Children without diapers sleep poorly, says study

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Children whose parents cannot afford diapers do not get quality sleep, according to a study by the Rutgers School of Nursing.

The study, published in the Journal of Developmental Behavioral Pediatrics, is the first to examine the relationship between diaper need and .

"Sleep promotes and solidifies learning and memory," said co-author Sallie Porter, an associate professor at Rutgers School of Nursing. "Children with compromised sleep are more at risk for and emotional and ."

The researchers surveyed 129 parents of children aged 3 and younger who were involved in , home visiting and disability support programs on the severity of their diaper need and their child's sleep habits. The habits include the time it takes for them to fall asleep, how often they wake at night, the longest stretch they sleep and the total number of minutes they sleep. Parents were asked to report difficulties with bedtime routines, sleep problems and sleep locations, and their perceptions of their child's quality of sleep. They were also asked if their child had been diagnosed with a developmental disability.

They found that 88 percent of the participating families were food-insecure and 76 percent were without diapers at least once a year, with more than one-third reporting not having diapers monthly. One-third of the children had a diagnosed developmental disability and 47 percent of the had concerns about their child's development.

They found that in families that struggled to provide diapers were more likely to have disrupted, shorter sleep periods and lower total sleep scores. Parents who worried about not having enough diapers at least monthly more likely to report their baby's sleep as a problem or difficult.

"Approximately one-third of U.S. mothers report difficulty affording diapers, and prevalence during the COVID-19 pandemic is likely much higher," said Porter. "Diaper need is associated with an increased incidence of irritated skin and urinary tract infections. It is also related to increased maternal mental health symptoms."

Porter says the findings suggest that clinicians should ask about diaper need during well-child visits and then connect families to resources that provide diapering supplies. They should also provide guidance on appropriate sleep practices, including consistent calming bedtime routines.

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More information: Emma Shaffer et al, Associations Between Diaper Need and Child Sleep in Under-resourced Families, Journal of Developmental & Behavioral Pediatrics (2022). DOI: 10.1097/DBP.0000000000001088
Provided by Rutgers University
Citation: Children without diapers sleep poorly, says study (2022, May 3) retrieved 3 July 2022 from
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