University of Cincinnati, School of Human Services, PO Box 210068, Cincinnati, OH, 45221-0068.
Department of Kinesiology, California State University Stanislaus, One University Circle, Turlock, CA, 95382.
J Sch Health. 2022 Dec;92(12):1202-1213. doi: 10.1111/josh.13240. Epub 2022 Aug 21.
Tobacco smoke exposure (TSE), defined as secondhand smoke (SHS) and thirdhand smoke (THS), is associated with negative health consequences. This study's objective was to assess the associations between home TSE status and school engagement, school success, and afterschool activity participation among school-aged children.
We conducted a secondary analysis of 2018-2019 National Survey of Children's Health cross-sectional data. Children ages 6-11 years (N = 17,466) were categorized into home TSE groups: no home TSE; THS exposure only; and SHS and THS exposure. Weighted logistic and Poisson regression models were built.
Compared to children with no home TSE, children with home THS exposure only and SHS and THS exposure were at decreased odds of being engaged in school (AOR = 0.69, 95%CI = 0.57, 0.83; AOR = 0.63, 95%CI = 0.41, 0.97, respectively), and at increased odds of having ≥1 school-to-home contact about child problems in school (AOR = 1.83, 95%CI = 1.50, 2.23; AOR = 1.58, 95%CI = 1.05, 2.37, respectively). Children with THS exposure only were at increased odds of missing ≥1 school day (AOR = 1.43, 95%CI = 1.13, 1.81). Children with THS exposure only (ARR = 0.90, 95%CI = 0.83, 0.96) and SHS and THS exposure (ARR = 0.74, 95%CI = 0.61, 0.89) were at reduced likelihood of participating in a higher number of afterschool activities.
Children exposed to home tobacco smoke are at unique risk for poorer school engagement and success.
烟草烟雾暴露（TSE），定义为二手烟（SHS）和三手烟（THS），与负面健康后果有关。本研究的目的是评估家庭 TSE 状况与学龄儿童的学校参与度、学业成功和课外活参与度之间的关联。
我们对 2018-2019 年全国儿童健康调查的横断面数据进行了二次分析。年龄在 6-11 岁的儿童（N=17466）分为家庭 TSE 组：无家庭 TSE；仅 THS 暴露；以及 SHS 和 THS 暴露。建立了加权逻辑和泊松回归模型。
与无家庭 TSE 的儿童相比，仅 THS 暴露和 SHS 和 THS 暴露的儿童参与学校活动的可能性较低（AOR=0.69，95%CI=0.57，0.83；AOR=0.63，95%CI=0.41，0.97），而关于孩子在学校的问题与家庭的联系次数≥1 的可能性增加（AOR=1.83，95%CI=1.50，2.23；AOR=1.58，95%CI=1.05，2.37）。仅 THS 暴露的儿童缺课≥1 天的可能性增加（AOR=1.43，95%CI=1.13，1.81）。仅 THS 暴露（ARR=0.90，95%CI=0.83，0.96）和 SHS 和 THS 暴露（ARR=0.74，95%CI=0.61，0.89）的儿童参加课外活动的可能性较低。
暴露于家庭烟草烟雾的儿童面临着较差的学校参与度和学业成功的独特风险。
