PMID- 34479053 OWN - NLM STAT- MEDLINE DCOM- 20211028 LR - 20221003 IS - 1878-5506 (Electronic) IS - 1389-9457 (Print) IS - 1389-9457 (Linking) VI - 86 DP - 2021 Oct TI - Tobacco smoke exposure and inadequate sleep among U.S. school-aged children. PG - 99-105 LID - S1389-9457(21)00446-9 [pii] LID - 10.1016/j.sleep.2021.08.012 [doi] AB - OBJECTIVE/BACKGROUND: Inadequate sleep and tobacco smoke exposure (TSE) have been separately linked to adverse childhood health consequences. Our objective was to assess the association between home TSE status and inadequate sleep among U.S. school-aged children. METHODS: We analyzed 2018-2019 National Survey of Children's Health data, and included 17,851 children ages 6-11 years. Children were classified into three parent-report TSE groups: (1) did not live with a smoker (no TSE at home); (2) lived with a smoker who did not smoke inside the home (thirdhand smoke (THS) exposure only); and (3) lived with a smoker who smoked inside the home (secondhand smoke (SHS) and THS exposure). Parent-report of inadequate sleep on most weeknights was defined as <9 h, following age-specific national guidelines. We fitted a weighted multivariable logistic model to assess the association between TSE groups and inadequate sleep, adjusting for child covariates (sociodemographics, overweight status, health status, physical activity, and screen time). RESULTS: About 13% and 1% of school-aged children were exposed to home THS only and home SHS and THS, respectively; approximately 36% overall had inadequate sleep. Compared to children with no TSE at home, children who were exposed to home THS only had higher odds of inadequate sleep (AOR = 1.44, 95%CI = 1.20-1.73); those exposed to home SHS and THS had higher odds of inadequate sleep (AOR = 1.83, 95%CI = 1.20-2.78). CONCLUSIONS: TSE is associated with school-aged children having inadequate sleep, even when smokers did not smoke inside the home. Promoting parental smoking cessation is essential to fully protect children from related risks. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Merianos, Ashley L AU - Merianos AL AD - School of Human Services, University of Cincinnati, Cincinnati, OH, USA. Electronic address: ashley.merianos@uc.edu. FAU - Mahabee-Gittens, E Melinda AU - Mahabee-Gittens EM AD - Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, College of Medicine, University of Cincinnati, Cincinnati, OH, USA. Electronic address: melinda.mahabee-gittens@cchmc.org. FAU - Choi, Kelvin AU - Choi K AD - Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA. Electronic address: kelvin.choi@nih.gov. LA - eng GR - K01 DA044313/DA/NIDA NIH HHS/United States GR - R01 ES027815/ES/NIEHS NIH HHS/United States GR - R01 ES030743/ES/NIEHS NIH HHS/United States GR - R21 ES032161/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural DEP - 20210814 PL - Netherlands TA - Sleep Med JT - Sleep medicine JID - 100898759 RN - 0 (Tobacco Smoke Pollution) SB - IM MH - Child MH - Family MH - Humans MH - Parents MH - Schools MH - *Sleep Deprivation/epidemiology MH - *Tobacco Smoke Pollution/adverse effects PMC - PMC8484068 MID - NIHMS1737380 OTO - NOTNLM OT - National survey of children's health OT - Secondhand smoke OT - Sleep OT - Sleep deprivation OT - Thirdhand smoke OT - Tobacco smoke pollution COIS- Declarations of Interest: None. EDAT- 2021/09/04 06:00 MHDA- 2021/10/29 06:00 PMCR- 2022/10/01 CRDT- 2021/09/03 20:21 PHST- 2021/05/13 00:00 [received] PHST- 2021/08/06 00:00 [revised] PHST- 2021/08/09 00:00 [accepted] PHST- 2021/09/04 06:00 [pubmed] PHST- 2021/10/29 06:00 [medline] PHST- 2021/09/03 20:21 [entrez] PHST- 2022/10/01 00:00 [pmc-release] AID - S1389-9457(21)00446-9 [pii] AID - 10.1016/j.sleep.2021.08.012 [doi] PST - ppublish SO - Sleep Med. 2021 Oct;86:99-105. doi: 10.1016/j.sleep.2021.08.012. Epub 2021 Aug 14.