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AY, NADİYE PINAR

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NADİYE PINAR

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2006 - 200912010 - 20111
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Author: TOPUZOĞLU, AHMET × Subject: PREVALENCE ×

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    Association of sleep duration with socio-economic status and behavioural problems among schoolchildren
    (WILEY, 2011) TOPUZOĞLU, AHMET; Arman, Ayse Rodopman; Ay, Pinar; Fis, Nese Perdahli; Ersu, Refika; Topuzoglu, Ahmet; Isik, Ugur; Berkem, Meral
    Aim: In this population-based study, we aimed to determine the total sleep duration (TSD), its association with socio-economic status (SES) and behavioural symptoms among schoolchildren. Methods: A cross-sectional study was performed among schoolchildren in Istanbul. A structured questionnaire evaluating the sleep schedule variables was filled out by their parents. SES was determined according to the Turkish SES scale. Results: The mean age of 2669 children was 8.2 +/- 2.4 years, and 51% of the students were girls. The mean TSD was 10.20 +/- 1.04, and the mean bedtime was 21.57 +/- 0.56 (both in hours, minutes +/- SD). Boys tended to go bed later (p = 0.004) and slept less than girls (p = 0.02). The duration of sleep disruptions increased (p < 0.001), whereas TSD decreased with age (p < 0.001). Multiple linear regression revealed that waking time and TSD decreased significantly (p < 0.05) with higher SES among both girls and boys. Sleep fragmentation was associated with habitual snoring, parasomnias, daytime sleepiness and conduct symptoms. Conclusion: Decreased total sleep duration is more prominent in boys, older children and children among higher socio-economic status. Insufficient sleep attributed to shortened total sleep duration by age and higher socio-economic status might have a negative effect on both sleep hygiene and psychological well-being in schoolchildren.
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    Rubella seroprevalence among first-grade primary school students in a district in Istanbul, Turkey
    (W B SAUNDERS CO LTD, 2006) TOPUZOĞLU, AHMET; Ay, P; Topuzoglu, A; Korukluoglu, G; Cali, S
    Objectives Rubella vaccination is not included in the national immunization programme of Turkey. However, it is on the market and is recommended, mainly by the private sector, at the age of 12-15 months. Introduction of the rubella vaccine without achieving high coverage has the risk of shifting the mean age of rubella infection among the unvaccinated population to reproductive ages. The aim of this study was to evaluate the seroprevalance of rubella and the factors associated with seropositivity among primary school students in Umraniye, a district of Istanbul. Methods: Blood samples were collected from 489 students in 70 primary schools of Umraniye. Parents completed a concise questionnaire assessing sociodemographic characteristics and measles, mumps and rubella vaccination status. Results: Among the students screened, 163 (33.3%, 95% confidence intervals 29.2-37.7%) were susceptible to rubella. When sociodemographic variables were evaluated, paternal education was the only variable associated with seronegativity. As the level. of paternal education increased, seronegativity rates decreased. This finding may suggest that rubella vaccination is practiced more commonly among children whose fathers are better educated. Conclusions: Surveillance and control of rubella and congenital rubella syndrome must be set as public health priorities in Turkey, particularly given that rubella vaccination is practiced partially in the country. (c) 2005 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.