Volume 44 Issue 10
Oct.  2023
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LI Cheng, SUN Jiahong, ZHAO Min, XI Bo. Association between secondhand smoke exposure in indoor public places and sleep deprivation in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1493-1496. doi: 10.16835/j.cnki.1000-9817.2023.10.012
Citation: LI Cheng, SUN Jiahong, ZHAO Min, XI Bo. Association between secondhand smoke exposure in indoor public places and sleep deprivation in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1493-1496. doi: 10.16835/j.cnki.1000-9817.2023.10.012

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

doi: 10.16835/j.cnki.1000-9817.2023.10.012
  • Received Date: 2023-06-19
  • Rev Recd Date: 2023-09-09
  • Available Online: 2023-10-27
  • Publish Date: 2023-10-25
  •   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.
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  • [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.
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