From: Associations between gestational age and childhood sleep: a national retrospective cohort study
Characteristics | Total | Sex | p | Gestational age at birth | p | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
(n = 114,311) | Male | Female | Very-preterm | Moderate-preterm | Preterm | Early-term | Full-term | Late-term | Post-term | |||
 | (n = 59,694) | (n = 54,617) | <31W | 32–33W | 34–36W | 37–38W | 39–40W | 41–41W | >41W | |||
 |  |  | (n = 2379) | (n = 1893) | (n = 10,238) | (n = 29,179) | (n = 58,043) | (n = 7016) | (n = 5563) | |||
Child characteristics | ||||||||||||
Children’s age (M, SD) | 4.408, 0.798 | 4.413, 0.797 | 4.403, 0.800 | 0.0423 | 4.446, 0.790 | 4.501, 0.781 | 4.490, 0.801 | 4.411, 0.804 | 4.389, 0.797 | 4.347, 0.782 | 4.472, 0.789 | <0.001 |
Gender (n%) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | <0.001 |
Male | 59,694, 52.221 | 59,694, 100.000 | 0, 0.000 | Â | 1268, 53.3 | 1014, 53.566 | 5568, 54.386 | 16,010, 54.868 | 29,670, 51.117 | 3373, 48.076 | 2791, 50.171 | Â |
Female | 54,617, 47.779 | 0, 0.000 | 54,617, 100.000 | Â | 1111, 46.7 | 879, 46.434 | 4670, 45.614 | 13,169, 45.132 | 28,373, 48.883 | 3643, 51.924 | 2772, 49.829 | Â |
BMI (M, SD) | 15.602, 1.607 | 15.754, 1.622 | 15.435, 1.574 | <0.001 | 15.660, 1.709 | 15.661, 1.666 | 15.660, 1.702 | 15.609, 1.617 | 15.576, 1.576 | 15.582, 1.574 | 15.698, 1.669 | <0.001 |
Right-handedness (n%) | Â | Â | Â | <0.001 | Â | Â | Â | Â | Â | Â | Â | 0.007 |
No | 8187, 7.162 | 4763, 7.979 | 3424, 6.269 | Â | 212, 8.911 | 148, 7.818 | 763, 7.453 | 2103, 7.207 | 4039, 6.959 | 520, 7.412 | 402, 7.226 | Â |
Yes | 106,124, 92.838 | 54,931, 92.021 | 51,193, 93.731 | Â | 2167, 91.089 | 1745, 92.182 | 9475, 92.547 | 27,076, 92.793 | 54,004, 93.041 | 6496, 92.588 | 5161, 92.774 | Â |
Eyesight (n%) | Â | Â | Â | 0.506 | Â | Â | Â | Â | Â | Â | Â | 0.147 |
Normal | 103,199, 90.279 | 53,858, 90.223 | 49,341, 90.34 | Â | 2133, 89.66 | 1691, 89.329 | 9202, 89.881 | 26,353, 90.315 | 52,463, 90.386 | 6302, 89.823 | 5055, 90.868 | Â |
Abnormal | 11,112, 9.721 | 5836, 9.777 | 5276, 9.66 | Â | 246, 10.34 | 202, 10.671 | 1036, 10.119 | 2826, 9.685 | 5580, 9.614 | 714, 10.177 | 508, 9.132 | Â |
Birth weight (n%) | Â | Â | Â | <0.001 | Â | Â | Â | Â | Â | Â | Â | <0.001 |
<2500g | 3700, 3.237 | 1727, 2.893 | 1973, 3.612 | Â | 365, 15.343 | 383, 20.232 | 1019, 9.953 | 925, 3.17 | 808, 1.392 | 93, 1.326 | 107, 1.923 | Â |
≥2500g | 110,611, 96.763 | 57,967, 97.107 | 52,644, 96.388 |  | 2014, 84.657 | 1510, 79.768 | 9219, 90.047 | 28,254, 96.83 | 57,235, 98.608 | 6923, 98.674 | 5456, 98.077 |  |
Delivery mode | Â | Â | Â | <0.001 | Â | Â | Â | Â | Â | Â | Â | <0.001 |
Vaginal delivery | 59,625, 52.160 | 30,421, 50.962 | 29,204, 53.471 | Â | 1208, 50.778 | 928, 49.023 | 5070, 49.521 | 13,925, 47.723 | 31,639, 54.51 | 3893, 55.487 | 2962, 53.245 | Â |
Delivery with caesarean section | 54,686, 47.840 | 29,273, 49.038 | 25,413, 46.529 | Â | 1171, 49.222 | 965, 50.977 | 5168, 50.479 | 15,254, 52.277 | 26,404, 45.49 | 3123, 44.513 | 2601, 46.755 | Â |
NICU admission | Â | Â | Â | <0.001 | Â | Â | Â | Â | Â | Â | Â | <0.001 |
No | 102,833, 89.959 | 53,301, 89.290 | 49,532, 90.69 | Â | 1891, 79.487 | 1399, 73.904 | 8206, 80.152 | 26,290, 90.099 | 53,501, 92.175 | 6420, 91.505 | 5126, 92.145 | Â |
Yes | 11,478, 10.041 | 6393, 10.710 | 5085, 9.31 | Â | 488, 20.513 | 494, 26.096 | 2032, 19.848 | 2889, 9.901 | 4542, 7.825 | 596, 8.495 | 437, 7.855 | Â |
Other developmental disorders | Â | Â | Â | <0.001 | Â | Â | Â | Â | Â | Â | Â | <0.001 |
No | 113,565, 99.347 | 59,244, 99.246 | 54,321, 99.458 | Â | 2359, 99.159 | 1867, 98.627 | 10174, 99.375 | 28,971, 99.287 | 57,702, 99.413 | 6977, 99.444 | 5515, 99.137 | Â |
Yes | 746, 0.653 | 450, 0.754 | 296, 0.542 | Â | 20, 0.841 | 26, 1.373 | 64, 0.625 | 208, 0.713 | 341, 0.587 | 39, 0.556 | 48, 0.863 | Â |
Co-sleeping | Â | Â | Â | 0.427 | Â | Â | Â | Â | Â | Â | Â | 0.142 |
Yes | 93,755, 82.020 | 48,941, 81.900 | 44,814, 82.000 | Â | 1935, 81.337 | 1530, 80.824 | 8395, 81.998 | 23,914, 81.956 | 47,717, 82.21 | 5754, 82.013 | 4510, 81.071 | Â |
No | 20,556, 17.980 | 10,753, 18,100 | 9803, 18.000 | Â | 444, 18.663 | 363, 19.176 | 1843, 18.002 | 5265, 18.044 | 10,326, 17.79 | 1262, 17.987 | 1053, 18.929 | Â |
Family characteristics | ||||||||||||
Higher education of mother (n%) | Â | Â | Â | 0.00195 | Â | Â | Â | Â | Â | Â | Â | <0.001 |
No | 51,393, 44.959 | 27,098, 45.395 | 24,295, 44.482 | Â | 1086, 45.649 | 862, 45.536 | 4578, 44.716 | 13,540, 46.403 | 24,070, 41.469 | 2929, 41.747 | 2870, 51.591 | Â |
Yes | 62,918, 55.041 | 32,596, 54.605 | 30,322, 55.518 | Â | 1293, 54.351 | 1031, 54.464 | 5660, 55.284 | 15,639, 53.597 | 33,973, 58.531 | 4087, 58.253 | 2693, 48.409 | Â |
Higher education of father (n%) | Â | Â | Â | 0.00498 | Â | Â | Â | Â | Â | Â | Â | <0.001 |
No | 52,335, 45.783 | 27,566, 46.179 | 24,769, 45.35 | Â | 1061, 44.599 | 851, 44.955 | 4496, 43.915 | 13,709, 46.982 | 24,759, 42.656 | 2940, 41.904 | 2825, 50.782 | Â |
Yes | 61,976, 54.217 | 32,128, 53.821 | 29,848, 54.65 | Â | 1318, 55.401 | 1042, 55.045 | 5742, 56.085 | 15,470, 53.018 | 33,284, 57.344 | 4076, 58.096 | 2738, 49.218 | Â |
Mother’s occupation (n%) |  |  |  | 0.00255 |  |  |  |  |  |  |  | 0.013 |
Employed | 71,455, 62.509 | 37,561, 62.923 | 33,894, 62.058 | Â | 1505, 63.262 | 1165, 61.543 | 6231, 60.861 | 18,247, 62.535 | 36,361, 62.645 | 4439, 63.27 | 3507, 63.042 | Â |
Unemployed | 42,856, 37.491 | 22,133, 37.077 | 20,723, 37.942 | Â | 874, 36.738 | 728, 38.457 | 4007, 39.139 | 10,932, 37.465 | 21,682, 37.355 | 2577, 36.73 | 2056, 36.958 | Â |
Father’s occupation (n%) |  |  |  | 0.249 |  |  |  |  |  |  |  | <0.001 |
Employed | 90,554, 79.217 | 47,367, 79.35 | 43,187, 79.072 | Â | 1834, 77.091 | 1452, 76.704 | 7755, 75.747 | 23,101, 79.17 | 46,381, 79.908 | 5655, 80.601 | 4376, 78.663 | Â |
Unemployed | 23,757, 20.783 | 12,327, 20.65 | 11,430, 20.928 | Â | 545, 22.909 | 441, 23.296 | 2483, 24.253 | 6078, 20.83 | 11,662, 20.092 | 1361, 19.399 | 1187, 21.337 | Â |
Family annual per capita income (RMB) b(n%) | Â | Â | Â | 0.0326 | Â | Â | Â | Â | Â | Â | Â | <0.001 |
Below | 21,988, 19.235 | 11,340, 18.997 | 10,648, 19.496 | Â | 526, 22.11 | 431, 22.768 | 2371, 23.159 | 5418, 18.568 | 10,683, 18.405 | 1296, 18.472 | 1263, 22.704 | Â |
Above or equal to | 92,323, 80.765 | 48,354, 81.003 | 43,969, 80.504 | Â | 1853, 77.89 | 1462, 77.232 | 7867, 76.841 | 23,761, 81.432 | 47,360, 81.595 | 5720, 81.528 | 4300, 77.296 | Â |
Family structure (n%) | Â | Â | Â | 0.0395 | Â | Â | Â | Â | Â | Â | Â | Â |
 |  | <0.001 | ||||||||||
Single families | 2807, 2.456 | 1412, 2.365 | 1395, 2.554 | Â | 89, 3.741 | 59, 3.117 | 340, 3.321 | 748, 2.563 | 1242, 2.140 | 155, 2.209 | 174, 3.128 | Â |
Nuclear families | 70,142, 61.361 | 36,724, 61.520 | 33,418, 61.186 | Â | 1544, 64.901 | 1225, 64.712 | 6581, 64.28 | 17,989, 61.651 | 35,235, 60.705 | 4058, 57.839 | 3510, 63.095 | Â |
Extended families | 41,362, 36.184 | 21,558, 36.114 | 19,804, 36.260 | Â | 746, 31.358 | 609, 32.171 | 3317, 32.399 | 10,442, 35.786 | 21,566, 37.155 | 2803, 39.952 | 1879, 33.777 | Â |
The number of children in the family (n%) | Â | Â | Â | <0.001 | Â | Â | Â | Â | Â | Â | Â | <0.001 |
One | 64,273, 56.226 | 34,319, 57.492 | 29,954, 54.844 | Â | 1390, 58.428 | 1125, 59.429 | 5616, 54.854 | 15,516, 53.175 | 33,105, 57.035 | 4201, 59.877 | 3320, 59.680 | Â |
Two or more | 50,038, 43.774 | 25,375, 42.508 | 24,663, 45.156 | Â | 989, 41.572 | 768, 40.571 | 4622, 45.146 | 13,663, 46.825 | 24,938, 42.965 | 2815, 40.123 | 2243, 40.320 | Â |
Maternal health characteristics | ||||||||||||
Maternal age at delivery (n%) | Â | Â | Â | 0.414 | Â | Â | Â | Â | Â | Â | Â | <0.001 |
<30 | 84,676, 74.075 | 44,158, 73.974 | 40,518, 74.186 | Â | 1766, 74.233 | 1354, 71.527 | 7068, 69.037 | 20,500, 70.256 | 44,021, 75.842 | 5686, 81.043 | 4281, 76.955 | Â |
30–34 | 21,956, 19.207 | 11,582, 19.402 | 10,374, 18.994 |  | 417, 17.528 | 367, 19.387 | 2224, 21.723 | 6293, 21.567 | 10,666, 18.376 | 1049, 14.952 | 940, 16.897 |  |
≥35 | 7679, 6.718 | 3954, 6.624 | 3725, 6.820 |  | 196, 8.239 | 172, 9.086 | 946, 9.24 | 2386, 8.177 | 3356, 5.782 | 281, 4.005 | 342, 6.148 |  |
Smoking or passive smoking during pregnancy (n%) | Â | Â | Â | 0.685 | Â | Â | Â | Â | Â | Â | Â | <0.001 |
No | 82,461, 72.137 | 43,031, 72.086 | 39,430, 72.194 | Â | 1677, 70.492 | 1336, 70.576 | 7154, 69.877 | 21,197, 72.645 | 42,124, 72.574 | 5019, 71.536 | 3954, 71.077 | Â |
Yes | 31,850, 27.863 | 16,663, 27.914 | 15,187, 27.806 | Â | 702, 29.508 | 557, 29.424 | 3084, 30.123 | 7982, 27.355 | 15,919, 27.426 | 1997, 28.464 | 1609, 28.923 | Â |
Maternal complications during pregnancy c(n%) | Â | Â | Â | 0.147 | Â | Â | Â | Â | Â | Â | Â | <0.001 |
No | 108,934, 95.296 | 56,938, 95.383 | 51,996, 95.201 | Â | 2242, 94.241 | 1755, 92.71 | 9612, 93.886 | 27,515, 94.297 | 55,634, 95.85 | 6783, 96.679 | 5393, 96.944 | Â |
Yes | 5377, 4.704 | 2756, 4.617 | 2621, 4.799 | Â | 137, 5.759 | 138, 7.29 | 626, 6.114 | 1664, 5.703 | 2409, 4.15 | 233, 3.321 | 170, 3.056 | Â |