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Caregiver perception of sleep-disordered breathing-associated symptoms in children of rural Andean communities above 4000 masl with chronic exposure to biomass fuel

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dc.contributor.author Accinelli Tanaka, Roberto Alfonso
dc.contributor.author Llanos, Oscar
dc.contributor.author Lopez Oropeza, Lidia Marianella
dc.contributor.author Matayoshi, Sebastian
dc.contributor.author Oros, Yuliana P.
dc.contributor.author Kheirandish-Gozal, Leila
dc.contributor.author Gozal, David
dc.date.accessioned 2019-02-06T14:53:41Z
dc.date.available 2019-02-06T14:53:41Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5452
dc.description.abstract BACKGROUND: Previous studies have uncovered a very high prevalence of sleep disorders in general, and of sleep-disordered breathing in particular among children exposed to indoor biomass fuel pollution. However, despite the significant symptomatology, parents are unlikely to report these issues during health-care visits. OBJECTIVE: The objective of this study was to determine whether reduced caregiver perception of sleep disorders may account for the infrequent diagnosis and treatment of such problems in children residing at high altitudes and exposed to high biomass pollution. METHODS: Parents of children aged 9-15 years of three communities residing in the Pasco region in Peru located between 3800 and 4200 meters above sea level were surveyed using a validated questionnaire instrument focused on symptoms associated with sleep-disordered breathing as well as whether caregivers perceived that their child suffered from a sleep disorder. RESULTS: Among the 77 children included, 48.1% had nocturnal awakenings and 46.8% had repetitive movements and restless sleep. Habitual snoring was present in 33.8% of all children. However, only 10.4% of mothers considered that their children had sleep problems, and all of their children had positive answers for >/=4 sleep symptoms. CONCLUSIONS: Children residing at high altitudes and exposed to traditional biomass-fueled stoves exhibit an extremely high frequency of sleep symptoms that are misperceived by their mothers as being "normal." Interventions aimed at increasing parental recognition and awareness of sleep problems will be essential to foster improved diagnosis and treatment. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Sleep Medicine
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Adolescent en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Child en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Altitude en_US
dc.subject Perception en_US
dc.subject Rural Population en_US
dc.subject Air Pollution, Indoor/adverse effects en_US
dc.subject Attitude to Health en_US
dc.subject Biofuels/adverse effects en_US
dc.subject Biomass pollution en_US
dc.subject Caregivers/psychology en_US
dc.subject Respiratory morbidity en_US
dc.subject Sleep Apnea Syndromes/diagnosis/epidemiology/psychology en_US
dc.subject Sleep disorders en_US
dc.title Caregiver perception of sleep-disordered breathing-associated symptoms in children of rural Andean communities above 4000 masl with chronic exposure to biomass fuel en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.sleep.2015.02.536
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.25
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.07
dc.relation.issn 1878-5506


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