意义（χ2=40.98，P<0.001），可能是因为男性和女性对于揭示童年期事件方面存在的心理情感差异，女性比男性更易受到童年期创伤事件的影响，更愿意倾诉或透露所遭受的童年期不良经历和家庭功能障碍[13-14]。大量研究表明，青少年ACEs分布表现一定的性别特异性[15]。美国一项对29 212名成年人的调查，女性较男性报告更多的ACEs[16]。
本研究显示，童年受到情感忽视的女生发生睡眠障碍风险更高，差异有统计学意义（P值<0.05）。这与张宝等[12]研究相符。Javidi等[13]研究显示，女性创伤后应激障碍的患病率显著高于男性。肖婉等[5]研究表明，对暴露模式的研究发现暴露于同等水平ACEs，女生心理亚健康的发生风险高于男生，这提示女生心理健康状态更容易受到早期应激生活事件的作用。
3.3　与睡眠正常的ACEs青少年相比
睡眠障碍者存在明显的低外向倾、高神经质、高精神质、不良睡眠卫生等，说明不良的人格特征以及睡眠卫生习惯差可能会对ACEs青少年睡眠质量造成不良影响，导致睡眠障碍[9]。
3.4　本研究优缺点
本研究在6所学校学生样本中，详细分析了不同类型ACEs暴露中睡眠障碍的检出率及性别差异，在国内的相关调查分析中首次出现。但是，本研究存在局限性，一、本研究为横断面调查，不能其推断因果关系，需开展队列研究及干预研究证实其因果关系；二、本研究属回顾性研究，无法避免回忆性偏倚[17]；三、问卷存在某些敏感条目，会影响问卷信息填写真实性。
文献
收起
参考文献 引证文献
排序方式：
［1］
刘贤臣，唐茂芹，胡蕾，等．匹兹堡睡眠质量指数的信度和效度研究［J］．中华精神科杂志, 1996, 29(2): 103-107.
Liu XC, Tang MQ, Hu L, et al.Reliability and validity study of the Pittsburgh Sleep Quality Index［J］. Chinese Journal of Psychiatry, 1996, 29(2): 103-107. (In Chinese)
［2］
Brown DW, Anda RF, Tiemeier HN, et al. Adverse childhood experiences and the risk of premature mortality［J］. American Journal of Preventive Medicine, 2009, 37(5): 389-396.
［3］
Centers for Disease Control and Prevetion. About adverse childhood experiences［EB/OL］. ［2024-10-15］. https://www.cdc.gov/aces/about/.
［4］
荣璠，李若瑜，高畅，等．母亲童年期不良经历及教养方式与学龄前儿童情绪行为问题的关联［J］．中国学校卫生, 2022, 43(8): 1134-1138.
Rong F, Li RY, Gao C, et al. Association of maternal adverse childhood experiences and parenting styles with emotional behavior problems in preschool children［J］. Chinese Journal of School Health, 2022, 43(8): 1134-1138. (In Chinese)
［5］
肖婉，李书琴，李若瑜，等．三城市中学生童年期不良经历暴露模式与心理亚健康的关联及性别差异［J］．现代预防医学, 2023, 50(10): 1790-1795.
Xiao W, Li SQ, Li RY, et al. Relationship between adverse childhood experiences patterns and psychological sub-health and gender difference among middle school students:a three-city study in China［J］. Modern Preventive Medicine, 2023, 50(10): 1790-1795. (In Chinese)
［6］
Peterson C, Aslam MV, Niolon PH, et al. Economic burden of health conditions associated with adverse childhood experiences among US adults［J］. JAMA Network Open, 2023, 6(12): e2346323.
［7］
Chapman DP, Wheaton AG, Anda RF, et al. Adverse childhood experiences and sleep disturbances in adults［J］. Sleep Medicine, 2011, 12(8): 773-779.
［8］
Xiao D, Wang T, Huang YE, et al. Gender differences in the associations between types of childhood maltreatment and sleep disturbance among Chinese adolescents［J］. Journal of Affective Disorders, 2020, 265: 595-602.
［9］
彭莲华，毛平，谭茗惠，等．湖南省童年不良经历青少年人格特征与睡眠质量的关系研究:睡眠卫生的中介作用［J］．现代预防医学, 2021, 48(17): 3126-3129, 3134.
Peng LH, Mao P, Tan MH, et al. Mediating effect of sleep hygiene on the relationship between personality traits and sleep quality in adolescents with adverse childhood experiences, Hunan［J］. Modern Preventive Medicine, 2021, 48(17): 3126-3129, 3134. (In Chinese)
［10］
Kajeepeta S, Gelaye B, Jackson CL, et al. Adverse childhood experiences are associated with adult sleep disorders: a systematic review［J］. Sleep Medicine, 2015, 16(3): 320-330.
［11］
Gregory AM, Caspi A, Moffitt TE, et al. Family conflict in childhood: a predictor of later insomnia［J］. Sleep, 2006, 29(8): 1063-1067.
［12］
张宝，徐慧琼，汪姗姗，等．睡眠质量在童年期不良经历与中学生抑郁症状关联中的中介作用及性别差异［J］．中国儿童保健杂志, 2019, 27(9): 958-961, 966.
Zhang B, Xu HQ, Wang SS, et al. Mediating effects of sleep quality in the relationship between adverse childhood experiences and depressive symptoms among Junior middle school students and theroles of gender status［J］. Chinese Journal of Child Health Care, 2019, 27(9): 958-961, 966. (In Chinese)
［13］
Javidi H. Post-traumatic stress disorder［J］. The International Journal of Occupational and Environmental Medicine, 2012, 3(1): 2-9.
［14］
Lee RD, Chen JR. Adverse childhood experiences, mental health, and excessive alcohol use: Examination of race/ethnicity and sex differences［J］. Child Abuse & Neglect, 2017, 69: 40-48.
［15］
Kim YH. Associations of adverse childhood experiences with depression and alcohol abuse among Korean college students［J］. Child Abuse & Neglect, 2017, 67: 338-348.
［16］
Chapman DP, Liu Y, Presley-Cantrell LR, et al. Adverse childhood experiences and frequent insufficient sleep in 5 U.S. States, 2009: a retrospective cohort study［J］. BMC Public Health, 2013, 13: 3.
［17］
李蕊杏，彭焱．睡眠质量对大学生焦虑、抑郁情绪与持续性注意的影响［J］．现代交际, 2018, (14): 113-115.
Li RX, Peng Y. The influence of sleep quality on anxiety, depressive mood and persistent attention in college students［J］. Modern Society, 2018, (14): 113-115. (In Chinese)
2024年第51卷第22期
PDF下载
43
20
引用本文
BibTeX
文章信息
doi: 10.20043/j.cnki.MPM.202406345
  • 接收时间：2024-06-21
  • 首发时间：2026-03-20
  • 出版时间：2024-11-25
补充材料
相关文章
文章信息
作者
出版历史
  • 收稿日期：2024-06-21
基金
作者信息
    1.广州市黄埔区疾病预防控制中心，广东　广州　510100
    2.中山大学公共卫生学院

通讯作者:

冯秀琼，E-mail:
参考文献
分享链接
https://castjournals.cast.org.cn/joweb/xdyfyx/CN/10.20043/j.cnki.MPM.202406345
分享至
全文二维码

扫描看全文

引用本文
BibTeX
本文的引用情况
2种不同金属材料的力学参数
科
Family		 属数
Number of
genus		 种数
Number of
species		 占总种数比例
Percentage of
total species (%)		 属
Genus		 种数
Number of
species		 占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
关闭全屏
相关链接
论文
最新文章
热读文章
热点专题
内参
蓝皮书
产业发展报告
传播力报告
期刊分级目录
资讯
学术新闻
行业新闻
学术会议
行业会议
关于
关于我们
联系我们
北京市海淀区学院南路86号
100081
010-62199257
qkjq@cast.org.cn

中国科学技术协会版权所有 京ICP 备10216604号-4 海淀分局备案 1101084647
科技导报社主办 中国科协信息中心技术支持