TY - JOUR
T1 - Tobacco Smoke Exposure, School Engagement, School Success, and Afterschool Activity Participation Among US Children
AU - Merianos, Ashley L.
AU - Jacobs, Wura
AU - Olaniyan, Afolakemi C.
AU - Smith, Matthew Lee
AU - Mahabee-Gittens, E. Melinda
N1 - Funding Information:
This work was supported by the National Institute on Drug Abuse (NIH Grant Number K01DA044313) and the National Institute of Environmental Health Sciences (NIH Grant Numbers R21ES032161, R01ES030743, and R01ES027815).
Publisher Copyright:
© 2022 The Authors. Journal of School Health published by Wiley Periodicals LLC on behalf of American School Health Association.
PY - 2022/12
Y1 - 2022/12
N2 - BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: Children exposed to home tobacco smoke are at unique risk for poorer school engagement and success.
AB - BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: Children exposed to home tobacco smoke are at unique risk for poorer school engagement and success.
KW - alcohol
KW - and other drugs
KW - child
KW - environmental health
KW - school engagement
KW - school success
KW - tobacco
KW - tobacco smoke pollution
KW - Tobacco Smoke Pollution/prevention & control
KW - Cross-Sectional Studies
KW - Humans
KW - Environmental Exposure
KW - Child Health
KW - Child
KW - Schools
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U2 - 10.1111/josh.13240
DO - 10.1111/josh.13240
M3 - Article
C2 - 35989183
AN - SCOPUS:85136512163
SN - 0022-4391
VL - 92
SP - 1202
EP - 1213
JO - Journal of School Health
JF - Journal of School Health
IS - 12
ER -