Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.sleep.2013.09.002
Title: Cross-cultural differences in the sleep of preschool children
Authors: Mindell, J.A.
Sadeh, A.
Kwon, R.
Goh, D.Y.T. 
Keywords: Child
Cross-cultural
Preschool
Sleep
Sleep patterns
Sleep problems
Issue Date: Dec-2013
Citation: Mindell, J.A., Sadeh, A., Kwon, R., Goh, D.Y.T. (2013-12). Cross-cultural differences in the sleep of preschool children. Sleep Medicine 14 (12) : 1283-1289. ScholarBank@NUS Repository. https://doi.org/10.1016/j.sleep.2013.09.002
Abstract: Background: The aim of our study was to characterize cross-cultural sleep patterns and sleep problems in a large sample of preschool children ages 3-6. years in multiple predominantly Asian (P-A) and predominantly Caucasian (P-C) countries/regions. Methods: Parents of 2590 preschool-aged children (P-A countries/regions: China, Hong Kong, India, Japan, Korea, Malaysia, Philippines, Singapore, Thailand; P-C countries: Australia-New Zealand, Canada, United Kingdom, United States) completed an Internet-based expanded version of the Brief Child Sleep Questionnaire (BCSQ). Results: Overall, children from P-A countries had significantly later bedtimes, shorter nighttime sleep, and increased parental perception of sleep problems compared with those from P-C countries. Bedtimes varied from as early as 7:43. pm in Australia and New Zealand to as late as 10:26. pm in India, a span of almost 3. h. There also were significant differences in daytime sleep with the majority of children in P-A countries continuing to nap, resulting in no differences in 24-h total sleep times (TST) across culture and minimal differences across specific countries. Bed sharing and room sharing are common in P-A countries, with no change across the preschool years. There also were a significant percentage of parents who perceived that their child had a sleep problem (15% in Korea to 44% in China). Conclusions: Overall, our results indicate significant cross-cultural differences in sleep patterns, sleeping arrangements, and parent-reported sleep problems in preschool-aged children. Further studies are needed to understand the underlying bases for these differences and especially for contributors to parents' perceptions of sleep problems. © 2013 Elsevier B.V.
Source Title: Sleep Medicine
URI: http://scholarbank.nus.edu.sg/handle/10635/125285
ISSN: 13899457
DOI: 10.1016/j.sleep.2013.09.002
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