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Early childhood exposure to secondhand smoke and behavioural problems in preschoolers.

Abstract：

:Evidence on behavioural abnormalities in children exposed to secondhand smoke is limited. This study examined the relation between infant/ toddler cotinine concentration, a biomarker of secondhand smoke exposure, and behavioural problems in preschoolers who were unexposed to maternal smoking during gestation. A prospective cohort of 301 non-smoking mothers with their young children aged ≤18 months visiting postnatal primary care clinics in Hong Kong was enrolled in 2012 and followed by telephone survey 3 years afterwards. Saliva was collected at baseline for cotinine assay. Child behavioural health at 3-year follow-up was assessed by the parent-reported Strengths and Difficulties Questionnaire (SDQ). We conducted multivariable linear regressions to compute regression coefficients (b) of SDQ scores in relation to salivary cotinine level. Mean ± SD age of children at follow-up was 3.7 ± 0.5 years and 50.8% were boys. After adjusting for age, sex, birthweight, household income, housing type, maternal education and depressive symptoms, greater cotinine concentrations during early childhood were associated with greater conduct problems (b = 0.90, 95% CI 0.03-1.76) and hyperactivity/ inattention (b = 1.12, 95% CI 0.07-2.17) at preschool age. This study corroborates previous findings on the potential role of secondhand smoke in development of child behavioural problems.

journal_name

Sci Rep

journal_title

Scientific reports

authors

Luk TT,Wang MP,Suen YN,Koh DS,Lam TH,Chan SS

doi

10.1038/s41598-018-33829-6

subject

Has Abstract

pub_date

2018-10-18 00:00:00

pages

15434

issue

1

issn

2045-2322

pii

10.1038/s41598-018-33829-6

journal_volume

8

pub_type

临床试验,杂志文章,多中心研究

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