室内公共场所二手烟暴露与儿童睡眠不足的关联

李成; 孙嘉鸿; 赵敏; 席波

doi:10.16835/j.cnki.1000-9817.2023.10.012

室内公共场所二手烟暴露与儿童睡眠不足的关联

doi: 10.16835/j.cnki.1000-9817.2023.10.012

李成^{1, 2},
孙嘉鸿¹,
赵敏³,
席波^1, ,

1.
山东大学齐鲁医学院公共卫生学院流行病学系/山东大学儿童心血管研究中心, 济南 250012
2.
江苏医药职业学院公共卫生与管理学院
3.
山东大学齐鲁医学院公共卫生学院毒理与营养学系

基金项目:

国家自然科学基金项目 81673195

详细信息

作者简介:
李成(1998-), 男, 山东枣庄人, 硕士, 助教, 主要研究方向为慢性病流行病学

通讯作者:
席波, E-mail: xibo2010@sdu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 R768.29 Q428
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- 被引次数: 0
出版历程
- 收稿日期: 2023-06-19
- 修回日期: 2023-09-09
- 网络出版日期: 2023-10-27
- 刊出日期: 2023-10-25

Association between secondhand smoke exposure in indoor public places and sleep deprivation in children

LI Cheng^{1, 2},
SUN Jiahong¹,
ZHAO Min³,
XI Bo^{1
, ,}

1.
Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University/Children Cardiovascular Research Center of Shandong University, Ji'nan(250012), China

摘要

摘要: 目的探究室内公共场所的二手烟暴露与儿童睡眠不足的关联, 为加强公共场所禁烟管理和促进儿童的睡眠健康提供依据。方法数据来自于"桓台儿童心血管健康队列"在2021年11-12月开展的第二次随访调查, 共1 284名10~15岁儿童纳入研究。根据过去7 d室内公共场所二手烟暴露频率, 将儿童分为0, 1~2, 3~4和≥5 d共4组。采用多元线性回归分析儿童睡眠时间随着二手烟暴露频率的变化趋势, 采用多因素Logistic回归分析二手烟暴露频率与儿童睡眠不足的关系。结果在调整年龄、性别、年级、身体活动、蔬菜水果摄入、饮料摄入、视频时间、体质量指数和血压后, 过去7 d内有0, 1~2, 3~4和≥5 d室内公共场所二手烟暴露的儿童平均睡眠时间分别为8.48, 8.41, 8.20和8.06 h/d, 儿童平均睡眠时间随着暴露频率的增加呈现下降趋势(t值分别为5.96, 5.89, 5.91, P值均 < 0.01);过去7 d内有0, 1~2, 3~4和≥5 d室内公共场所二手烟暴露的儿童睡眠不足的检出率分别为40.02%, 43.07%, 54.65%和63.41%。与过去7 d未在室内公共场所受到二手烟暴露的儿童相比, 暴露3~4 d (OR=1.93, 95%CI=1.19~3.15)和≥5 d (OR=2.95, 95%CI=1.76~4.94)的儿童出现睡眠不足的风险增加(P值均 < 0.05)。结论儿童的睡眠时间随着二手烟暴露频率的增加而减少, 经常暴露于二手烟环境中的儿童更容易出现睡眠不足的问题。应加强对公共场所, 尤其是室内场所的禁烟管理, 以促进儿童的睡眠健康。
- 烟草烟污染 /
- 睡眠 /
- 精神卫生 /
- 回归分析 /
- 儿童
Abstract: Objective To examine the association between secondhand smoke (SHS) exposure in indoor public places and sleep deprivation, so as to provide a reference for strengthening the management of a smoking ban in public places and to promote better sleep in childhood. Methods Data were obtained from the second follow-up survey of the Huantai Childhood Cardiovascular Health Cohort Study, which was conducted from November to December 2021.A total of 1 284 children aged 10-15 years old were included in the study.The participants were assigned to four groups (0, 1-2, 3-4 and ≥5 days) according to the frequency which they were exposed to SHS in indoor public places in the previous 7 days.Multiple linear regression was performed to examine the trend of children's sleep duration with the frequency of SHS exposure.Multivariate Logistic regression was carried out to determine the association between frequency of SHS and sleep deprivation. Results After adjusting for age, sex, grade, physical activity, intake of fruits/vegetables, intake of soft drinks, screen duration, body mass index (BMI) and blood pressure, the average sleep duration of children who were exposed to SHS for 0, 1-2, 3-4 and ≥5 days in the previous 7 days was 8.48, 8.41, 8.20 and 8.06 h/d, respectively, and the average sleep duration decreased with exposure frequency of SHS (t=5.96, 5.89, 5.91, P < 0.01).The proportion of sleep deprivation among children who were exposed to SHS in public places for 0, 1-2, 3-4 and ≥5 days in the previous 7 days was 40.02%, 43.07%, 54.65% and 63.41%, respectively.Compared to children who were not exposed to SHS in indoor public places in the past 7 days, those exposed for 3-4 days (OR=1.93, 95%CI=1.19-3.15) or ≥ 5 days (OR=2.95, 95%CI=1.76-4.94) had a significantly increased risk of sleep deprivation (P < 0.05). Conclusion Children's sleep time decreases with increasing frequency of exposure to SHS, and children who are frequently exposed to SHS are more likely to experience insufficient sleep.Smoking ban management in public places should be strengthened to promote children's sleep health, especially indoor public places.
- Tobacco smoke pollution /
- Sleep /
- Mental health /
- Regression analysis /
- Child
注释:

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表 1 不同二手烟暴露频率组儿童平均睡眠时间比较(x±s，h·d^-1)

Table 1. Comparsion of the average sleep duration in childrenamong different secondhand smoke exposure groups(x±s, h·d^-1)

过去7 d二手烟暴露频率/d	模型1	模型2	模型3
0	8.53±0.69	8.48±0.91	8.48±0.91
1~2	8.46±0.69	8.42±0.80	8.41±0.80
3~4	8.26±0.69	8.20±0.72	8.20±0.72
≥5	8.10±0.69	8.05±0.71	8.06±0.71
P值	< 0.01	< 0.01	< 0.01
注：模型1为调整年龄和性别；模型2为模型1+调整身体活动、蔬菜水果摄入、饮料摄入和视频时间；模型3为模型2+调整BMI和血压。

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表 2 不同二手烟暴露频率与儿童睡眠不足的关联分析(n=1 284)

Table 2. Association analysis between the frequency of secondhand smoke exposure and sleep deprivation of children(n=1 284)

过去7 d二手烟暴露频率/d	模型1		模型2		模型3
过去7 d二手烟暴露频率/d	OR值(95%CI)	P值	OR值(95%CI)	P值	OR值(95%CI)	P值
0	1.00		1.00		1.00
1~2	1.21(0.93~1.58)	0.16	1.23(0.94~1.60)	0.14	1.23(0.94~1.60)	0.14
3~4	1.86(1.14~3.01)	0.01	1.95(1.19~3.17)	0.01	1.93(1.19~3.15)	0.01
≥5	2.81(1.69~4.67)	< 0.01	2.96(1.76~4.97)	< 0.01	2.95(1.76~4.94)	< 0.01
注：模型1为调整年龄和性别；模型2为模型1+调整身体活动、蔬菜水果摄入、饮料摄入和视频时间；模型3为模型2+调整BMI和血压。

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参考文献(24)

[1]	REITSMA M B, REITSMA M B, KENDRICK P J, et al. Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019[J]. Lancet, 2021, 397(10292): 2337-2360. doi: 10.1016/S0140-6736(21)01169-7
[2]	WAN X. Protecting people from tobacco smoke in China: current status and challenges[J]. China CDC Wkly, 2022, 4(21): 460-464. doi: 10.46234/ccdcw2022.102
[3]	XIAO H D, LI M L, LI A J, et al. Passive smoking exposure modifies cardiovascular structure and function: beijing child growth and health cohort (PROC) study[J]. Environ Sci Technol, 2022, 56(20): 14585-14593. doi: 10.1021/acs.est.2c00991
[4]	WHINCUP P H, GILG J A, EMBERSON J R, et al. Passive smoking and risk of coronary heart disease and stroke: prospective study with cotinine measurement[J]. BMJ, 2004, 329(7459): 200-204. doi: 10.1136/bmj.38146.427188.55
[5]	MURRAY C J L, ARAVKIN A Y, ZHENG P, et al. Global burden of 87 risk factors in 204 countries and territories, 1990-2019: a systematic analysis for the global burden of disease study 2019[J]. Lancet, 2020, 396(10258): 1223-1249. doi: 10.1016/S0140-6736(20)30752-2
[6]	YANG G H, WANG Y, WU Y Q, et al. The road to effective tobacco control in China[J]. Lancet, 2015, 385(9972): 1019-1028. doi: 10.1016/S0140-6736(15)60174-X
[7]	LI S H, ARGUELLES L, JIANG F, et al. Sleep, school performance, and a school-based intervention among school-aged children: a sleep series study in China[J]. PLoS One, 2013, 8(7): e67928. doi: 10.1371/journal.pone.0067928
[8]	ORTEGA F B, RUIZ J R, CASTILLO R, et al. Sleep duration and cognitive performance in adolescence: the AVENA study[J]. Acta Paediatr, 2010, 99(3): 454-456. doi: 10.1111/j.1651-2227.2009.01618.x
[9]	LEE Y J, CHO S J, CHO I H, et al. Insufficient sleep and suicidality in adolescents[J]. Sleep, 2012, 35(4): 455-460. doi: 10.5665/sleep.1722
[10]	中国睡眠研究会. 2019中国青少年儿童睡眠健康白皮书[EB/OL]. (2019-04-01)[2023-06-07]. https://pdf.dfcfw.com/pdf/H3_AP201904281323721066_1.pdf. Chinese Sleep Research Society.White paper of 2019 Chinese youth and children sleep index[EB/OL]. (2019-04-01)[2023-06-07]. https://pdf.dfcfw.com/pdf/H3_AP201904281323721066_1.pdf.(in Chinese)
[11]	KOKKA I, MOURIKIS I, NICOLAIDES N C, et al. Exploring the effects of problematic Internet use on adolescent sleep: a systematic review[J]. Int J Environ Res Public Health, 2021, 18(2): 760. doi: 10.3390/ijerph18020760
[12]	MORIOKA H, JIKE M, KANDA H, et al. The association between sleep disturbance and second-hand smoke exposure: a large-scale, nationwide, cross-sectional study of adolescents in Japan[J]. Sleep Med, 2018, 50: 29-35. doi: 10.1016/j.sleep.2018.04.014
[13]	YANG L, ZHANG Q, ZHANG Y, et al. Design of Huantai childhood cardiovascular health cohort study[J]. Chin J Prev Med, 2020, 54(12): 1461-1464.
[14]	XI B, LIANG Y, LIU Y, et al. Tobacco use and second-hand smoke exposure in young adolescents aged 12-15 years: data from 68 low-income and middle-income countries[J]. Lancet Glob Health, 2016, 4(11): e795-e805.
[15]	PARUTHI S, BROOKS L J, D'AMBROSIO C, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the american academy of sleep medicine[J]. J Clin Sleep Med, 2016, 12(6): 785-786. doi: 10.5664/jcsm.5866
[16]	WHO. Effectiveness of interventions and programmes promoting fruit and vegetable intake[EB/OL]. (2004-09-01)[2023-04-06]. https://iris.who.int/handle/10665/43147.
[17]	WHO.Global recommendations on physicalactivity for health[EB/OL]. (2010-01-01)[2023-06-01]. https://www.who.int/dietphysicalactivity/factsheet_recommendations/en/.
[18]	LIN L Z, XU S L, WU Q Z, et al. Exposure to second-hand smoke during early life and subsequent sleep problems in children: a population-based cross-sectional study[J]. Environ Health, 2021, 20(1): 127-136. doi: 10.1186/s12940-021-00793-0
[19]	SAFA F, CHAITON M, MAHMUD I, et al. The association between exposure to second-hand smoke and sleep disturbances: a systematic review and Meta-analysis[J]. Sleep Health, 2020, 6(5): 702-714. doi: 10.1016/j.sleh.2020.03.008
[20]	SCHWARTZ J, BOTTORFF J L, RICHARDSON C G. Secondhand smoke exposure, restless sleep, and sleep duration in adolescents[J]. Sleep Disord, 2014, 2014: 374732.
[21]	SAINT-MLEUX B, EGGERMANN E, BISETTI A, et al. Nicotinic enhancement of the noradrenergic inhibition of sleep-promoting neurons in the ventrolateral preoptic area[J]. J Neurosci, 2004, 24(1): 63-67. doi: 10.1523/JNEUROSCI.0232-03.2004
[22]	GUZMAN-MARIN R, ALAM M N, MIHAILESCU S, et al. Subcutaneous administration of nicotine changes dorsal raphe serotonergic neurons discharge rate during REM sleep[J]. Brain Res, 2001, 888(2): 321-325. doi: 10.1016/S0006-8993(00)03104-8
[23]	YOLTON K, XU Y Y, KHOURY J, et al. Associations between secondhand smoke exposure and sleep patterns in children[J]. Pediatrics, 2010, 125(2): E261-E268. doi: 10.1542/peds.2009-0690
[24]	SUBRAMANYAM R, TAPIA I E, ZHANG B Q, et al. Secondhand smoke exposure and risk of obstructive sleep apnea in children[J]. Int J Pediatr Otorhinolaryngol, 2020, 130(109807): 1-6.