Journal article
Individual and socio-demographic factors related to presenting problem and diagnostic impressions at a pediatric sleep clinic
Sleep medicine, v 25, pp 67-72
01 Sep 2016
PMID: 27823719
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: Individual and socio-demographic factors have been found to be associated with sleep disturbances in children. Few studies have examined these factors among children presenting for care at pediatric sleep clinics. This study examined individual and socio-demographic factors in association with presenting problems and diagnostic impressions for new patients at an interdisciplinary pediatric sleep clinic.
Methods: Data were collected from electronic medical records of 207 consecutive patients (54% male, 59% White, Mean(age) = 7.73, SD = 5.62).
Results: Older age, female gender, and White race were associated with higher likelihood of presenting with difficulty falling asleep; younger age, male gender, and Black race were associated with higher likelihood of presenting with obstructive sleep apnea (OSA)-related concerns. Older age was associated with diagnostic impressions of inadequate sleep hygiene, insufficient sleep, circadian rhythm disorder/ delayed sleep phase disorder, periodic limb movement disorder/restless legs syndrome, and insomnia, while younger age was associated with provisional OSA and behavioral insomnia of childhood (BIC) diagnoses. Male gender was associated with provisional OSA. White race was associated with BIC. Age based analyses were also conducted to further understand the findings within a developmental context.
Conclusions: Age- and gender -related findings converged with prevalence literature on pediatric sleep disorders. Race was only associated with presenting concern and BIC, and one association for neighborhood disadvantage was found within the age -based analysis. Results suggest a potential service delivery gap, with racial ethnic minority youth being less likely to present for sleep services, despite prevalence data on the increased likelihood of sleep disturbances among these youth. (C) 2016 Elsevier B.V. All rights reserved.
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Details
- Title
- Individual and socio-demographic factors related to presenting problem and diagnostic impressions at a pediatric sleep clinic
- Creators
- Sonia L. Rubens - University of New OrleansKristina E. Patrick - Children's Hospital of PhiladelphiaAriel A. Williamson - Children's Hospital of PhiladelphiaMelisa Moore - Children's Hospital of PhiladelphiaJodi A. Mindell - Saint Joseph's UniversityMelvin E Moore - Information Science (Informatics)
- Publication Details
- Sleep medicine, v 25, pp 67-72
- Publisher
- Elsevier
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Information Science (Informatics)
- Web of Science ID
- WOS:000389112500013
- Scopus ID
- 2-s2.0-84992135491
- Other Identifier
- 991019174013904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology