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Prevalence of habitual snoring and its correlates in young children across the A sia P acific
Author(s) -
Li Albert M,
Sadeh Avi,
Au Chun T,
Goh Daniel YT,
Mindell Jodi A
Publication year - 2013
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.12083
Subject(s) - medicine , breastfeeding , demography , pediatrics , sociology
Aims To evaluate: (i) the prevalence of habitual snoring ( HS ) in a large sample of children aged from birth to 36 months in 14 countries across A sia P acific; and (ii) the different correlates associated with HS in C aucasians, C hinese and non‐ C hinese, non‐ C aucasian A sians. Methods This was a multi‐centre, cross‐sectional survey conducted across A sia P acific. Parents/caregivers of 23 481 infants and toddlers completed an expanded version of the B rief I nfant S leep Q uestionnaire. We defined HS as snoring more than three nights per week. Results C hinese and non‐ C aucasian non‐ C hinese ( NCNC ) children had a lower prevalence of HS across the age range from birth to 3 years than their C aucasian counterparts (6.2% and 5.1% vs. 11%, P < 0.01). Boys had a higher prevalence of HS compared to girls (χ 2 = 98.5, P < 0.0001). History of prematurity ( OR = 1.37–1.56, CI (1.1–2.17), P < 0.01) and gender ( OR = 1.53–1.54, CI (1.26–1.85), P < 0.0001) were found to be significant predictors for HS . Current breastfeeding ( OR = 0.69, CI (0.54–0.88), P < 0.005) and greater parental age ( OR = 0.86, CI (0.78–0.96), P < 0.01) were protective against HS among NCNC children. HS was less prevalent in younger C hinese subjects ( OR = 0.88, CI (0.84–0.93), P < 0.0001). In C aucasians, parents' education ( OR = 0.78, CI (0.67–0.91), P < 0.005) and their not sleeping in the same room as their child ( OR = 0.62, CI (0.45–0.86), P < 0.005) were negatively associated with parental report of HS . Conclusions Prevalence of HS shows racial differences among countries across A sia P acific. Future studies should assess craniofacial structure and body fat distribution as contributory factors for this differential prevalence.