Geocultural differences in preschooler sleep profiles and family practices: An analysis of pooled data from 37 countries
1
Issued Date
2025-04-01
Resource Type
ISSN
01618105
eISSN
15509109
Scopus ID
2-s2.0-105003702752
Pubmed ID
39715306
Journal Title
Sleep
Volume
48
Issue
4
Rights Holder(s)
SCOPUS
Bibliographic Citation
Sleep Vol.48 No.4 (2025)
Suggested Citation
Zhang Z., Abdeta C., Chelly M.S., Del Pozo-Cruz J., Draper C.E., Engberg E., Florindo A., Germana L., Ghofranipour F., Guan H., Ha A.S.C., El Hamdouchi A., Tang H.K., Hossain M.S., Jambaldorj B., Kim D.H., Koh D., Kontsevaya A., Löf M., Lubree H., Jáuregui A., Munambah N., Mwase-Vuma T., Oluwayomi A., Pham B.N., Reilly J.J., Staiano A.E., Suherman A., Tanaka C., Tanui S., Teo W.P., Tremblay M.S., Turab A., Užičanin E., Veldman S.L.C., Webster E.K., Wickramasinghe V.P., Widyastari D.A., Okely A. Geocultural differences in preschooler sleep profiles and family practices: An analysis of pooled data from 37 countries. Sleep Vol.48 No.4 (2025). doi:10.1093/sleep/zsae305 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/109961
Title
Geocultural differences in preschooler sleep profiles and family practices: An analysis of pooled data from 37 countries
Author(s)
Zhang Z.
Abdeta C.
Chelly M.S.
Del Pozo-Cruz J.
Draper C.E.
Engberg E.
Florindo A.
Germana L.
Ghofranipour F.
Guan H.
Ha A.S.C.
El Hamdouchi A.
Tang H.K.
Hossain M.S.
Jambaldorj B.
Kim D.H.
Koh D.
Kontsevaya A.
Löf M.
Lubree H.
Jáuregui A.
Munambah N.
Mwase-Vuma T.
Oluwayomi A.
Pham B.N.
Reilly J.J.
Staiano A.E.
Suherman A.
Tanaka C.
Tanui S.
Teo W.P.
Tremblay M.S.
Turab A.
Užičanin E.
Veldman S.L.C.
Webster E.K.
Wickramasinghe V.P.
Widyastari D.A.
Okely A.
Abdeta C.
Chelly M.S.
Del Pozo-Cruz J.
Draper C.E.
Engberg E.
Florindo A.
Germana L.
Ghofranipour F.
Guan H.
Ha A.S.C.
El Hamdouchi A.
Tang H.K.
Hossain M.S.
Jambaldorj B.
Kim D.H.
Koh D.
Kontsevaya A.
Löf M.
Lubree H.
Jáuregui A.
Munambah N.
Mwase-Vuma T.
Oluwayomi A.
Pham B.N.
Reilly J.J.
Staiano A.E.
Suherman A.
Tanaka C.
Tanui S.
Teo W.P.
Tremblay M.S.
Turab A.
Užičanin E.
Veldman S.L.C.
Webster E.K.
Wickramasinghe V.P.
Widyastari D.A.
Okely A.
Author's Affiliation
Institute for Population and Social Research, Mahidol University
Institut Supérieur du Sport et de l'Education Physique de Ksar-Saïd
KEM Hospital
National Energy Center of Nuclear Science and Technology
National Medical Research Center for Therapy and Preventive Medicine
Universitas Pendidikan Indonesia
Tokyo Kasei-Gakuin University
Muhimbili University of Health and Allied Sciences
University of Malawi
Papua New Guinea Institute of Medical Research
University of Colombo Faculty of Medicine
Capital Institute of Pediatrics
Univerzitet u Tuzli
Godfrey Huggins School of Medicine
Universidad de Sevilla
Tarbiat Modares University
University of Strathclyde
Instituto Nacional de Salud Publica
Pennington Biomedical Research Center
Children's Hospital of Eastern Ontario, Ottawa
University of the Witwatersrand, Johannesburg
The University of Tennessee, Knoxville
Karolinska Institutet
University of Wollongong
National Institute of Education
Universidade de São Paulo
University of Lagos
Chinese University of Hong Kong
Folkhälsan
Universiti Kebangsaan Malaysia
Wellness for Greatness Kenya
Pham Ngoc Thach University of Medicine
Precision Health Consultants (PHC Global)
Biomedical Research Foundation
Ministry of Health of Mongolia
Mulier Institute
Korea Institute of Child Care and Education
Institut Supérieur du Sport et de l'Education Physique de Ksar-Saïd
KEM Hospital
National Energy Center of Nuclear Science and Technology
National Medical Research Center for Therapy and Preventive Medicine
Universitas Pendidikan Indonesia
Tokyo Kasei-Gakuin University
Muhimbili University of Health and Allied Sciences
University of Malawi
Papua New Guinea Institute of Medical Research
University of Colombo Faculty of Medicine
Capital Institute of Pediatrics
Univerzitet u Tuzli
Godfrey Huggins School of Medicine
Universidad de Sevilla
Tarbiat Modares University
University of Strathclyde
Instituto Nacional de Salud Publica
Pennington Biomedical Research Center
Children's Hospital of Eastern Ontario, Ottawa
University of the Witwatersrand, Johannesburg
The University of Tennessee, Knoxville
Karolinska Institutet
University of Wollongong
National Institute of Education
Universidade de São Paulo
University of Lagos
Chinese University of Hong Kong
Folkhälsan
Universiti Kebangsaan Malaysia
Wellness for Greatness Kenya
Pham Ngoc Thach University of Medicine
Precision Health Consultants (PHC Global)
Biomedical Research Foundation
Ministry of Health of Mongolia
Mulier Institute
Korea Institute of Child Care and Education
Corresponding Author(s)
Other Contributor(s)
Abstract
Study Objectives: To examine (1) multidimensional sleep profiles in preschoolers (3-6 years) across geocultural regions and (2) differences in sleep characteristics and family practices between Majority World regions (Pacific Islands, Sub-Saharan Africa, Eastern Europe, Northeast Asia, Southeast Asia, South Asia, the Middle East and North Africa, and Latin America) and the Minority World (the Western world). Methods: Participants were 3507 preschoolers from 37 countries. Nighttime sleep characteristics and nap duration (accelerometer: n = 1950) and family practices (parental questionnaire) were measured. Mixed models were used to estimate the marginal means of sleep characteristics by region and examine the differences. Results: Geocultural region explained up to 30% of variance in sleep characteristics. A pattern of short nighttime sleep duration, low sleep efficiency, and long nap duration was observed in Eastern Europe, Northeast Asia, and Southeast Asia. The second pattern, with later sleep midpoints and greater night-to-night sleep variability, was observed in South Asia, the Middle East and North Africa, and Latin America. Compared to the Minority World, less optimal sleep characteristics were observed in several Majority World regions, with medium-to-large effect sizes (|d|=0.48-2.35). Several Majority World regions reported more frequent parental smartphone use during bedtime routines (Northeast Asia, Southeast Asia: 0.77-0.99 units) and were more likely to have electronic devices in children's bedroom (Eastern Europe, Latin America, South Asia: OR = 5.97-16.57) and co-sleeping arrangement (Asia, Latin America: OR = 7.05-49.86), compared to the Minority World. Conclusions: Preschoolers' sleep profiles and related family practices vary across geocultural regions, which should be considered in sleep health promotion initiatives and policies.