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Long-term exposure to ozone and sleep disorders in children: A multicity study in China.
Gui, Zhao-Huan; Heinrich, Joachim; Morawska, Lidia; Zhao, Tian-Yu; Yim, Steve Hung-Lam; Lao, Xiang-Qian; Gao, Meng; Chen, Duo-Hong; Ma, Hui-Min; Lin, Li-Zi; Liu, Ru-Qing; Dong, Guang-Hui.
Afiliación
  • Gui ZH; Joint International Research Laboratory of Environment and Health, Ministry of Education, Guangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen Unive
  • Heinrich J; Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Comprehensive Pneumology Center Munich, German Center for Lung Research, Munich, Germany; Allergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbo
  • Morawska L; International Laboratory for Air Quality and Health, Queensland University of Technology, Brisbane, Australia.
  • Zhao TY; Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Comprehensive Pneumology Center Munich, German Center for Lung Research, Munich, Germany.
  • Yim SH; Asian School of the Environment, Lee Kong Chian School of Medicine, Earth Observatory of Singapore, Nanyang Technological University (NTU), Singapore.
  • Lao XQ; Department of Biomedical Sciences, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong SAR, China.
  • Gao M; Department of Geography, Hong Kong Baptist University, Hong Kong SAR, China.
  • Chen DH; Department of Air Quality Forecasting and Early Warning, Guangdong Environmental Monitoring Center, State Environmental Protection Key Laboratory of Regional Air Quality Monitoring, Guangdong Environmental Protection Key Laboratory of Atmospheric Secondary Pollution, Guangzhou, China.
  • Ma HM; State Key Laboratory of Organic Geochemistry and Guangdong Key Laboratory of Environmental Protection and Resources Utilization, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou, China.
  • Lin LZ; Joint International Research Laboratory of Environment and Health, Ministry of Education, Guangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen Unive
  • Liu RQ; Joint International Research Laboratory of Environment and Health, Ministry of Education, Guangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen Unive
  • Dong GH; Joint International Research Laboratory of Environment and Health, Ministry of Education, Guangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen Unive
Environ Res ; 260: 119553, 2024 Nov 01.
Article en En | MEDLINE | ID: mdl-38964573
ABSTRACT
Evidence regarding the link between long-term ambient ozone (O3) exposure and childhood sleep disorders is little. This study aims to examine the associations between long-term exposure to O3 and sleep disorders in children. We conducted a population-based cross-sectional survey, including 185,428 children aged 6-18 years in 173 schools across 14 Chinese cities during 2012 and 2018. Parents or guardians completed a checklist using Sleep Disturbance Scale for Children, and O3 exposure at residential and school addresses was estimated using a satellite-based spatiotemporal model. We used generalized linear mixed models to test the associations with adjustment for factors including socio-demographic variables, lifestyle, meteorology and multiple pollutants. Mean concentrations of O3, particulate matter with diameters ≤2.5 mm (PM2.5) and nitrogen dioxide (NO2) were 89.0 µg/m3, 42.5 µg/m3 and 34.4 µg/m3, respectively. O3 and NO2 concentrations were similar among provinces, while PM2.5 concentration varied significantly among provinces. Overall, 19.4% of children had at least one sleep disorder. Long-term exposure to O3 was positively associated with odds of sleep disorders for all subtypes. For example, each interquartile increment in home-school O3 concentrations was associated with a higher odds ratio for global sleep disorder, at 1.22 (95% confidence interval 1.18, 1.26). Similar associations were observed for sleep disorder subtypes. The associations remained similar after adjustment for PM2.5 and NO2. Moreover, these associations were heterogeneous regionally, with more prominent associations among children residing in southeast region than in northeast and northwest regions in China. We concluded that long-term exposure to O3 is positively associated with risks of childhood sleep disorders. These associations varied by geographical region of China.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ozono / Trastornos del Sueño-Vigilia / Contaminantes Atmosféricos / Exposición a Riesgos Ambientales Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Environ Res Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ozono / Trastornos del Sueño-Vigilia / Contaminantes Atmosféricos / Exposición a Riesgos Ambientales Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Environ Res Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos