Passive smoking and behavioural problems in children: Results from the LISAplus prospective birth cohort study

Autor: Carla M T, Tiesler, Chih-Mei, Chen, Stefanie, Sausenthaler, Olf, Herbarth, Irina, Lehmann, Beate, Schaaf, Ursula, Krämer, Andrea, von Berg, Rüdiger, von Kries, H-Erich, Wichmann, Joachim, Heinrich, H, Behrendt
Rok vydání: 2011
Předmět:
Zdroj: Environmental Research. 111:1173-1179
ISSN: 0013-9351
DOI: 10.1016/j.envres.2011.06.011
Popis: Objective To analyse the association between pre- and postnatal exposure to tobacco smoke and child behavioural problems and to further investigate the influence of trimester-specific exposure to maternal smoking and the impact of paternal smoking at home on the same outcome. Methods Data of 3097 German children recruited at birth for a population-based, prospective study were used. Detailed information on children's tobacco smoke exposure was collected by self-administered questionnaires at each follow-up. Behavioural outcomes were measured by the Strengths and Difficulties Questionnaire applied at 10-year follow-up. Results Children exposed to environmental tobacco smoke at home showed increased risks of hyperactivity/inattention problems. Only smoking during the entire pregnancy increased the risk for conduct and hyperactivity/inattention problems (proportional odds ratio (pOR)=1.58, 95% confidence interval (CI)=1.06–2.37 and pOR=1.67, CI=1.03–2.72). Pre- and postnatal exposure to paternal smoking was associated with hyperactivity/inattention problems in children of non-smoking mothers (pOR=1.97, CI=1.06–3.65). Effect estimates were adjusted for study centre, sex, parental educational level, mother's age at birth, having a single parent and time spent in front of a screen. Conclusions Not only maternal smoking during pregnancy but also paternal smoking at home should be considered as a risk for hyperactivity/inattention problems in children.
Databáze: OpenAIRE