Comparing sleep disorders in urban and suburban adolescents

  • Nur'aini Nur'aini Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Sri Sofyani Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Supriatmo Supriatmo Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Iskandar Z. Lubis Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
DOI: https://doi.org/10.14238/pi54.5.2014.299-304
Keywords: adolescents, urban, sub-urban, sleep disorders questionnaire

Abstract

Background Sleep disturbances commonly occur in adolescents. Socioeconomic levels, lifestyle, and urban or suburban environments influence the sleep patterns of adolescents. The modernization process in urban environments is marked by the development of information technology media, and the lack of parental monitoring potentially influencing adolescent sleep disturbances. Sleep disturbances may affect children's physical growth, as well as their emotional, cognitive, and social development.

Objective To assess for sleep disorders in urban and suburban adolescents, and to determine the factors that influence the prevalence of sleep disturbances.

Methods A cross-sectional study was conducted on 12 to 15-year-old junior high school students in urban (n=350) and suburban (n=350) environments in the city of Medan, North Sumatera. The study was undertaken from May to June 2010 using the Sleep Disorders Scale for Children (SDSC), a set of questionnaires. The SDSC was filled out by parents based on what they remembered about their children's sleep patterns in the prior 6 months.

Results In the urban group, there were 133 (38.0%) subjects with sleep disturbances, 182 (52.0%) were borderline, and 35 (10.0%) were normal. In the suburban group, there were 132 (37.7%) subjects with sleep disturbances, 180 (51.4%) were borderline, and 38 (10.9%) were normal. The most influential factors for sleep disturbances in urban and suburban youth were environmental noise (P=0.001) and consuming beverages that contain caffeine (P=0.001). There were three types of sleep disorders that significantly found more in urban adolescents: disorders of initiating and maintaining sleep, disorders of excessive somnolence, and sleep hyperhidrosis.

Conclusion The prevalence of sleep disturbances do not differ between urban and suburban adolescents. Howevet; there are significant differences in the types of sleep disorders experienced. The most influential factors on sleep disturbance in both areas are environmental noise and consuming beverages that contain caffeine.  

References

LeBourgeois MK, Giannotti F, Cortesi F, Wolfson AR, Harsh J. The relationship between reported sleep quality and sleep hygiene in Italian and American adolescents. Pediatrics. 2005;115:257-65.

Currie S, Wilson K. Enam puluh menit ridur nyenyak. Jakarta: PT Bhuana IImu Populer; 2002.

Liu X, Ma Y, Wang Y, Jiang Q, Rao X, Lu X, et al. Briefreport: an epidemiologic sutvey of the prevalence of sleep disorders among children 2 to 12 years old in Beijing, China. Pediatrics. 2005;1l5:266-8.

Ohida T, Osaki Y, Doi Y, Tanihata T; Minowa M, Suzuki K, et al. An epidemiologic study of self-reported sleep problems among Japanese adolescents. Sleep. 2004;27:978-85.

Panossian LA, Avidan AY. Review of sleep disorders. Med Clin NorthAm. 2009;930:407-25.

Garda-Jimenez MA, Salcedo-Aguilar F, Rodrfguez-Almonadd FM, Redondo-Martinez MP, Monterde-Aznar ML, Marcos-Navarro AI, et al. The prevalence of sleep disorders among adolescents in Cuenca, Spain. Rev Neurol 2004;390:18-24.

Desager KN, Nelen V, Weyler JJ, De Backer WA. Sleep disturbance and daytime symptoms in wheezing school-aged children. J Sleep Res. 2005;14:77-82.

Bruni O, Ottaviano S, Guidetti V, Romoli M, Innocenzi M, Cortesi F, et al. The Sleep Disturbance Scale for Children (SDSC). Construction and validation of an instrument to evaluate sleep disturbancess in childhood and adolescence. J Sleep Res. 1996;5:251-61.

Blunden S, Lushington K, Lorenzen B, Ooi T, Fung F, Kennedy D. Are sleep problems under-recognised in general practice? Arch Dis Child. 2004;89:708-12

Bae CJ, Schaefer NF. Normal human sleep. In: Carney PR, Berry RB, Geyer JD, editors. Clinical sleep disorders. 18th ed. Philadelphia: Lippincott, Williams & Wilkins; 2005. p.29-37.

Stores G, Ellis AJ, Wiggs L, Crawford C, Thomson A. Sleep and psychological disturbance in noctumal asthma. Arch Dis Child. 1998;78:413-19.

Chng SY. Sleep disorders in children: the Singapore perspective. Ann Acad Med Singapore 2008;37:706-9.

Stewart PS, Smith BE, Atav AS, Britten MX, CoLLins MS, Morgan LL, et al. Integrative research review of risk behaviors among adolescent in rural, suburban and urban areas. J Adolescent Health. 1999;24:230-43.

Li Y, Jin H, Owens JA, Hu C. The association between sleep and injury among school-aged children in rural China: a case-control study. Sleep Med. 2008;9:142-8.

Ohrstrom E, Hadzibajramovic E, Holmes M, Svensson H. Effect of road traffic noise on sleep: studies on children and adults. J Environ Psychol. 2006;26:116-26.

Roehrs T, Roth T. Caffeine: sleep and daytime sleepiness. Sleep Med Rev. 2008;12:153-62.

Nawrot P, Jordan S, Eastwood J, Rotstein J, Hugenholtz A, Feeley M. Effects of caffeine on human health. Food Addit Contam. 2003;20:1-30

Bruni O, Russo PM, Ferri R, Novelli R, Galli F, Guidetri V. Relationships between headache and sleep in a non-clinical population of children and adolescents. Sleep Med. 2008;95:42-8.

Gori S, Morelli N, Maestri M, Fabbrini M, Bonanni E, Murri L. Sleep quality, chronotypes and preferential timing of attacks in migraine without aura. J Headache Pain. 2005;6:258-60.

Luc ME, Gupta A, Birnberg JM, Reddick D, Kohnnan MH. Characterization of symptoms of sleep disorders in children with headache. Pediatr Neurol. 2006;34:7-12.

Ouyang F, Lu BS, Wang B, Yang J, Li Z, Wang I, et al. Sleep patterns among rural Chinese twin adolescents. Sleep Med. 2009;10:479-89.

Published
2014-10-30
How to Cite
1.
Nur’aini N, Sofyani S, Supriatmo S, Lubis I. Comparing sleep disorders in urban and suburban adolescents. PI [Internet]. 30Oct.2014 [cited 22Nov.2024];54(5):299-04. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1013
Issue
Vol 54 No 5 (2014): September 2014
Section
Articles

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Received 2016-11-10
Accepted 2016-11-10
Published 2014-10-30