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Association Between Home Renovation and Sleeping Problems Among Children Aged 6-18 Years: A Nationwide Survey in
Dao-Sen Wang1, Hong-Zhi Zhang1, Si-Han Wu1
1From the Guangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Insights
Home renovation is linked to increased childhood sleep problems. Exposure to multiple renovation materials and factors like child
Area of Science:
- Environmental Health
- Pediatric Sleep Medicine
- Epidemiology
Background:
- The indoor environment's impact on child sleep is recognized.
- No prior studies have examined home renovation's link to childhood sleep issues.
Purpose of the Study:
- To investigate the association between home renovation and childhood sleep problems.
- To explore how renovation materials and child characteristics modify this relationship.
Main Methods:
- Utilized data from 186,470 children (aged 6-18) in the National Chinese Children Health Study (2012-2018).
- Assessed sleep problems using the Sleep Disturbance Scale for Children (C-SDSC).
- Collected home renovation exposure data via parent reports and analyzed using generalized mixed models.
Main Results:
- Nearly half (48%) of participants were exposed to recent home renovations.
- Children exposed to home renovations showed higher odds of total sleep disorder (OR=1.3).
- Multiple renovation materials and specific child demographics (sex, age) influenced sleep problem associations.
Conclusions:
- Home renovation is associated with an increased risk of childhood sleep problems.
- The type of renovation materials, cumulative exposure, and child's sex and age are significant factors.
Background:
Although the indoor environment has been proposed to be associated with childhood sleep health, to our knowledge no study has investigated the association between home renovation and childhood sleep problems.
Methods:
The study included 186,470 children aged 6-18 years from the National Chinese Children Health Study (2012-2018). We measured childhood sleeping problems via the Chinese version of the Sleep Disturbance Scale for Children (C-SDSC). Information on home renovation exposure within the recent 2 years was collected via parent report. We estimated associations between home renovation and various sleeping problems, defined using both continuous and categorized (binary) C-SDSC t-scores, using generalized mixed models. We fitted models with city as a random effect variable, and other covariates as fixed effects.
Results:
Out of the overall participants, 89,732 (48%) were exposed to recent home renovations. Compared to the unexposed group, children exposed to home renovations had higher odds of total sleep disorder (odd ratios [OR] = 1.3; 95% confidence interval [CI] = 1.2, 1.4). Associations varied when we considered different types of home renovation materials. Children exposed to multiple types of home renovation had higher odds of sleeping problems. We observed similar findings when considering continuous C-SDSC t-scores. Additionally, sex and age of children modified the associations of home renovation exposure with some of the sleeping problem subtypes.
Conclusions:
We found that home renovation was associated with higher odds of having sleeping problems and that they varied when considering the type of renovation, cumulative exposure, sex, and age differences.
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