Tobacco Smoke Exposure, School Engagement, School Success, and Afterschool Activity Participation Among US Children

Bibliographic Data

ID21353992
AuthorsAshley L Merianos (0000-0002-5640-7227, University of Cincinnati), Wura Jacobs (0000-0002-4293-5635, Department of Kinesiology California State University Stanislaus, One University Circle Turlock CA 95382, corresponding author), Afolakemi C Olaniyan (University of Cincinnati), Afolakemi Olaniyan (0000-0003-3114-5264, University of Cincinnati, corresponding author), Matthew Lee Smith (0000-0002-8232-9285, School of Public Health, Texas A&M University 212 Adriance Lab Road College Station TX 77843, corresponding author), E Melinda Mahabee‐Gittens (0000-0002-3893-885X, Cincinnati Children's Hospital Medical Center, Division of Emergency Medicine College of Medicine, University of Cincinnati 3333 Burnet Avenue, MLC 2008, 3333 Burnet Avenue Cincinnati OH 45229, corresponding author)
Year2022
Volume92
Issue12
Pages1202-1213
Publication date2022-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of School Health (JOURNAL)
Journal identifiersISSN: 0022-4391 • E-ISSN: 1746-1561
PublisherWiley (PUBLISHER • GB)
DOI10.1111/josh.13240
PMID35989183
OpenAlexW4292546821
LanguageEN
Citations received1
References cited51

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.

Environmental health · Smoke · Tobacco smoke · Chemistry · Childhood Cancer Survivors' Quality of Life · Medicine · Obesity, Physical Activity, Diet · Psychology · Smoking Behavior and Cessation

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