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

Environ. Res. 111, 1173-1179 (2011)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
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.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Adolescent health; Behavioural problems; Cohort study; Environmental tobacco smoke exposure; Strengths and difficulties questionnaire
ISSN (print) / ISBN 0013-9351
e-ISSN 1096-0953
Quellenangaben Volume: 111, Issue: 8, Pages: 1173-1179 Article Number: , Supplement: ,
Publisher Elsevier
Publishing Place San Diego, Calif.
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Epidemiology (EPI)