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Associations between secondhand smoke exposure and sleep patterns in children.

机译:儿童二手烟暴露与睡眠方式之间的关联。

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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.
机译:目的:本研究的目的是调查一组经常在家中吸烟的哮喘儿童的二手烟暴露(S​​HS)与儿童睡眠方式之间的关系。方法:我们研究了219名参加哮喘干预试验并定期接触SHS的儿童。血清可替宁水平用于测量烟草烟雾暴露,并使用儿童睡眠习惯问卷通过父母报告评估睡眠方式。调整后分析的协变量包括性别,年龄,种族,孕产妇婚姻状况,教育程度和收入,产前烟草暴露,孕产妇抑郁,家庭环境测量总得分,家庭密度,哮喘严重程度和哮喘药物的使用。结果:接触SHS与睡眠问题有关,包括更长的睡眠发作延迟(P = .004),睡眠呼吸障碍(P = .02),失眠症(P = .002),白天嗜睡(P = .022) )和整体睡眠障碍(P = .0002)。结论:我们得出结论,接触SHS与哮喘儿童的睡眠问题增加有关。

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