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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.
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.
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.
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.
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| 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 |
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