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Tobacco smoke exposure and inadequate sleep among U.S. school-aged children

Ashley L Merianos1, E Melinda Mahabee-Gittens2, Kelvin Choi3

  • 1School of Human Services, University of Cincinnati, Cincinnati, OH, USA.

Sleep Medicine
|September 3, 2021
PubMed

Insights

Children exposed to tobacco smoke at home, even without smoking inside, have higher odds of inadequate sleep. Parental smoking cessation is crucial for protecting children's health.

Area of Science:

  • Pediatric Health
  • Environmental Health
  • Sleep Science

Background:

  • Inadequate sleep and tobacco smoke exposure (TSE) are independently linked to negative health outcomes in children.
  • Understanding the combined impact of TSE and sleep is vital for child well-being.

Purpose of the Study:

  • To investigate the association between home tobacco smoke exposure (TSE) and inadequate sleep in U.S. school-aged children.
  • To differentiate the sleep impacts of secondhand smoke (SHS) and thirdhand smoke (THS) exposure.

Main Methods:

  • Analysis of 2018-2019 National Survey of Children's Health data (n=17,851, ages 6-11).
  • Categorization of children into three groups: no TSE, THS only, and SHS/THS exposure.
  • Logistic regression models adjusted for sociodemographics, health status, and lifestyle factors to assess inadequate sleep (<9 hours).

Main Results:

  • Approximately 36% of children experienced inadequate sleep.
  • Children with THS only exposure had 1.44 times higher odds of inadequate sleep (AOR=1.44, 95% CI=1.20-1.73).
  • Children with SHS and THS exposure had 1.83 times higher odds of inadequate sleep (AOR=1.83, 95% CI=1.20-2.78).

Conclusions:

  • Home tobacco smoke exposure is significantly associated with inadequate sleep in school-aged children.
  • This association persists even when smoking occurs outside the home, highlighting THS risks.
  • Parental smoking cessation is recommended to mitigate sleep problems and protect children's health.
Abstract

Keywords:
National survey of children's healthSecondhand smokeSleepSleep deprivationThirdhand smokeTobacco smoke pollution

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