School Absenteeism Among Children Living With Smokers
School Absenteeism Among Children Living With Smokers
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DOI：
10.1542/peds.2011-1067
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发表时间：
2011-10-01
期刊：
影响因子：
8
通讯作者：
Rigotti, Nancy A.
中科院分区：
文献类型：
--
作者：
Levy, Douglas E.;Winickoff, Jonathan P.;Rigotti, Nancy A.
目的：非自愿吸烟暴露在儿童中造成相当大的发病率。我们假设，在家中暴露在烟草烟雾中的儿童会增加旷课，并因失去照顾者的工资/时间而产生相关成本。方法：我们分析了2005年全国健康访谈调查(NHIS)确定的6至11岁学龄儿童的健康和旷课数据。我们使用多变量模型来评估成人报告的家庭吸烟与儿童健康和旷课之间的关系。分析根据儿童和父母的人口统计和社会经济特征进行了调整。结果：与在家中吸烟的1个或2个成年人生活在一起的儿童每年的缺课天数分别比不吸烟的儿童多1.06天(95%可信区间：0.54-1.55)和1.54天(95%可信区间：0.95-2.12)。与2个在家中吸烟的成年人生活在一起与在过去12个月中有3个耳朵感染的报告增加(调整后的优势比[AOR]：2.65[95%CI：1.36-5.16])和在访问前2周内有胸部感冒(AOR：1.77[95%CI：1.03-3.03])相关，但与在前2周内有呕吐/腹泻的报告无关(AOR：0.93[95%CI：0.45-1.89])。照顾者每年照顾缺课儿童的时间价值2.27亿美元。结论：吸烟暴露在儿童发病率之外，对儿童和家庭都有重大影响，包括学习障碍和经济负担。儿科2011；128：650-656
OBJECTIVE: Involuntary tobacco smoke exposure causes substantial morbidity in children. We hypothesized that children exposed to tobacco smoke in the home would have increased school absenteeism with associated costs due to lost caregiver wages/time.METHODS: We analyzed data on health and absenteeism among schoolchildren aged 6 to 11 years identified in the 2005 National Health Interview Survey (NHIS). We used multivariate models to assess the relationships between adult-reported household smoking and child health and school absenteeism. Analyses were adjusted for children's and parents' demographic and socioeconomic characteristics. The value of lost caregiver time was estimated by using self-reported employment and earnings data in the NHIS and publicly available time-use data.RESULTS: Children living with 1 or >= 2 adults who smoked in the home had 1.06 (95% confidence interval [CI]: 0.54-1.55) and 1.54 (95% CI: 0.95-2.12) more days absent from school per year, respectively, than children living with 0 smokers in the home. Living with >= 2 adults who smoked in the home was associated with increased reports of having >= 3 ear infections in the previous 12 months (adjusted odds ratio [aOR]: 2.65 [95% CI: 1.36-5.16]) and having a chest cold in the 2 weeks before interview (aOR: 1.77 [95% CI: 1.03-3.03]) but not with having vomiting/diarrhea in the previous 2 weeks (aOR: 0.93 [95% CI: 0.45-1.89]). Caregivers' time tending children absent from school was valued at $227 million per year.CONCLUSIONS: Tobacco smoke exposure has significant consequences for children and families above and beyond child morbidity, including academic disadvantage and financial burden. Pediatrics 2011;128:650-656