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Maternal smoking during pregnancy, behavioral problems and school performances of their school-aged children
Lubomir Kukla1, Drahoslava Hrubá, Mojmír Tyrlík
1Research Institute of Preventive and Social Paediatrics, Faculty of Medicine, Masaryk University, Brno, Czech Republic. lubomir.kukla@tiscali.cz
Insights
Prenatal exposure to cigarette smoke is linked to increased behavioral problems and learning difficulties in children. This study confirms that children of smoking mothers exhibit more frequent issues with schoolwork and behavior.
Area of Science:
- Environmental Health
- Developmental Psychology
- Pediatrics
Background:
- Child behavior and school performance are influenced by genetic and environmental factors, including prenatal exposure to neurotoxins in cigarette smoke.
- The European Longitudinal Study of Pregnancy and Childhood (ELSPAC) in the Czech Republic examines children born in 1991/2.
- This study analyzes the relationship between prenatal smoke exposure and developmental disorders.
Purpose of the Study:
- To investigate the association between prenatal exposure to maternal smoking and behavioral and learning disorders in children.
- To analyze the frequency of specific behavioral issues and school performance deficits in prenatally exposed children.
Main Methods:
- Data collected via teacher questionnaires and research team protocols for children at ages 8, 11, and 13.
- Children categorized into prenatally exposed and non-exposed groups based on maternal smoking reports during pregnancy.
- Statistical analysis using SPSS (Pearson's chi-squared test, linear associations).
Main Results:
- Children prenatally exposed to maternal smoking showed more frequent inferior schoolwork performance and higher rates of diagnosed disorders.
- Increased occurrence of special care needs was observed in the exposed group compared to non-exposed peers.
- Prenatally exposed children exhibited more frequent behavioral disorders, including attention deficits, hyperactivity, aggressiveness, and delinquency signs.
Conclusions:
- The Czech ELSPAC cohort findings align with previous research, confirming a link between maternal smoking during pregnancy and adverse child outcomes.
- Children born to smoking mothers experience more frequent behavioral problems and difficulties with school assignments during school age.
- Prenatal smoke exposure is a significant environmental factor impacting child development and academic success.
Background:
Child behavior and school performance is influenced by many genetic and environmental factors including prenatal exposure to chemical neurotoxins contained in cigarette smoke. The European Longitudinal Study of Pregnancy and Childhood (ELSPAC) prospective study which in the Czech Republic incorporates a cohort of children born in the years 1991/2 in Brno city and the Znojmo district also allows to analyze the relationships between prenatal cigarette smoke exposure and the occurrence of behavior and learning disorders.
Methods:
Using questionnaires repeatedly filled in by teachers and investigation protocols performed by research team workers data for the Brno sample of children was collected on the occurrence of signs indicating more serious problems with school assignment fulfilling and behavior disorders in the childrens' 8, 11 and 13 years of age. According to mothers' statements about their smoking behavior during pregnancy, the children were divided into two groups: prenatally exposed and non-exposed. The frequency differences of individual traits were evaluated in the SPSS statistical program (Pearson's chi2 test and linear associations, probability relations).
Results:
In the ELSPAC study set the occurrence of inferior schoolwork performance evaluated based on term-report grades was more frequent in children prenatally exposed to mothers' smoking, along with more frequently diagnosed disorders which to significant extent implicate these inferior results and also special care needs occurred more frequently when compared to their peers born to non-smoking mothers. In the prenatally exposed subset also more frequent occurrence of various signs characterizing behavior disorders including attention disorders, hyperactivity, aggressiveness and signs of delinquency behavior were recorded.
Conclusions:
The Czech ELSPAC cohort confirmed the results of other studies; within it was documented that children born to smoking mothers have more frequent behavioral problems and problems with fulfilling their school assignments in the school age period.
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