二手烟暴露与儿童睡眠模式的关联。
Associations between secondhand smoke exposure and sleep patterns in children.
机构信息
Cincinnati Children's Hospital Medical Center, Division of General and Community Pediatrics, 3333 Burnet Ave, ML 7035, Cincinnati, OH 45229-3039, USA.
出版信息
Pediatrics. 2010 Feb;125(2):e261-8. doi: 10.1542/peds.2009-0690. Epub 2010 Jan 18.
OBJECTIVES
The objective of this study was to investigate the relationship between exposure to secondhand smoke (SHS) and child sleep patterns among a group of children with asthma who were exposed regularly to tobacco smoke at home.
METHODS
We studied 219 children who were enrolled in an asthma intervention trial and were exposed regularly to SHS. Serum cotinine levels were used to measure exposure to tobacco smoke, and sleep patterns were assessed through parent reports using the Children's Sleep Habits Questionnaire. Covariates in adjusted analyses included gender, age, race, maternal marital status, education, and income, prenatal tobacco exposure, maternal depression, Home Observation for Measurement of the Environment total score, household density, asthma severity, and use of asthma medications.
RESULTS
Exposure to SHS was associated with sleep problems, including longer sleep-onset delay (P = .004), sleep-disordered breathing (P = .02), parasomnias (P = .002), daytime sleepiness (P = .022), and overall sleep disturbance (P = .0002).
CONCLUSIONS
We conclude that exposure to SHS is associated with increased sleep problems among children with asthma.
目的
本研究旨在调查一组经常在家中接触烟草烟雾的哮喘儿童中，二手烟（SHS）暴露与儿童睡眠模式之间的关系。
方法
我们研究了 219 名参加哮喘干预试验且经常接触 SHS 的儿童。通过使用儿童睡眠习惯问卷，根据父母的报告评估睡眠模式，血清可替宁水平用于衡量烟草烟雾暴露。在调整分析中，协变量包括性别、年龄、种族、母亲婚姻状况、教育程度和收入、产前烟草暴露、母亲抑郁、家庭观察测量环境总分、家庭密度、哮喘严重程度和使用哮喘药物。
结果
暴露于 SHS 与睡眠问题相关，包括更长的入睡潜伏期（P=0.004）、睡眠呼吸障碍（P=0.02）、睡眠障碍（P=0.002）、白天嗜睡（P=0.022）和整体睡眠障碍（P=0.0002）。
结论
我们得出结论，暴露于 SHS 与哮喘儿童睡眠问题增加有关。
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